Clinical Nursing Skills and Techniques

by Perry, Anne

• ISBN13: 9780815143055
• ISBN10: 0815143052
• Edition: 4th
• Format: Paperback
• Copyright: 1998-01-01
• Publisher: Elsevier Science Health Science div

Table of Contents

UNIT I Supporting the Client Through the Health Care System	1	(63)
Admitting, Transfer, and Discharge	3	(21)
Mary Kay Knight Macheca
Admitting Clients	5	(8)
Transferring Clients	13	(3)
Discharging Clients	16	(8)
Communication	24	(18)
Gina Bufe
Jacqueline A. Raybuck
Establishing Therapeutic Communication	26	(6)
Establishing Communication Throughout the Phases of the Nurse-Client Relationship	32	(3)
Communication with the Anxious Client	35	(3)
Verbally Deescalating the Potentially Violent Client	38	(4)
Recording and Reporting	42	(21)
Rick Daniels
Giving a Change-of-Shift Report	54	(2)
Documenting Nurses's Progress Notes	56	(4)
Incident Reporting	60	(3)
UNIT II Safety and Comfort	63	(64)
Safety	65	(24)
Kathleen Mulryan
Fall Prevention	66	(8)
Designing a Restraint-Free Environment	74	(4)
Applying Restraints	78	(6)
Seizure Precautions	84	(5)
Comfort	89	(38)
Victoria M. Brown
Removing Painful Stimuli	93	(6)
Nonpharmacological Aids to Promote Comfort	99	(10)
Patient-Controlled Analgesia	109	(7)
Epidural Analgesia	116	(11)
UNIT III Hygiene	127	(108)
Bathing and Skin Care	129	(43)
Anne Griffin Perry
Bathing a Client	133	(9)
Providing Perineal Care	142	(4)
Brushing Teeth	146	(4)
Performing Mouth Care for the Unconscious or Debilitated Client	150	(4)
Cleaning Dentures	154	(3)
Shampooing the Hair of a Bedridden Client	157	(4)
Shaving a Client	161	(4)
Performing Nail and Foot Care	165	(7)
Care of the Client's Environment	172	(17)
Anne Griffin Perry
Making an Unoccupied Bed	176	(7)
Making an Occupied Bed	183	(6)
Pressure Ulcer Care	189	(28)
Elizabeth A. Ayello
Risk Assessment and Prevention Strategies	192	(7)
Treatment of Pressure Ulcers	199	(18)
Care of Eye and Ear Prostheses	217	(18)
Elaine K. Neel
Taking Care of Contact Lenses	218	(8)
Taking Care of an Artificial Eye	226	(4)
Taking Care of an In-the-Ear Hearing Aid	230	(5)
UNIT IV Vital Signs and Physical Assessment	235	(186)
Vital Signs	237	(43)
Susan Jane Fetzer
Measuring Body Temperature	239	(14)
Assessing Apical Pulse	253	(4)
Assessing Radial Pulse	257	(4)
Assessing Arterial Blood Pressure	261	(9)
Assessing Respirations	270	(5)
Measuring Oxygen Saturation (Pulse Oximetry)	275	(5)
Physical Examination and Health Assessment	280	(141)
Patricia A. Potter
Performing a General Survey	288	(8)
Assessing the Skin	296	(6)
Assessing the Hair and Scalp	302	(3)
Assessing the Nails	305	(4)
Assessing the Eyes	309	(10)
Assessing the Ears	319	(7)
Assessing the Nose and Sinuses	326	(3)
Assessing the Mouth and Pharynx	329	(6)
Assessing the Structures of the Neck	335	(6)
Assessing the Thorax and Lungs	341	(9)
Assessing the Heart and Vascular System	350	(15)
Assessing the Breasts	365	(8)
Assessing the Abdomen	373	(8)
Assessing the Female Genitalia	381	(10)
Assessing the Male Genitalia	391	(6)
Assessing the Rectum and Anus	397	(4)
Assessing the Musculoskeletal System	401	(6)
Assessing the Neurological System	407	(14)
UNIT V Oxygenation	421	(130)
Oxygen Therapy	422	(25)
Pamela Becker Weilitz
Applying a Nasal Cannula or Oxygen Mask	425	(6)
Administering Oxygen Therapy to a Client with an Artificial Airway	431	(3)
Using Incentive Spirometry	434	(3)
Administering Mechanical Ventilation	437	(7)
Measuring Peak Expiratory Flow Rates	444	(3)
Performing Chest Physiotherapy	447	(17)
Jill Malen
Performing Postural Drainage	449	(9)
Performing Percussion, Vibration, and Rib Shaking	458	(6)
Airway Maintenance	464	(42)
Patricia A. Dettenmeier
Performing Oral Pharyngeal (Yankauer) Suctioning	465	(5)
Performing Nasal Pharyngeal and Nasal Tracheal Suctioning	470	(9)
Performing Endotracheal or Tracheostomy Tube Suctioning	479	(6)
Performing Endotracheal or Tracheostomy Tube Suctioning Using a Closed System (In-Line) Catheter	485	(5)
Performing Endotracheal Tube Care	490	(6)
Performing Tracheostomy Care	496	(5)
Inflating the Cuff on an Endotracheal or Tracheostomy Tube	501	(5)
Closed Chest Drainage Systems	506	(19)
April Sieh
Caring for Clients with Chest Tube Connected to Disposable Drainage Systems	510	(9)
Removing Chest Tubes	519	(2)
Postoperative Autotransfusion	521	(4)
Emergency Measures for Life Support	525	(26)
Sharon Souter
Removing a Foreign Body Airway Obstruction	526	(7)
Inserting a Nasal Airway	533	(3)
Inserting an Oropharyngeal Airway	536	(3)
Using an Ambu-bag	539	(4)
Performing Cardiopulmonary Resuscitation	543	(8)
UNIT VI Medications	551	(100)
Preparing for Medication Administration	552	(13)
Carl Kirton
Oral and Topical Medications	565	(43)
Carl Kirton
Administering Oral Medications	567	(6)
Administering Medications by Nasogastric Tube	573	(4)
Administering Skin Applications	577	(5)
Administering Eye Medications	582	(5)
Administering Ear Drops	587	(3)
Administering Ear Irrigations	590	(3)
Administering Nasal Instillations	593	(3)
Using Metered-Dose Inhalers	596	(5)
Administering Vaginal Instillations	601	(3)
Administering Rectal Suppositories	604	(4)
Parenteral Medications	608	(43)
Carl Kirton
Preparing Injections from Ampules and Vials	613	(4)
Mixing Medications from Two Vials	617	(4)
Administering Intradermal Injections	621	(3)
Administering Subcutaneous Injections	624	(4)
Administering Intramuscular Injections	628	(7)
Adding Medications to Intravenous Fluid Containers	635	(5)
Administering Intravenous Medications by Intermittent Infusion Sets and Miniinfusion Pumps	640	(6)
Administering Medications by Intravenous Bolus	646	(5)
UNIT VII Fluid Balance	651	(75)
Intravenous and Vascular Access Therapy	652	(57)
Sandra Ann Szekely
Initiating Intravenous Therapy	656	(14)
Inserting a Peripherally Inserted Central Catheter	670	(9)
Regulating Intravenous Flow Rate	679	(6)
Changing Intravenous Solutions	685	(3)
Changing Infusion Tubing	688	(3)
Changing a Peripheral Intravenous Dressing	691	(5)
Caring for Vascular Access Devices	696	(10)
Discontinuing Peripheral Intravenous Access	706	(3)
Blood Therapy	709	(17)
Anne Falsone Vaughan
Initiating Blood Therapy	712	(7)
Assisting with Autologous Blood Transfusion	719	(3)
Monitoring for Transfusion Reactions	722	(4)
UNIT VIII Nutrition	726	(53)
Oral Nutrition	727	(18)
Marsha Evans Orr
Performing Nutritional Assessment	728	(10)
Assisting the Adult Client with Oral Nutrition	738	(4)
Aspiration Precautions	742	(3)
Enteral Nutrition	745	(21)
Marsha Evans Orr
Intubating the Client with a Small-Bore Nasogastric or Nasointestinal Feeding Tube	746	(5)
Verifying Tube Placement for a Large-Bore or Small-Bore Feeding Tube	751	(2)
Administering Enteral Feedings via Nasogastic Tube (Large- or Small Bore)	753	(5)
Administering Enteral Feedings via Gastrostomy Tube	758	(4)
Administering Enteral Feedings via Nasointestinal Tube or Jejunostomy Tube	762	(4)
Parenteral Nutrition	766	(13)
Marsha Evans Orr
Caring for the Client Receiving Central Venous Placement for Central Parenteral Nutrition	768	(4)
Caring for the Client Receiving Central Parenteral Nutrition (CPN)	772	(3)
Caring for the Client Receiving Peripheral Parenteral Nutrition with Lipid (Fat) Emulsion	775	(4)
UNIT IX Elimination	779	(97)
Urinary Elimination	780	(48)
Ruth E. Ludwick
Measuring and Recording Intake and Output	782	(5)
Assisting a Client to use a Urinal	787	(3)
Inserting a Straight or Indwelling Catheter	790	(9)
Care of the Indwelling Catheter	799	(3)
Obtaining Catheterized Specimens for Residual Urine	802	(3)
Performing Catheter Irrigation	805	(5)
Removing a Retention Catheter	810	(3)
Applying a Condom Catheter	813	(3)
Care of a Suprapubic Catheter	816	(4)
Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis	820	(8)
Bowel Elimination	828	(17)
Anne Griffin Perry
Assisting the Client to Use a Bedpan	829	(5)
Inserting a Rectal Tube	834	(2)
Removing Fecal Impaction Digitally	836	(3)
Administering an Enema	839	(6)
Ostomy Care	845	(31)
Elizabeth A. Ayello
Pouching and Enterostomy	848	(9)
Irrigating a Colostomy	857	(4)
Pouching a Noncontinent Urinary Diversion	861	(5)
Catheterizing a Noncontinent Urinary Diversion	866	(3)
Maintaining a Continent Diversion	869	(7)
UNIT X Posture, Mobility, and Ambulation	876	(112)
Body Alignment and Mechanics	877	(8)
Sheila A. Cunningham
Maintaining Body Alignment	878	(4)
Performing Safe and Efficient Lifting Techniques	882	(3)
Transfer and Positioning	885	(19)
Sheila A. Cunningham
Using Safe and Effective Transfer Techniques	886	(9)
Moving and Positioning Clients in Bed	895	(9)
Exercise and Ambulation	904	(37)
Victoria M. Brown
Performing Range-of-Motion Exercises	906	(11)
Performing Isometric Exercises	917	(4)
Applying Elastic Stockings	921	(5)
Changing Client's Position to Minimize Occurrence of Orthostatic Hypotension	926	(3)
Assisting with Ambulation	929	(12)
Orthopedic Measures	941	(30)
Wanda Cleveland Dubuisson
Assisting with Cast Application	944	(6)
Assisting with Cast Removal	950	(4)
Assisting with Application of Skin Traction	954	(9)
Assisting with Insertion of Pins, Wires, or Nails for Skeletal Traction	963	(8)
Support Surfaces and Special Beds	971	(17)
Marilee Kuhrik
Nancy S. Kuhrik
Placing a Client on a Support Surface Mattress	973	(5)
Placing a Client on an Air-Suspension Bed	978	(3)
Placing a Client on an Air-Fluidized	981	(4)
Placing a Client on a Bariatric Bed	985	(3)
UNIT XI Infection Control	988	(31)
Medical Asepsis	989	(15)
Mary Dee Miller
Hand Washing	991	(4)
Caring for Clients under Isolation Precautions	995	(9)
Sterile Technique	1004	(15)
Mary Dee Miller
Donning and Removing Cap and Mask	1005	(3)
Preparing a Sterile Field	1008	(5)
Open Gloving	1013	(6)
UNIT XII Care of the Surgical Client	1019	(48)
Preoperative and Postoperative Care	1020	(36)
Carolyn Ruppel d'Avis
Preparing the Client for Surgery	1021	(6)
Demonstrating Postoperative Exercises	1027	(6)
Preparing the Surgical Site	1033	(5)
Inserting and Maintaining the Nasogastric Tube	1038	(18)
Intraoperative Care	1056	(11)
Linette M. Sarti
Surgical Hand Washing	1058	(4)
Donning a Sterile Gown and Gloves (Closed Gloving)	1062	(5)
UNIT XIII Dressings and Wound Care	1067	(88)
Dressings	1068	(32)
Elizabeth A. Ayello
Applying a Dry Dressing	1071	(5)
Applying a Wet-to-Dry Dressing	1076	(5)
Applying a Pressure Bandage	1081	(3)
Applying a Transparent Dressing	1084	(3)
Applying a Hydrocolloid or Hydrogel Dressing	1087	(5)
Applying a Foam Dressing	1092	(4)
Applying Absorption and Alginate Dressings	1096	(4)
Binders and Bandages	1100	(13)
Deborah Oldenburg Erickson
Applying an Elastic Bandage	1103	(4)
Applying an Abdominal Binder, T-Binder, or Breast Binder	1107	(6)
Hot and Cold Therapy	1113	(20)
Sharon Phelps
Applying a Moist Hot Compress to an Open Wound	1116	(3)
Assisting with Warm Soaks and Sitz Baths	1119	(4)
Applying Aquathermia and Heating Pads	1123	(2)
Applying Cold Applications	1125	(4)
Caring for Clients Requiring Hypothermia or Hyperthermia Blanket	1129	(4)
Wound Care and Irrigations	1133	(22)
Elizabeth A. Ayello
Performing Wound Irrigation	1137	(5)
Performing Suture and Staple Removal	1142	(6)
Performing Drainage Evacuation	1148	(7)
UNIT XIV Home Care	1155	(52)
Home Care Safety	1156	(19)
Patricia A. Potter
Modifying Safety Risks in the Home Environment	1157	(9)
Adapting the Home Setting for Clients with Cognitive Deficits	1166	(4)
Medication and Medical Device Safety	1170	(5)
Home Care Teaching	1175	(32)
Louise K. Leitao
Diane M. Kyle
Teaching Clients to Measure Body Temperature, Blood Pressure and Pulse	1176	(10)
Using Home Oxygen Equipment	1186	(5)
Teaching Home Tracheostomy Care and Suctioning	1191	(6)
Helping Clients with Self-Medication	1197	(5)
Enteral Nutrition in the Home	1202	(5)
UNIT XV Special Procedures	1207	(113)
Specimen Collection	1208	(60)
Linda Fasciani
Collecting a Midstream (Clean-Voided) Urine Specimen	1210	(5)
Collecting a Timed Urine Specimen	1215	(3)
Collecting a Sterile Urine Specimen from an Indwelling Catheter	1218	(3)
Measuring Specific Gravity of Urine	1221	(2)
Measuring Chemical Properties of Urine: Glucose, Ketones, Protein, Blood, and pH	1223	(5)
Measuring Occult Blood in Stool	1228	(3)
Collecting Nose and Throat Specimens for Culture	1231	(5)
Obtaining Vaginal or Urethral Discharge Specimens	1236	(3)
Collecting Sputum Specimens	1239	(5)
Obtaining Gastric Specimens	1244	(3)
Obtaining Wound Drainage Specimens	1247	(3)
Collecting Blood Specimens by Venipuncture	1250	(7)
Measuring Blood Glucose Level after Skin Puncture	1257	(5)
Measuring Arterial Blood Gases	1262	(6)
Diagnostic Procedures	1268	(44)
Marilee Kuhrik
Nancy S. Kuhrik
Assisting with Abdominal Paracentesis	1270	(5)
Assisting with Angiography (Arteriography)	1275	(7)
Assisting with Bone Marrow Aspiration/Biopsy	1282	(4)
Assisting with Bronchoscopy	1286	(4)
Assisting with Electrocardiogram	1290	(2)
Assisting with Endoscopy	1292	(5)
Assisting with Lumbar Puncture	1297	(5)
Assisting with Magnetic Resonance Imaging	1302	(4)
Assisting with Thoracentesis	1306	(6)
Care After Death	1312	(8)
Peggy Breckinridge
Care of the Body After Death	1315	(5)
Glossary	1320