Clinical Nursing Skills and Techniques

by Perry, Anne Griffin; Potter, Patricia Ann

• ISBN13: 9780323026017
• ISBN10: 032302601X
• Edition: 5th
• Format: Paperback
• Copyright: 2003-08-01
• Publisher: Elsevier Science Health Science div

Summary

This convenient, money-saving package is a must-have for nursing students! It includes Perry's Clinical Nursing Skills & Techniques, 6th edition text & Mosby's Nursing Skills CD-ROMs 2.0 - Student Version.

Table of Contents

UNIT I Supporting the Client Through the Health Care System
Admitting, Transfer, and Discharge	1	(20)
Patricia A. Potter
Admitting Clients	3	(7)
Transferring Clients	10	(4)
Discharging Clients	14	(7)
Communication	21	(16)
Jacqueline Raybuck Saleeby
Establishing the Nurse-Client Relationship	23	(7)
Communicating With the Anxious Client	30	(2)
Verbally De-escalating the Potentially Violent Client	32	(5)
Recording and Reporting	37	(22)
Patricia A. Potter
Giving a Change-of-Shift Report	50	(1)
Documenting Nurses' Progress Notes	51	(3)
Incident Reporting	54	(5)
UNIT II Safety and Comfort
Safety	59	(26)
Eileen Costantinou
Fall Prevention	61	(6)
Designing a Restraint-Free Environment	67	(3)
Applying Physical Restraints	70	(10)
Seizure Precautions	80	(5)
Comfort	85	(30)
Maureen Carty
Mary F. Clarke
Removing Painful Stimuli	89	(5)
Patient-Controlled Analgesia (PCA)	94	(4)
Intraspinal Analgesia	98	(6)
Nonpharmacological Aids to Promote Comfort	104	(11)
UNIT III Hygiene
Personal Hygiene and Bedmaking	115	(48)
Anne Griffin Perry
Bathing a Client	119	(9)
Providing Perineal Care	128	(4)
Brushing Teeth	132	(5)
Performing Mouth Care for the Unconscious or Debilitated Client	137	(3)
Hair Care	140	(5)
Performing Nail and Foot Care	145	(6)
Care of the Client's Environment	151	(12)
Pressure Ulcer Care	163	(30)
Anne Griffin Perry
Risk Assessment and Prevention Strategies	165	(10)
Treatment of Pressure Ulcers	175	(18)
Care of Eye and Ear Prostheses	193	(18)
Anne Griffin Perry
Taking Care of Contact Lenses	195	(7)
Taking Care of an Artificial Eye	202	(4)
Taking Care of an In-the-Ear Hearing Aid	206	(5)
UNIT IV Vital Signs and Physical Assessment
Vital Signs	211	(44)
Patricia A. Potter
Measuring Body Temperature	213	(13)
Assessing Radial Pulse	226	(4)
Assessing Apical Pulse	230	(5)
Assessing Respirations	235	(5)
Assessing Arterial Blood Pressure	240	(10)
Measuring Oxygen Saturation (Pulse Oximetry)	250	(5)
Shift Assessment	255	(60)
Martha E. Elkin
General Survey	262	(10)
Assessing the Thorax and Lungs	272	(8)
Assessing the Heart and Neck Vessels	280	(8)
Assessing the Abdomen	288	(8)
Assessing the Extremities and Peripheral Circulation	296	(12)
Assessing Intake and Output	308	(7)
UNIT V Oxygenation
Oxygen Therapy	315	(24)
Anne Griffin Perry
Applying a Nasal Cannula or Oxygen Mask	318	(6)
Administering Oxygen Therapy to a Client With an Artificial Airway	324	(3)
Using Incentive Spirometry	327	(2)
Administering Mechanical Ventilation	329	(6)
Measuring Peak Expiratory Flow Rates	335	(4)
Performing Chest Physiotherapy	339	(16)
Anne Griffin Perry
Performing Postural Drainage	341	(8)
Performing Percussion and Vibration and Shaking	349	(6)
Airway Maintenance	355	(36)
Anne Griffin Perry
Performing Oropharyngeal Suctioning	357	(4)
Airway Management---Suctioning	361	(10)
Performing Endotracheal or Tracheostomy Tube Suctioning Using a Closed System (In-Line) Catheter	371	(4)
Performing Endotracheal Tube Care	375	(5)
Performing Tracheostomy Care	380	(5)
Inflating the Cuff on an Endotracheal or Tracheostomy Tube	385	(6)
Closed Chest Drainage Systems	391	(18)
Anne Griffin Perry
Caring for Clients With Chest Tube Connected to Disposable Drainage Systems	395	(8)
Assisting With Removal of Chest Tubes	403	(2)
Reinfusion of Chest Tube Drainage	405	(4)
Emergency Measures for Life Support	409	(26)
Anne Griffin Perry
Removing a Foreign Body Airway Obstruction	411	(7)
Inserting a Nasal Airway	418	(3)
Inserting an Oropharyngeal Airway	421	(3)
Using an Ambu-Bag	424	(3)
Performing Cardiopulmonary Resuscitation	427	(8)
UNIT VI Medications
Preparing for Medication Administration	435	(18)
Patricia A. Potter
Oral and Topical Medications	453	(50)
Julie Snyder
Administering Oral Medications	455	(6)
Administering Medications by Nasogastric Tube	461	(4)
Administering Skin Applications	465	(5)
Administering Eye Medications	470	(5)
Administering Ear Drops	475	(4)
Administering Ear Irrigations	479	(3)
Administering Nasal Instillations	482	(3)
Using Metered-Dose Inhalers	485	(5)
Using Small-Volume Nebulizers	490	(4)
Administering Vaginal Instillations	494	(4)
Administering Rectal Suppositories	498	(5)
Parenteral Medications	503	(56)
Amy Hall
Preparing Injections From Ampules and Vials	509	(6)
Mixing Medications From Two Vials	515	(4)
Administering Intradermal Injections	519	(4)
Administering Subcutaneous Injections	523	(5)
Administering Intramuscular Injections	528	(6)
Adding Medications to Intravenous Fluid Containers	534	(5)
Administering Intravenous Medications by Intermittent Infusion Sets and Miniinfusion Pumps	539	(7)
Administering Medications by Intravenous Bolus	546	(5)
Administering Continuous Subcutaneous Medications	551	(8)
UNIT VII Fluid Balance
Intravenous and Vascular Access Therapy	559	(58)
Patricia A. Potter
Initiating Intravenous Therapy	564	(15)
Inserting a Peripherally Inserted Central Catheter	579	(8)
Regulating Intravenous Flow Rate	587	(6)
Changing Intravenous Solutions	593	(3)
Changing Infusion Tubing	596	(3)
Changing a Peripheral Intravenous Dressing	599	(5)
Caring for Vascular Access Devices	604	(10)
Discontinuing Peripheral Intravenous Access	614	(3)
Blood Therapy	617	(18)
Anne Falsone Vaughan
Initiating Blood Therapy	619	(6)
Autologous Transfusion	625	(3)
Adverse Reactions to Transfusion	628	(7)
UNIT VIII Nutrition
Oral Nutrition	635	(22)
Anne Griffin Perry
Performing Nutritional Assessment	638	(9)
Assisting the Adult Client With Oral Nutrition	647	(5)
Aspiration Precautions	652	(5)
Enteral Nutrition	657	(26)
Patricia A. Potter
Intubating the Client With a Small-Bore Nasogastic or Nasointestinal Feeding Tube	659	(6)
Verifying Tube Placement for a Large-Bore or Small Bore Feeding Tube	665	(3)
Irrigating a Small-Bore Feeding Tube	668	(3)
Administering Enteral Feedings via Nasoenteric Tube	671	(5)
Administering Enteral Feedings via Gastrostomy or Jejunostomy Tube	676	(7)
Parenteral Nutrition	683	(18)
Patricia A. Potter
Caring for the Client Receiving Central Venous Placement for Central Parenteral Nutrition	687	(5)
Caring for the Client Receiving Central Parenteral Nutrition (CPN)	692	(4)
Caring for the Client Receiving Peripheral Parenteral Nutrition With Lipid (Fat) Emulsion	696	(5)
UNIT IX Elimination
Urinary Elimination	701	(38)
Ruth Ludwick
Assisting a Client in Using a Urinal	703	(3)
Inserting a Straight or Indwelling Catheter	706	(9)
Care and Removal of the Indwelling Catheter	715	(4)
Obtaining Catheterized Specimens for Residual Urine	719	(2)
Performing Catheter Irrigation	721	(5)
Applying a Condom Catheter	726	(3)
Care of a Suprapubic Catheter	729	(3)
Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysis	732	(7)
Bowel Elimination and Gastric Intubation	739	(26)
Patricia A. Potter
Assisting the Client in Using a Bedpan	741	(6)
Removing Fecal Impaction Digitally	747	(3)
Administering an Enema	750	(6)
Inserting and Maintaining a Nasogastric Tube	756	(9)
Ostomy Care	765	(34)
Anne Griffin Perry
Pouching an Enterostomy	770	(9)
Irrigating a Colostomy	779	(4)
Pouching a Noncontinent Urinary Diversion	783	(6)
Catheterizing a Noncontinent Urinary Diversion	789	(2)
Maintaining a Continent Diversion	791	(8)
UNIT X Posture, Mobility, and Ambulation
Body Mechanics, Transfer, and Positioning	799	(26)
Rita Wunderlich
Maintaining Body Alignment	802	(4)
Using Safe and Effective Transfer Techniques	806	(9)
Moving and Positioning Clients in Bed	815	(10)
Exercise and Ambulation	825	(42)
Rita Wunderlich
Performing Range-of-Motion Exercise	827	(11)
Performing Isometric Exercises	838	(4)
Applying Elastic Stockings	842	(5)
Applying Pneumatic Compression Device	847	(4)
Changing Client's Position to Minimize Occurrence of Orthostatic Hypotension	851	(2)
Assisting With Ambulation	853	(14)
Orthopedic Measures	867	(32)
Wanda Cleveland Dubuisson
Assisting With Cast Application	870	(7)
Assisting With Cast Removal	877	(3)
Assisting With Application of Skin Traction	880	(9)
Assisting With Insertion of Pins, Wires, or Nail for Skeletal Traction	889	(10)
Support Surfaces and Special Beds	899	(22)
Marilee Kuhrik
Nancy S. Kuhrik
Placing a Client on a Support Surface Mattress	901	(6)
Placing a Client on an Air-Suspension Bed	907	(3)
Placing a Client on an Air-Fluidized Bed	910	(3)
Placing a Client on a Bariatric Bed	913	(3)
Placing a Client on a Rotokinetic Bed	916	(5)
UNIT XI Infection Control
Medical Asepsis	921	(18)
Patricia A. Potter
Hand Washing	924	(4)
Caring for Clients Under Isolation Precautions	928	(11)
Sterile Technique	939	(18)
Patricia A. Potter
Applying and Removing Cap, Mask, and Protective Eyewear	941	(4)
Preparing a Sterile Field	945	(6)
Open Gloving	951	(6)
UNIT XII Care of the Surgical Client
Preoperative and Postoperative Care	957	(34)
Rita Mertig
Preparing the Client for Surgery	959	(9)
Demonstrating Postoperative Exercises	968	(8)
Preparing the Surgical Site	976	(3)
Performing Postoperative Care of the Surgical Client	979	(12)
Intraoperative Care	991	(12)
Patricia A. Potter
Surgical Hand Washing	993	(4)
Donning a Sterile Gown and Gloves (Closed Gloving)	997	(6)
UNIT XIII Dressings and Wound Care
Wound Care and Irrigations	1003	(24)
Anne Griffin Perry
Performing Wound Irrigation	1008	(8)
Performing Suture and Staple Removal	1016	(5)
Performing Drainage Evacuation	1021	(6)
Dressings	1027	(32)
Anne Griffin Perry
Applying a Dry Dressing	1031	(4)
Applying a Wet-to-Dry Dressing	1035	(5)
Applying a Pressure Bandage	1040	(1)
Applying a Transparent Dressing	1041	(6)
Applying a Hydrocolloid or Hydrogel Dressing	1047	(4)
Applying a Foam Dressing	1051	(3)
Applying Absorption and Alginate Dressings	1054	(5)
Binders and Bandages	1059	(12)
Patricia A. Potter
Applying Gauze and Elastic Bandages	1062	(5)
Applying an Abdominal Binder and a Breast Binder	1067	(4)
Hot and Cold Therapy	1071	(22)
Jane Ruhland
Applying a Moist Hot Compress to an Open Wound	1074	(4)
Assisting With Warm Soaks and Sitz Baths	1078	(3)
Applying Aquathermia and Heating Pads	1081	(3)
Applying Cold Applications	1084	(4)
Caring for Clients Requiring Hypothermia or Hyperthermia Blankets	1088	(5)
UNIT XIV Home Care
Home Care Safety	1093	(22)
Patricia A. Potter
Modifying Safety Risks in the Home Environment	1095	(9)
Adapting the Home Setting for Clients With Cognitive Deficits	1104	(5)
Medication and Medical Device Safety	1109	(6)
Home Care Teaching	1115	(32)
Anne Griffin Perry
Teaching Clients to Measure Body Temperature, Blood Pressure, and Pulse	1117	(9)
Using Home Oxygen Equipment	1126	(6)
Teaching Home Tracheostomy Care and Suctioning	1132	(5)
Helping Clients With Self-Medication	1137	(5)
Enteral Nutrition in the Home	1142	(5)
UNIT XV Special Procedures
Specimen Collection	1147	(60)
Marilee Kuhrik
Nancy S. Kuhrik
Collecting a Midstream (Clean-Voided) Urine Specimen	1149	(5)
Collecting a Timed Urine Specimen	1154	(3)
Collecting a Sterile Urine Specimen From an Indwelling Catheter	1157	(3)
Measuring Specific Gravity of Urine	1160	(2)
Measuring Chemical Properties of Urine: Glucose, Ketones, Protein, Blood, and pH	1162	(5)
Measuring Occult Blood in Stool	1167	(3)
Collecting Nose and Throat Specimens for Culture	1170	(4)
Obtaining Vaginal or Urethral Discharge Specimens	1174	(3)
Collecting Sputum Specimens	1177	(5)
Obtaining Gastric Specimens	1182	(3)
Obtaining Wound Drainage Specimens	1185	(3)
Collecting Blood Specimens by Venipuncture (Syringe Method, Vacutainer Method, and Blood Cultures	1188	(8)
Measuring Blood Glucose Level After Skin Puncture (Capillary Puncture)	1196	(5)
Obtaining an Arterial Specimen for Blood Gas Measurement	1201	(6)
Diagnostic Procedures	1207	(46)
Marilee Kuhrik
Nancy S. Kuhrik
Assisting With Abdominal Paracentesis	1210	(4)
Assisting With Angiography (Arteriography)	1214	(8)
Assisting With Bone Marrow Aspiration/Biopsy	1222	(4)
Assisting With Bronchoscopy	1226	(4)
Assisting With Electrocardiogram	1230	(3)
Assisting With Endoscopy	1233	(5)
Assisting With Lumbar Puncture	1238	(5)
Assisting With Magnetic Resonance Imaging	1243	(4)
Assisting With Thoracentesis	1247	(6)
Care After Death	1253	(10)
Patricia A. Potter
Care of the Body After Death	1258	(5)
Glossary	1263