Clinical Nursing Skills and Techniques

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  • Edition: 6th
  • Format: Paperback
  • Copyright: 2005-06-21
  • Publisher: Elsevier
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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

Supporting the Client Though the Health Care System
Admitting, Transfer, and Dischargep. 1
Admitting Clientsp. 3
Transferring Clientsp. 10
Discharging Clientsp. 14
Communicationp. 22
Establishing the Nurse-Client Relationshipp. 25
Communicating With the Anxious Clientp. 33
Communicating With the Angry Clientp. 36
Communicating With the Depressed Clientp. 39
Recording and Reportingp. 44
Giving a Change-of-Shift Reportp. 58
Documenting Nurses' Progress Notesp. 60
Incident Reportingp. 64
Safety and Comfort
Safetyp. 68
Fire, Electrical and Radiation Safetyp. 71
Fall Prevention in a Health Care Facilityp. 76
Designing a Restraint-Free Environmentp. 83
Applying Physical Restraintsp. 85
Seizure Precautionsp. 93
Disaster Preparednessp. 100
Care of the Client After Biological Exposurep. 109
Care of the Client After Chemical Exposurep. 115
Care of the Client After Radiation Exposurep. 121
Comfortp. 128
Providing Pain Reliefp. 133
Patient-Controlled Analgesiap. 138
Epidural Anesthesiap. 144
Local Infusion Pump Analgesiap. 152
Nonpharmacological Aids to Promote Comfortp. 154
Palliative Carep. 166
Supporting Clients and Families in Griefp. 169
Symptom Management in Palliative Carep. 174
Care of the Body After Deathp. 180
Infection Control
Medical Asepsisp. 189
Hand Hygienep. 192
Caring for Clients Under Isolation Precautionsp. 196
Sterile Techniquep. 206
Applying and Removing Cap, Mask, and Protective Eyewearp. 208
Preparing a Sterile Fieldp. 212
Sterile Glovingp. 218
Posture, Mobility, and Ambulation
Body Mechanics, Transfer, and Positioningp. 224
Maintaining Body Alignmentp. 226
Using Safe and Effective Transfer Techniquesp. 230
Moving and Positioning Clients in Bedp. 242
Exercise and Ambulationp. 254
Performing Range-of-Motion Exercisesp. 257
Performing Isometric Exercisesp. 268
Continuous Passive Motion Machinep. 273
Applying Elastic Stockings and Sequential Compression Devicep. 276
Assisting With Ambulationp. 283
Orthopedic Measuresp. 301
Assisting With Cast Applicationp. 305
Assisting With Cast Removalp. 313
Care of the Client in Tractionp. 316
Care of the Client in Skeletal Traction and Pin Site Carep. 326
Care of the Client With Immobilization Devicesp. 335
Support Surfaces and Special Bedsp. 343
Placing a Client on a Support Surfacep. 348
Procedural Guideline: Selection of Pressure-Reducing Support Devicesp. 350
Placing a Client on an Air-Suspension Bedp. 357
Placing a Client on an Air-Fluidized Bedp. 361
Placing a Client on a Bariatric Bedp. 366
Placing a Client on a Rotokinetic Bedp. 369
Personal Hygiene and Bed Makingp. 375
Bathing and Perineal Carep. 380
Oral Hygienep. 394
Procedural Guideline: Cleaning Denturesp. 395
Performing Mouth Care for the Unconscious or Debilitated Clientp. 401
Hair Care (Combing and Shaving)p. 405
Procedural Guideline: Shampooing Hair of Bed-Bound Clientp. 406
Performing Nail and Foot Carep. 411
Care of the Client's Environmentp. 418
Procedural Guideline: Making an Unoccupied Bedp. 421
Pressure Ulcer Carep. 431
Risk Assessment, Skin Assessment, and Prevention Strategiesp. 435
Treatment of Pressure Ulcersp. 444
Care of Eye and Ear Prosthesesp. 462
Taking Care of Contact Lensesp. 464
Taking Care of an Artificial Eyep. 472
Eye Irrigationp. 477
Taking Care of Hearing Aidsp. 480
Vital Signs and Physical Assessment
Vital Signsp. 487
Measuring Body Temperaturep. 490
Assessing Radial Pulsep. 501
Assessing Apical Pulsep. 506
Procedural Guideline: Assessing Apical-Radial Pulsep. 511
Assessing Respirationsp. 512
Assessing Arterial Blood Pressurep. 517
Procedural Guideline: Noninvasive Automatic Blood Pressure Measurementp. 519
Measuring Oxygen Saturation (Pulse Oximetry)p. 531
Health History and Physical Examinationp. 539
General Surveyp. 547
Assessing the Thorax and Lungsp. 558
Assessing the Heart and Neck Vesselsp. 567
Assessing the Abdomenp. 576
Musculoskeletal, Neurological, and Peripheral Vascular Assessmentp. 585
Assessing Intake and Outputp. 598
Preparing for Medication Administrationp. 609
Oral and Topical Medicationsp. 632
Administering Oral Medicationsp. 635
Administering Medications by Nasogastric Tubep. 642
Administering Skin Applicationsp. 647
Administering Eye Medicationsp. 653
Administering Ear Dropsp. 659
Administering Ear Irrigationsp. 663
Administering Nasal Instillationsp. 667
Using Metered-Dose Inhalersp. 670
Using Small-Volume Nebulizersp. 676
Administering Vaginal Instillationsp. 680
Administering Rectal Suppositoriesp. 685
Parenteral Medicationsp. 693
Preparing Injections From Ampules and Vialsp. 700
Mixing Parenteral Medications in One Syringep. 707
Administering Intradermal Injectionsp. 712
Administering Subcutaneous Injectionsp. 716
Administering Intramuscular Injectionsp. 723
Adding Medications to Intravenous Fluid Containersp. 731
Administering Intravenous Medications by Intermittent Infusion Sets and Miniinfusion Pumpsp. 736
Administering Medications by Intravenous Bolusp. 745
Administering Continuous Subcutaneous Medicationsp. 752
Oxygen Therapyp. 762
Applying a Nasal Cannula or Oxygen Maskp. 766
Administering Oxygen Therapy to a Client With an Artifical Airwayp. 772
Using Incentive Spirometryp. 776
Care of the Client Receiving Noninvasive Ventilationp. 779
Care of the Client on a Mechanical Ventilatorp. 784
Performing Chest Physiotherapyp. 796
Performing Postural Drainagep. 799
Using an Acapella Devicep. 806
Performing Percussion, Vibration, and Shakingp. 808
Airway Managementp. 815
Performing Oropharyngeal Suctioningp. 818
Airway Suctioningp. 822
Procedural Guideline: Closed (In-Line) Suction Catheterp. 833
Performing Endotracheal Tube Carep. 834
Performing Tracheostomy Carep. 841
Inflating the Cuff on an Endotracheal or Tracheostomy Tubep. 848
Closed Chest Drainage Systemsp. 854
Caring for Clients With Chest Tube Connected to Disposable Drainage Systemsp. 858
Assisting With Removal of Chest Tubesp. 869
Reinfusion of Chest Tube Drainagep. 872
Emergency Measures for Life Supportp. 877
Inserting an Oropharyngeal Airwayp. 880
Using an Automated External Defibrillatorp. 884
Code Managementp. 888
Fluid Balance
Intravenous and Vascular Access Therapyp. 898
Initiating Intravenous Therapyp. 903
Care and Maintenance of a Peripherally Inserted Central Catheterp. 922
Regulating Intravenous Flow Ratep. 930
Changing a Peripheral Intravenous Dressingp. 937
Changing Intravenous Solutionsp. 942
Changing Infusion Tubingp. 945
Discontinuing Peripheral Intravenous Accessp. 949
Caring for Central Venous Access Devicesp. 951
Blood Therapyp. 965
Initiating Blood Therapyp. 970
Monitoring for Adverse Reactions to Transfusionp. 978
Oral Nutritionp. 983
Performing Nutritional Screeningp. 993
Assisting the Adult Client With Oral Nutritionp. 999
Aspiration Precautionsp. 1004
Enteral Nutritionp. 1012
Intubating the Client With a Nasogastric or Nasointestinal Feeding Tubep. 1014
Verifying Feeding Tube Placementp. 1021
Irrigating a Feeding Tubep. 1025
Administering Enteral Nutrition via a Nasogastric Feeding Tubep. 1028
Administering Enteral Nutrition via a Gastrostomy or Jejunostomy Tubep. 1036
Parenteral Nutritionp. 1045
Caring for the Client Receiving Central Venous Placement for Central Parenteral Nutritionp. 1049
Caring for the Client Receiving Central Parenteral Nutritionp. 1057
Caring for the Client Receiving Peripheral Parenteral Nutrition With Lipid (Fat) Emulsionp. 1061
Urinary Eliminationp. 1067
Assisting a Client in Using a Urinalp. 1070
Inserting a Straight or an Indwelling Catheterp. 1073
Care and Removal of the Indwelling Catheterp. 1085
Obtaining Catheterized Specimens for Residual Urinep. 1089
Performing Catheter Irrigationp. 1092
Applying a Condom Catheterp. 1098
Care of a Suprapubic Catheterp. 1102
Peritoneal Dialysis and Continuous Ambulatory Peritoneal Dialysisp. 1106
Bowel Elimination and Gastric Intubationp. 1116
Assisting the Client in Using a Bedpanp. 1119
Removing Fecal Impaction Digitallyp. 1126
Administering an Enemap. 1129
Inserting and Maintaining a Nasogastric Tube for Gastric Decompressionp. 1136
Ostomy Carep. 1146
Pouching and Enterostomyp. 1152
Pouching an Incontinent Urinary Diversionp. 1162
Catheterizing a Urinary Diversionp. 1167
Maintaining a Continent Diversionp. 1170
Care of the Surgical Client
Preoperative and Postoperative Carep. 1178
Preparing the Client for Surgeryp. 1181
Demonstrating Postoperative Exercisesp. 1191
Performing Postoperative Care of the Surgical Clientp. 1200
Intraoperative Carep. 1215
Surgical Hand Antisepsisp. 1218
Donning Sterile Gown and Closed Glovingp. 1222
Dressings and Wound Care
Wound Care and Irrigationp. 1228
Performing Wound Irrigationp. 1234
Performing Suture and Staple Removalp. 1241
Managing Drainage Evacuationp. 1247
Dressingsp. 1256
Applying a Dressing (Dry or Wet-to-Dry)p. 1260
Applying a Pressure Bandagep. 1269
Applying a Transparent Dressingp. 1273
Applying Hydrocolloid, Hydrogel, Foam, or Absorption Dressingsp. 1276
Wound Vacuum Assisted Closurep. 1282
Binders and Bandagesp. 1292
Applying Gauze and Elastic Bandagesp. 1295
Applying an Abdominal Binder and a Breast Binderp. 1301
Warm and Cold Therapyp. 1036
Application of Moist Heat (Compress and Sitz Bath)p. 1310
Applying Aquathermia and Heating Padsp. 1316
Applying Cold Applicationsp. 1319
Caring for Clients Requiring Hypothermia or Hyperthermia Blanketsp. 1323
Home Care
Home Care Safetyp. 1329
Modifying Safety Risks in the Home Environmentp. 1332
Adapting the Home Setting for Clients With Cognitive Deficitsp. 1342
Medication and Medical Device Safetyp. 1348
Home Care Teachingp. 1355
Teaching Clients to Measure Body Temperaturep. 1358
Teaching Clients to Measure Blood Pressurep. 1362
Teaching Clients to Measure Pulsep. 1368
Using Home Oxygen Equipmentp. 1371
Teaching Home Tracheostomy Care and Suctioningp. 1380
Procedural Guideline: Changing Tracheostomy at Homep. 1387
Teaching Clients Self-Medication Administrationp. 1388
Enteral Nutrition in the Homep. 1394
Special Procedures
Specimen Collectionp. 1403
Collecting a Midstream (Clean-Voided) Specimenp. 1406
Collecting a Timed Urine Specimenp. 1411
Collecting a Sterile Urine Specimen From an Indwelling Catheterp. 1415
Measuring Chemical Properties of Urine: Glucose, Ketones, Protein, Blood, and pHp. 1417
Measuring Occult Blood in Stoolp. 1421
Measuring Occult Blood in Gastric Secretionsp. 1425
Collecting Nose and Throat Specimens for Culturep. 1427
Obtaining Vaginal or Urethral Discharge Specimensp. 1431
Collecting Sputum Specimensp. 1435
Obtaining Wound Drainage Specimensp. 1440
Collecting Blood Specimens and Culture by Venipuncture (Syringe Method and Vacutainer Method)p. 1443
Measuring Blood Glucose Level After Skin Puncture (Capillary Puncture)p. 1452
Obtaining an Arterial Specimen for Blood Gas Measurementp. 1458
Diagnostic Proceduresp. 1467
Intravenous Moderate Sedation During a Diagnostic Procedurep. 1470
Contrast Media Studies: Angiogram, Cardiac Catheterization, and Intravenous Pyelogramp. 1474
Assisting With Aspirations: Bone Marrow Aspiration/Biopsy, Lumbar Puncture, Paracentesis, and Thoracentesisp. 1483
Assisting With Bronchoscopyp. 1503
Assisting With Endoscopyp. 1507
Assisting With Cardiogramp. 1512
Answer Keyp. 1521
Terminology/Combining Forms: Prefixes and Suffixesp. 1545
Glossaryp. 1549
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