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Fundamental Nursing Skills and Concepts

by: Timby, Barbara Kuhn

Fundamental Nursing Skills and Concepts

by: Timby, Barbara Kuhn

ISBN 13:
9780781747363
ISBN 10:
0781747368
Edition: 8th
Format: Paperback
Copyright: 07/06/2004
Publisher: LWW
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Summary

Fully revised and updated, Fundamental Nursing Skills and Concepts will assist you in learning the foundation of nursing care, and will provide guidance in learning step-by-step clinical skills. Using a visually exciting full-color format with handy cross-referencing to Timby and Smith's Essentials of Nursing, this trusted resource delivers even more of the information you need for safe, effective nursing. Book jacket.

UNIT 1 Exploring Contemporary Nursing

(28)

Nursing Foundations

(15)

Nursing Origins

(1)

The Nightingale Reformation

(1)

The Crimean War

(1)

Nightingale's Contributions

(1)

Nursing in the United States

(2)

U.S. Nursing Schools

(1)

Expanding Horizons of Practice

(2)

Contemporary Nursing

(1)

Combining Nursing Art With Science

(1)

Integrating Nursing Theory

(1)

Defining Nursing

(1)

The Educational Ladder

(4)

Practical/Vocational Nursing

(1)

Registered Nursing

(1)

Baccalaureate Programs

(1)

Graduate Nursing Programs

(1)

Continuing Education

(1)

Future Trends

(2)

Governmental Responses

(1)

Proactive Strategies

(1)

Unique Nursing Skills

(5)

Assessment Skills

(1)

Caring Skills

(1)

Counseling Skills

(3)

Comforting Skills

(2)

Nursing Process

(13)

Definition of the Nursing Process

(1)

Characteristics of the Nursing Process

(1)

Steps of the Nursing Process

(8)

Assessment

(3)

Diagnosis

(2)

Planning

(1)

Implementation

(1)

Evaluation

(1)

Use of the Nursing Process

(4)

UNIT 2 Integrating Basic Concepts

(52)

Laws and Ethics

(15)

Laws

(7)

Constitutional Law

(1)

Statutory Laws

(1)

Administrative Laws

(1)

Common Law

(1)

Criminal Laws

(1)

Civil Laws

(5)

Professional Liability

(1)

Liability Insurance

(1)

Reducing Liability

(1)

Malpractice Litigation

(1)

Ethics

(7)

Codes of Ethics

(1)

Ethical Dilemmas

(1)

Ethical Theories

(3)

Ethical Decision-Making

(1)

Ethics Committees

(1)

Common Ethical Issues

(4)

Health and Illness

(10)

Health

(1)

Health: A Limited Resource

(1)

Health: A Right

(1)

Health: A Personal Responsibility

(1)

Wellness

(1)

Holism

(1)

Hierarchy of Human Needs

(1)

Illness

(1)

Morbidity and Mortality

(1)

Acute, Chronic, and Terminal Illnesses

(1)

Primary and Secondary Illnesses

(1)

Remission and Exacerbation

(1)

Hereditary, Congenital, and Idiopathic Illnesses

(1)

Health Care System

(3)

Primary, Secondary, and Tertiary Care

(1)

Extended Care

(1)

Health Care Services

(1)

Access to Care

(1)

Financing Health Care

(2)

Outcomes of Structured Reimbursement

(1)

National Health Goals

(1)

Nursing Team

(1)

Functional Nursing

(1)

Case Method

(1)

Team Nursing

(1)

Primary Nursing

(1)

Nurse-Managed Care

(1)

Continuity of Health Care

(2)

Homeostasis, Adaptation, and Stress

(12)

Homeostasis

(3)

Holism

(1)

Adaptation

(2)

Stress

(4)

Physiologic Stress Response

(2)

Psychological Stress Responses

(1)

Stress-Related Disorders

(1)

Nursing Implications

(5)

Assessment of Stressors

(2)

Prevention of Stressors

(1)

Stress-Reduction Techniques

(1)

Stress-Management Techniques

(3)

Culture and Ethnicity

(15)

Culture

(1)

Race

(1)

Minority

(1)

Ethnicity

(1)

Stereotyping

(1)

Generalizing

(1)

Ethnocentrism

(1)

Anglo-American Culture and U.S. Subcultures

(1)

Transcultural Nursing

(8)

Cultural Assessment

(3)

Biologic and Physiologic Variations

(4)

Disease Prevalence

(1)

Health Beliefs and Practices

(1)

Culturally Sensitive Nursing

(4)

UNIT 3 Fostering Communication

(36)

The Nurse--Client Relationship

(9)

Nursing Roles Within the Nurse--Client Relationship

(2)

The Nurse as Caregiver

(1)

The Nurse as Educator

(1)

The Nurse as Collaborator

(1)

The Nurse as Delegator

(1)

The Theraplutic Nurse-Client Relationship

(1)

Underlying Principles

(1)

Phases of the Nurse--Client Relationship

(1)

Barriers to a Therapeutic Relationship

(1)

Communication

(6)

Verbal Communication

(3)

Nonverbal Communication

(3)

Client Teaching

(8)

Importance of Client Teaching

(1)

Assessing the Learner

(3)

Learning Styles

(1)

Age and Developmental Level

(2)

Capacity to Learn

(1)

Motivation

(1)

Learning Readiness

(1)

Learning Needs

(1)

Informal and Formal Teaching

(4)

Teaching Adult Clients

(2)

Recording and Reporting

(19)

Medical Records

(3)

Uses

(3)

Client Access to Records

101

(1)

Types of Client Records

101

(1)

Methods of Charting

101

(3)

Narrative Charting

101

(1)

SOAP Charting

101

(1)

Focus Charting

102

(1)

PIE Charting

103

(1)

Charting by Exception

103

(1)

Computerized Charting

103

(1)

Protecting Health Information

104

(2)

Privacy Standards

104

(1)

Workplace Applications

104

(2)

Data Security

106

(1)

Documenting Information

106

(2)

Using Abbreviations

106

(1)

Indicating Documentation Time

107

(1)

Communication for Continuity and Collaboration

108

(9)

Written Forms of Communication

108

(1)

Interpersonal Communication

109

(5)

Making Entries in a Client's Record

114

(3)

UNIT 4 Performing Assessment and Evaluation

117

(120)

Admission, Discharge, Transfer, and Referrals

117

(20)

The Admission Process

117

(7)

Medical Authorization

117

(1)

The Admitting Department

118

(1)

Nursing Admission Activities

118

(2)

Initial Nursing Plan For Care

120

(1)

Medical Admission Responsibilities

120

(1)

Common Responses to Admission

120

(4)

The Discharge Process

124

(1)

Obtaining Authorization for Medical Discharge

124

(1)

Providing Discharge Instructions

124

(1)

Notifying the Business Office

124

(1)

Discharging a Client

124

(1)

Writing a Discharge Summary

125

(1)

Terminal Cleaning

125

(1)

Client Transfer

125

(3)

Transfer Activities

125

(1)

Extended Care Facilities

126

(2)

Client Referral

128

(9)

Home Health Care

128

(4)

Admitting a Client

132

(3)

Discharging a Client

135

(2)

Vital Signs

137

(48)

Body Temperature

138

(9)

Temperature Measurement

138

(1)

Normal Body Temperature

138

(2)

Assessment Sites

140

(2)

Thermometers

142

(4)

Elevated Body Temperature

146

(1)

Subnormal Body Temperature

146

(1)

Pulse

147

(5)

Pulse Rate

147

(3)

Pulse Rhythm

150

(1)

Pulse Volume

150

(1)

Assessment Sites

150

(2)

Respiration

152

(1)

Respiratory Rate

152

(1)

Breathing Patterns and Abnormal Characteristics

152

(1)

Blood Pressure

153

(7)

Factors Affecting Blood Pressure

153

(1)

Pressure Measurements

154

(1)

Assessment Sites

154

(1)

Equipment For Measuring Blood Pressure

155

(2)

Measuring Blood Pressure

157

(1)

Alternative Assessment Techniques

158

(1)

Abnormal Blood Pressure Measurements

159

(1)

Documenting Vital Signs

160

(1)

Nursing Implications

160

(25)

Assessing Body Temperature

164

(8)

Assessing the Radial Pulse

172

(2)

Assessing the Respiratory Rate

174

(2)

Assessing Blood Pressure

176

(4)

Obtaining a Thigh Blood Pressure

180

(2)

Assessing for Postural Hypotension

182

(3)

Physical Assessment

185

(24)

Overview of Physical Assessment

185

(3)

Purposes

185

(1)

Techniques

186

(1)

Equipment

187

(1)

Environment

187

(1)

Performing a Physical Assessment

188

(2)

Gathering General Data

188

(1)

Draping and Positioning

189

(1)

Selecting an Approach for Data Collection

189

(1)

Examining the Client

189

(1)

Data Collection

190

(13)

Head and Neck

190

(4)

Chest and Spine

194

(5)

Extremities

199

(1)

Abdomen

200

(2)

Genitalia

202

(1)

Anus and Rectum

202

(1)

Nursing Implications

203

(6)

Performing a Physical Assessment

207

(2)

Special Examinations and Tests

209

(28)

Examinations and Tests

209

(14)

General Nursing Responsibilities

209

(5)

Common Diagnostic Examinations

214

(5)

Diagnostic Laboratory Tests

219

(4)

Nursing Implications

223

(14)

Assisting With a Pelvic Examination

226

(4)

Assisting With a Sigmoidoscopy

230

(3)

Using a Glucometer

233

(4)

UNIT 5 Assisting With Basic Needs

237

(200)

Nutrition

237

(23)

Overview of Nutrition

237

(7)

Human Nutritional Needs

238

(3)

Nutritional Standards

241

(3)

Nutritional Patterns and Practices

244

(1)

Influences on Eating Habits

244

(1)

Vegetarianism

245

(1)

Nutritional Status Assessment

245

(3)

Subjective Data

246

(1)

Objective Data

246

(2)

Management of Problems Interfering with Nutrition

248

(3)

Obesity

248

(1)

Emaciation

248

(1)

Anorexia

249

(1)

Nausea

249

(1)

Vomiting

250

(1)

Stomach Gas

250

(1)

Management of Client Nutrition

251

(9)

Common Hospital Diets

251

(1)

Meal Trays

251

(1)

Feeding Assistance

251

(5)

Serving and Removing Meal Trays

256

(1)

Feeding a Client

257

(3)

Fluid and Chemical Balance

260

(47)

Body Fluid

260

(3)

Water

260

(1)

Fluid Compartments

261

(1)

Electrolytes

261

(1)

Nonelectrolytes

261

(1)

Blood

261

(1)

Fluid and Electrolyte Distribution Mechanisms

262

(1)

Fluid Regulation

263

(1)

Fluid Volume Assessment

263

(3)

Fluid Intake

264

(2)

Fluid Output

266

(1)

Common Fluid Imbalances

266

(3)

Hypovolemia

267

(1)

Hypervolemia

267

(1)

Third-Spacing

268

(1)

Intravenous Fluid Administration

269

(9)

Types of Solutions

269

(2)

Preparation for Administration

271

(2)

Infusion Techniques

273

(1)

Venipuncture

274

(1)

Infusion Monitoring and Maintenance

274

(2)

Discontinuation of an Intravenous Infusion

276

(1)

Insertion of an Intermittent Venous Access Device

277

(1)

Blood Administration

278

(1)

Blood Collection and Storage

278

(1)

Blood Safety

278

(1)

Blood Compatibility

278

(1)

Blood Transfusion

279

(1)

Parenteral Nutrition

279

(2)

Peripheral Parenteral Nutrition

280

(1)

Total Parenteral Nutrition

280

(1)

Lipid Emulsions

281

(1)

Nursing Implications

281

(26)

Recording Intake and Output

286

(2)

Preparing Intravenous Solutions

288

(4)

Starting an Intravenous Infusion

292

(4)

Changing IV Solution Containers

296

(2)

Changing IV Tubing

298

(1)

Discontinuing an Intravenous Infusion

299

(2)

Inserting a Medication Lock

301

(3)

Administering a Blood Transfusion

304

(3)

Hygiene

307

(29)

The Integumentary System

307

(2)

Skin

308

(1)

Mucous Membranes

308

(1)

Hair

308

(1)

Nails

308

(1)

Teeth

309

(1)

Hygiene Practices

309

(8)

Bathing

309

(4)

Shaving

313

(1)

Oral Hygiene

313

(2)

Hair Care

315

(1)

Nail Care

316

(1)

Visual and Hearing Devices

317

(2)

Eyeglasses

317

(1)

Contact Lenses

317

(1)

Artificial Eyes

318

(1)

Hearing Aids

318

(1)

Infrared Listening Devices

319

(1)

Nursing Implications

319

(17)

Providing a Tub Bath or Shower

323

(2)

Administering Perineal Care

325

(4)

Giving a Bed Bath

329

(3)

Giving Oral Care to Unconscious Clients

332

(2)

Shampooing Hair

334

(2)

Comfort, Rest, and Sleep

336

(28)

The Client Environment

336

(3)

Client Rooms

337

(1)

Room Furnishing

337

(2)

Sleep and Rest

339

(5)

Functions of Sleep

339

(1)

Sleep Phases

340

(1)

Sleep Cycles

340

(1)

Sleep Requirements

340

(1)

Factors Affecting Sleep

341

(3)

Sleep Assessment

344

(1)

Questionnaires

344

(1)

Sleep Diary

344

(1)

Nocturnal Polysomnography

344

(1)

Multiple Sleep Latency Test

345

(1)

Sleep Disorders

345

(2)

Insomnia

345

(1)

Hypersomnias

345

(1)

Sleep--Wake Cycle Disturbances

346

(1)

Parasomnias

347

(1)

Nursing Implications

347

(17)

Progressive Relaxation

347

(1)

Back Massage

347

(5)

Making an Unoccupied Bed

352

(6)

Making an Occupied Bed

358

(3)

Giving a Back Massage

361

(3)

Safety

364

(19)

Age-Related Safety Factors

364

(1)

Infants and Toddlers

364

(1)

School-Aged Children and Adolescents

365

(1)

Adults

365

(1)

Environmental Hazards

365

(7)

Latex Sensitization

365

(2)

Burns

367

(1)

Asphyxiation

368

(1)

Drowning

369

(1)

Electrical Shock

370

(1)

Poisoning

371

(1)

Falls

372

(1)

Restraints

372

(3)

Legislation

373

(1)

Accreditation Standards

373

(1)

Restraint Alternatives

374

(1)

Use of Restraints

374

(1)

Nursing Implications

375

(8)

Using Physical Restraints

378

(5)

Pain Management

383

(23)

Pain

383

(3)

The Process of Pain

383

(2)

Pain Theories

385

(1)

Types of Pain

385

(1)

Pain Assessment Standards

386

(1)

Pain Assessment Data

387

(1)

Pain Intensity Assessment Tools

388

(1)

Pain Management

389

(6)

Treatment Biases

389

(1)

Pain Management Techniques

389

(1)

Drug Therapy

389

(3)

Surgical Approaches

392

(1)

Nondrug/Nonsurgical Interventions

392

(3)

Nursing Implications

395

(11)

Addiction

395

(1)

Placebos

396

(4)

Preparing a Patient-Controlled Analgesia (PCA) Infuser

400

(3)

Operating a Transcutaneous Electrical Nerve Stimulation (TENS) Unit

403

(3)

Oxygenation

406

(31)

Anatomy and Physiology of Breathing

406

(1)

Assessing Oxygenation

407

(3)

Physical Assessment

408

(1)

Arterial Blood Gases

408

(1)

Pulse Oximetry

408

(2)

Promoting Oxygenation

410

(3)

Positioning

410

(1)

Breathing Techniques

411

(2)

Oxygen Therapy

413

(9)

Oxygen Sources

413

(1)

Equipment Used in Oxygen Administration

414

(2)

Common Delivery Devices

416

(5)

Additional Delivery Devices

421

(1)

Oxygen Hazards

422

(1)

Related Oxygenation Techniques

422

(1)

Water-Seal Chest Tube Drainage

422

(1)

Hyperbaric Oxygen Therapy

423

(1)

Nursing Implications

423

(14)

Using a Pulse Oximeter

427

(2)

Administering Oxygen

429

(3)

Maintaining a Water-Seal Chest Tube Drainage System

432

(5)

UNIT 6 Preventing Infection

437

(42)

Asepsis

437

(27)

Microorganisms

437

(2)

Types of Microorganisms

437

(2)

Survival of Microorganisms

439

(1)

Chain Of Infection

439

(2)

Infectious Agents

439

(1)

Reservoir

440

(1)

Exit Route

440

(1)

Mode of Transmission

440

(1)

Port of Entry

440

(1)

Susceptible Host

441

(1)

Asepsis

441

(9)

Medical Asepsis

441

(6)

Surgical Asepsis

447

(3)

Nursing Implications

450

(14)

Handwashing

454

(3)

Creating a Sterile Field and Adding Sterile Items

457

(4)

Donning Sterile Gloves

461

(3)

Infection Control

464

(15)

Infection

464

(1)

Infection Control Precautions

465

(3)

Standard Precautions

465

(1)

Transmission-Based Precautions

466

(2)

Infection Control Measures

468

(4)

Client Environment

468

(1)

Personal Protective Equipment

469

(2)

Discarding Biodegradable Trash

471

(1)

Removing Reusable Items

471

(1)

Delivering Laboratory Specimens

471

(1)

Transporting Clients

471

(1)

Psychological Implications

472

(1)

Promoting Social Interaction

472

(1)

Combating Sensory Deprivation

472

(1)

Nursing Implications

472

(7)

Removing Personal Protective Equipment

477

(2)

UNIT 7 Assisting the Inactive Client

479

(88)

Body Mechanics, Positioning, and Moving

479

(27)

Maintaining Good Posture

479

(2)

Standing

479

(2)

Sitting

481

(1)

Lying Down

481

(1)

Body Mechanics

481

(1)

Ergonomics

482

(1)

Positioning Clients

482

(4)

Common Positions

483

(1)

Positioning Devices

484

(2)

Turning and Moving Clients

486

(1)

Protective Devices

486

(3)

Siderails

486

(1)

Mattress Overlays

486

(1)

Cradle

487

(1)

Specialty Beds

487

(2)

Transferring Clients

489

(1)

Transfer Devices

489

(1)

Client Transfer

490

(1)

Nursing Implications

490

(16)

Turning and Moving a Client

495

(6)

Transferring Clients

501

(5)

Therapeutic Exercise

506

(19)

Fitness Assessment

506

(3)

Body Composition

506

(1)

Vital Signs

506

(1)

Fitness Tests

507

(2)

Exercise Prescriptions

509

(1)

Target Heart Rate

509

(1)

Metabolic Energy Equivalent

509

(1)

Types of Exercise

509

(3)

Fitness Exercise

509

(1)

Therapeutic Exercise

510

(2)

Nursing Implications

512

(13)

Performing Range-of-Motion (ROM) Exercises

516

(7)

Using a Continuous Passive Motion (CPM) Machine

523

(2)

Mechanical Immobilization

525

(20)

Purposes of Mechanical Immobilization

525

(1)

Mechanical Immobilizing Devices

525

(8)

Splints

526

(2)

Slings

528

(1)

Braces

528

(1)

Casts

529

(2)

Traction

531

(1)

External Fixators

532

(1)

Nursing Implications

533

(12)

Applying an Arm Sling

538

(3)

Assisting With a Cast Application

541

(2)

Providing Pin Site Care

543

(2)

Ambulatory Aids

545

(22)

Preparing for Ambulation

545

(2)

Isometric Exercises

545

(1)

Upper Arm Strengthening

546

(1)

Dangling

546

(1)

Using a Tilt Table

546

(1)

Assistive Devices

547

(1)

Ambulatory Aids

547

(4)

Canes

548

(1)

Walkers

548

(1)

Crutches

549

(1)

Crutch-Walking Gaits

549

(2)

Prosthetic Limbs

551

(1)

Temporary Prosthetic Limb

551

(1)

Permanent Prosthetic Components

551

(1)

Client Care

552

(1)

Ambulation With a Lower Limb Prosthesis

552

(1)

Nursing Implications

552

(15)

Measuring for Crutches, Canes, and Walkers

556

(4)

Assisting With Crutch-Walking

560

(3)

Applying a Leg Prosthesis

563

(4)

UNIT 8 The Surgical Client

567

(82)

Perioperative Care

567

(24)

Preoperative Period

567

(8)

Inpatient Surgery

568

(1)

Outpatient Surgery

568

(2)

Informed Consent

570

(1)

Preoperative Blood Donation

571

(1)

Immediate Preoperative Care

571

(4)

Intraoperative Period

575

(2)

Receiving Room

576

(1)

Operating Room

576

(1)

Anesthesia

576

(1)

Surgical Waiting Area

577

(1)

Postoperative Period

577

(3)

Immediate Postoperative Care

577

(1)

Continuing Postoperative Care

578

(2)

Nursing Implications

580

(11)

Applying Antiembolism Stockings

584

(2)

Performing Presurgical Skin Preparation

586

(2)

Applying a Pneumatic Compression Device

588

(3)

Wound Care

591

(26)

Wounds

591

(1)

Wound Repair

591

(2)

Inflammation

592

(1)

Proliferation

592

(1)

Remodeling

593

(1)

Wound Healing

593

(1)

Wound Management

594

(8)

Dressings

594

(1)

Drains

595

(1)

Sutures and Staples

595

(1)

Bandages and Binders

596

(2)

Debridement

598

(1)

Heat and Cold Applications

599

(3)

Pressure Ulcers

602

(1)

Stages of Pressure Ulcers

602

(1)

Prevention of Pressure Ulcers

603

(1)

Nursing Implications

603

(14)

Changing a Gauze Dressing

608

(4)

Irrigating a Wound

612

(2)

Providing a Sitz Bath

614

(3)

Gastrointestinal Intubation

617

(32)

Intubation

617

(1)

Types of Tubes

618

(2)

Orogastric Tubes

618

(1)

Nasogastric Tubes

618

(1)

Nasointestinal Tubes

618

(2)

Transabdominal Tubes

620

(1)

Nasogastric Tube Management

620

(4)

Insertion

620

(3)

Use and Maintenance

623

(1)

Removal

623

(1)

Nasointestinal Tube Management

624

(1)

Insertion

624

(1)

Checking Tube Placement

624

(1)

Transabdominal Tube Management

624

(1)

Tube Feedings

625

(4)

Benefits and Risks

625

(1)

Formula Considerations

625

(1)

Tube-Feeding Schedules

625

(3)

Client Assessment

628

(1)

Nursing Management

628

(1)

Intestinal Decompression

629

(2)

Tube Insertion

629

(2)

Removal

631

(1)

Nursing Implications

631

(18)

Inserting a Nasogastric Tube

635

(4)

Irrigating a Nasogastric Tube

639

(2)

Removing a Nasogastric Tube

641

(2)

Administering Tube Feedings

643

(6)

UNIT 9 Promoting Elimination

649

(56)

Urinary Elimination

649

(31)

Overview of Urinary Elimination

649

(1)

Characteristics of Urine

650

(2)

Urine Specimen Collection

650

(1)

Abnormal Urine Characteristics

651

(1)

Abnormal Urinary Elimination Patterns

652

(1)

Anuria

652

(1)

Oliguria

652

(1)

Polyuria

652

(1)

Nocturia

652

(1)

Dysuria

652

(1)

Incontinence

652

(1)

Assisting Clients with Urinary Elimination

652

(1)

Commode

652

(1)

Urinal

653

(1)

Using a Bedpan

653

(1)

Managing Incontinence

653

(1)

Catheterization

654

(5)

Types of Catheters

654

(2)

Inserting a Catheter

656

(1)

Connecting a Closed Drainage System

657

(1)

Providing Catheter Care

657

(1)

Catheter Irrigation

657

(2)

Indwelling Catheter Removal

659

(1)

Urinary Diversions

659

(1)

Nursing Implications

659

(21)

Placing and Removing a Bedpan

663

(2)

Applying a Condom Catheter

665

(2)

Inserting a Foley Catheter in a Female

667

(5)

Inserting a Foley Catheter in a Male

672

(5)

Irrigating a Foley Catheter

677

(3)

Bowel Elimination

680

(25)

Defecation

680

(1)

Assessment of Bowel Elimination

680

(2)

Elimination Patterns

681

(1)

Stool Characteristics

681

(1)

Common Alterations in Bowel Elimination

682

(2)

Constipation

682

(1)

Fecal Impaction

682

(1)

Flatulence

683

(1)

Diarrhea

683

(1)

Fecal Incontinence

683

(1)

Measures to Promote Bowel Elimination

684

(1)

Inserting a Rectal Suppository

684

(1)

Administering an Enema

684

(1)

Ostomy Care

685

(2)

Providing Peristomal Care

686

(1)

Applying an Ostomy Appliance

686

(1)

Draining a Continent Ileostomy

686

(1)

Irrigating a Colostomy

686

(1)

Nursing Implications

687

(18)

Inserting a Rectal Tube

691

(2)

Inserting a Rectal Suppository

693

(2)

Administering a Cleansing Enema

695

(3)

Changing an Ostomy Appliance

698

(3)

Irrigating a Colostomy

701

(4)

UNIT 10 Medication Administration

705

(66)

Oral Medications

705

(16)

Medication Orders

705

(2)

Components of a Medication Order

705

(2)

Verbal Orders

707

(1)

Documentation in the Medication Administration Record

707

(1)

Methods of Supplying Medications

707

(2)

Storing Medications

707

(1)

Accounting for Narcotics

707

(2)

Medication Administration

709

(2)

Applying the Five Rights

709

(1)

Calculating Dosages

709

(1)

Administering Oral Medications

709

(1)

Administering Oral Medications by Enteral Tube

710

(1)

Documentation

711

(1)

Medication Errors

711

(1)

Nursing Implications

711

(10)

Administering Oral Medications

715

(3)

Administering Medications Through an Enteral Tube

718

(3)

Topical and Inhalant Medications

721

(12)

Topical Route

721

(3)

Cutaneous Applications

721

(2)

Ophthalmic Applications

723

(1)

Otic Applications

723

(1)

Nasal Applications

724

(1)

Sublingual and Buccal Applications

724

(1)

Vaginal Applications

724

(1)

Rectal Applications

724

(1)

Inhalant Route

724

(2)

Nursing Implications

726

(7)

Instilling Eye Medications

729

(2)

Administering Nasal Medications

731

(2)

Parenteral Medications

733

(19)

Parenteral Administration Equipment

733

(1)

Syringes

733

(1)

Needles

733

(1)

Modified Safety Injection Equipment

734

(1)

Drug Preparation

734

(2)

Ampules

735

(1)

Vials

735

(1)

Prefilled Cartridges

735

(1)

Combining Medications in One Syringe

736

(1)

Injection Routes

736

(6)

Intradermal Injections

737

(1)

Subcutaneous Injections

737

(2)

Intramuscular Injections

739

(3)

Reducing Injection Discomfort

742

(1)

Nursing Implications

743

(9)

Administering Intradermal Injections

746

(2)

Administering Subcutaneous Injections

748

(2)

Administering Intramuscular Injections

750

(2)

Intravenous Medications

752

(19)

Intravenous Medication Administration

752

(3)

Continuous Administration

752

(1)

Intermittent Administration

753

(2)

Central Venous Catheters

755

(3)

Percutaneous Catheters

756

(1)

Tunneled Catheters

756

(1)

Implanted Catheters

756

(1)

Medication Administration Using a CVC

756

(2)

Nursing Implications

758

(13)

Administering Intravenous Medication by Continuous Infusion

761

(3)

Administering an Intermittent Secondary Infusion

764

(3)

Using a Volume-Control Set

767

(4)

UNIT 11 Intervening in Emergency Situations

771

(26)

Airway Management

771

(15)

The Airway

771

(1)

Natural Airway Management

772

(2)

Liquefying Secretions

772

(1)

Mobilizing Secretions

772

(2)

Suctioning Secretions

774

(1)

Artificial Airway Management

774

(2)

Oral Airway

774

(1)

Tracheostomy

775

(1)

Nursing Implications

776

(10)

Suctioning the Airway

779

(3)

Providing Tracheostomy Care

782

(4)

Resuscitation

786

(11)

Airway Obstruction

786

(2)

Identifying Signs of Airway Obstruction

786

(1)

Relieving an Obstruction

787

(1)

Chain of Survival

788

(4)

Early Recognition and Access of Emergency Services

788

(1)

Early Cardiopulmonary Resuscitation

788

(2)

Early Defibrillation

790

(2)

Early Advanced Life Support

792

(1)

Recovery

792

(1)

Discontinuing Resuscitation

793

(1)

Nursing Implications

793

(4)

UNIT 12 Caring for the Terminally Ill

797

(50)

Death and Dying

797

(50)

Terminal Illness and Care

797

(8)

Stages of Dying

797

(1)

Promoting Acceptance

798

(2)

Providing Terminal Care

800

(1)

Family Involvement

801

(1)

Approaching Death

802

(1)

Confirming Death

803

(2)

Performing Postmortem Care

805

(1)

Grieving

805

(1)

Pathologic Grief

805

(1)

Resolution of Grief

805

(1)

Nursing Implications

805

(6)

Performing Postmortem Care

808

(3)

Appendices

A Chapter Summaries

811

(14)

B Suggested Answers to Stop, Think, and Respond Boxes

825

(8)

C Answers and Rationales for NCLEX-Style Review Questions

833

(12)

D Commonly Used Abbreviations and Acronyms

845

(2)

Glossary of Key Terms

847

(16)

Index

863

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Fundamental Nursing Skills and Concepts

Fundamental Nursing Skills and Concepts

9780781747363

0781747368

Summary

Author Biography

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Fundamental Nursing Skills and Concepts

Fundamental Nursing Skills and Concepts

9780781747363

0781747368

Summary

Author Biography

Table of Contents

Supplemental Materials

Write a Review

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