Clinical Nursing Skills: A Concept-Based Approach, 3rd edition

  • Barbara Callahan

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Overview

Nursing: A Concept-Based Approach to Learning provides the core content and materials needed to deliver an effective concept-based nursing program.

Published by Pearson (May 20th 2021) - Copyright © 2019

ISBN-13: 9780136873006

Subject: Nursing Skills

Category: Clinical Nursing Skills: A Concept-Based Approach

Table of contents

Table of Contents

CHAPTER 1: ASSESSMENT

  • Chapter at a Glance
  • General Assessment
    • 1.1 Appearance and Mental Status: Assessing
    • 1.2 Height: Newborn, Infant, Child, Adult, Measuring
    • 1.3 Newborn’s or Infant’s Head, Chest, and Abdomen: Measuring
    • 1.4 Weight: Newborn, Infant, Child, Adult, Measuring
  • Vital Signs
    • 1.5 Blood Pressure: Newborn, Infant, Child, Adult, Obtaining
    • 1.6 Pulse, Apical and Peripheral: Obtaining
    • 1.7 Pulse Oximeter: Using
    • 1.8 Respirations: Newborn, Infant, Child, Adult, Obtaining
    • 1.9 Temperature: Newborn, Infant, Child, Adult, Obtaining
  • Physical Assessment
    • 1.10 Abdomen: Assessing
    • 1.11 Anus: Assessing
    • 1.12 Breasts and Axillae: Assessing
    • 1.13 Ears: Hearing Acuity, Assessing
    • 1.14 Eyes: Visual Acuity, Assessing
    • 1.15 Genitals and Inguinal Area: Assessing
    • 1.16 Hair: Assessing
    • 1.17 Heart and Central Vessels: Assessing
    • 1.18 Mouth and Oropharynx: Assessing
    • 1.19 Musculoskeletal System: Assessing
    • 1.20 Nails: Assessing
    • 1.21 Neck: Assessing
    • 1.22 Neurologic Status: Assessing
    • 1.23 Nose and Sinuses: Assessing
    • 1.24 Peripheral Vascular System: Assessing
    • 1.25 Skin: Assessing
    • 1.26 Skull and Face: Assessing
    • 1.27 Thorax and Lungs: Assessing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 2: CARING INTERVENTIONS

  • Chapter at a Glance
  • Bed Care and Activities of Daily Living (ADLs)
    • 2.1 Bathing: Newborn, Infant, Child, Adult
    • 2.2 Bedmaking: Occupied, Unoccupied
    • 2.3 Eyes and Contact Lenses: Caring for
    • 2.4 Feet: Caring for
    • 2.5 Hair: Caring for
    • 2.6 Hearing Aid: Removing, Cleaning, and Inserting
    • 2.7 Mouth: Regular and for the Unconscious or Debilitated Patient, Caring for
    • 2.8 Perineal-Genital Area: Caring for
    • 2.9 Shaving: Male Patient
  • Medication and Administration Systems
    • 2.10 Automated Dispensing System: Using
    • 2.11 Medication: Preparing and Administering
    • 2.12 Narcotic Control System: Using
  • Medication Preparation
    • 2.13 Ampule Medication: Removing
    • 2.14 Calculating Dosages
    • 2.15 Mixing Medications in One Syringe
    • 2.16 Vial Medication: Removing
  • Medication Routes
    • 2.17 Ear Medication: Administering
    • 2.18 Enteral Tube Medication: Administering
    • 2.19 Eye Medication: Administering
    • 2.20 Inhaler, Dry Powder Medication: Administering
    • 2.21 Inhaler, Metered-Dose Medication: Administering
    • 2.22 Nasal Medication: Administering
    • 2.23 Nebulized Medication, Nonpressurized Aerosol (NPA): Administering
    • 2.24 Oral Medication: Administering
    • 2.25 Rectal Medication: Administering
    • 2.26 Sublingual Medication: Administering
    • 2.27 Topical Medication: Applying
    • 2.28 Transdermal Patch Medication: Applying
    • 2.29 Vaginal Medication: Administering
  • Parenteral Routes
    • 2.30 Injection, Intradermal: Administering
    • 2.31 Injection, Intramuscular: Administering
    • 2.32 Injection, Subcutaneous: Administering
    • 2.33 Injection, Subcutaneous Anticoagulant: Administering
    • 2.34 Injection, Z-Track Method: Using
    • 2.35 Insulin Injection: Using a Syringe, Pen, or Pump
    • 2.36 Intravenous Medication: Adding to Fluid Container
    • 2.37 Intravenous Medication, Intermittent: Using a Secondary Set
    • 2.38 Intravenous Medication, IV Push: Administering
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 3: COMFORT

  • Chapter at a Glance
  • Acute/Chronic Pain Management
    • 3.1 Pain in Newborn, Infant, Child, Adult: Assessing
    • 3.2 Pain Relief: Back Massage
    • 3.3 Pain Relief: Complementary Health Approaches
    • 3.4 Pain Relief: Transcutaneous Electrical Nerve Stimulation (TENS) Unit, Using
    • 3.5 Patient-Controlled Analgesia (PCA) Pump: Using
    • 3.6 Sleep Promotion: Assisting
  • Heat and Cold Application
    • 3.7 Cooling Blanket: Applying
    • 3.8 Dry Cold: Applying
    • 3.9 Dry Heat: Applying
    • 3.10 Moist Pack and Tepid Sponges: Applying
    • 3.11 Neonatal Incubator and Infant Radiant Warmer: Using
    • 3.12 Sitz Bath: Assisting
  • End of Life Care
    • 3.13 Physiological Needs of the Dying Patient: Managing
    • 3.14 Postmortem Care: Providing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 4: ELIMINATION

  • Chapter at a Glance
  • Assessment — Collecting Specimens
    • 4.1 Bladder Scanner: Using
    • 4.2 Stool Specimen, Routine, Culture, Ova, Parasites: Obtaining
    • 4.3 Urine Specimen, Clean-Catch, Closed Drainage System for Culture and Sensitivity: Obtaining
    • 4.4 Urine Specimen, Ileal Conduit: Obtaining
    • 4.5 Urine Specimen, Routine, 24-Hour: Obtaining
  • Bladder Interventions
    • 4.6 Bedpan: Assisting
    • 4.7 Bladder Irrigation: Continuous
    • 4.8 Bladder Irrigation: Providing
    • 4.9 Commode: Assisting
    • 4.10 Urinal: Assisting
    • 4.11 Urinary Catheter: Caring for and Removing
    • 4.12 Urinary Catheterization: Performing
    • 4.13 Urinary Diversion Pouch: Applying
    • 4.14 Urinary External Device: Applying
    • 4.15 Urinary Ostomy: Caring for
    • 4.16 Urinary Suprapubic Catheter: Caring for
  • Bowel Interventions
    • 4.17 Bowel Routine, Develop Regular: Assisting
    • 4.18 Bowel Diversion Ostomy Appliance: Changing
    • 4.19 Colostomy: Irrigating
    • 4.20 Enema and Retention Enema: Administering
    • 4.21 Fecal Impaction: Removing
    • 4.22 Fecal Ostomy Pouch: Applying
    • 4.23 Rectal Tube: Inserting
  • Dialysis
    • 4.24 Dialysis, Peritoneal: Catheter Insertion, Assisting
    • 4.25 Dialysis, Peritoneal: Procedures, Assisting
    • 4.26 Hemodialysis: Central Venous Dual-Lumen Catheter, Caring for
    • 4.27 Hemodialysis: Procedures, Caring for, Assisting
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 5: FLUIDS AND ELECTROLYTES

  • Chapter at a Glance
  • Fluid Balance Measurement
    • 5.1 Intake and Output: Measuring
  • Intravenous Therapy
    • 5.2 Central Line Dressing: Changing
    • 5.3 Central Line: Infusing Intravenous Fluids
    • 5.4 Central Line: Managing
    • 5.5 Implanted Vascular Access Devices: Managing
    • 5.6 Infusion Device: Discontinuing
    • 5.7 Infusion Flow Rate Using Controller or IV Pump: Regulating
    • 5.8 Infusion Intermittent Device: Maintaining
    • 5.9 Infusion: Initiating
    • 5.10 Infusion: Maintaining
    • 5.11 Infusion Pump and “Smart” Pump: Using
    • 5.12 Infusion Syringe Pump: Using
    • 5.13 Percutaneous Central Vascular Catheterization: Assisting
    • 5.14 PICC Line Dressing: Changing
    • 5.15 Venipuncture: Initiating
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 6: INFECTION

  • Chapter at a Glance
  • Medical Asepsis
    • 6.1 Hand Hygiene: Performing
  • Person Protective Equipment (PPE) and Isolation Precautions
    • 6.2 Enteric Contact Precautions: Using
    • 6.3 Isolation, Attire: Donning and Doffing
    • 6.4 Isolation, Patient and Others: Caring for
    • 6.5 Isolation, Double-Bagging: Using
    • 6.6 Isolation, Equipment, Specimens: Removing
    • 6.7 Isolation, Transporting Patient Outside Room
    • 6.8 PPE, Clean Gloves: Donning and Doffing
    • 6.9 PPE, Face Masks: Donning and Doffing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 7: INTRACRANIAL REGULATION

  • Chapter at a Glance
    • 7.1 Glasgow Coma Scale: Using
    • 7.2 Intracranial Pressure: Monitoring and Caring for
    • 7.3 Lumbar Puncture: Assisting
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 8: METABOLISM

  • Chapter at a Glance
  • General
    • 8.1 Endocrine Disorders: Assessing
    • 8.2 Endocrine Disorders: Complementary Health Approaches
    • 8.3 Paracentesis: Assisting
  • Diabetes Care
    • 8.4 Capillary Blood Specimen for Glucose: Measuring
    • 8.5 Diabetes: Managing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 9: MOBILITY

  • Chapter at a Glance
  • Balance and Strength
    • 9.1 Body Mechanics: Using
    • 9.2 Range-of-Motion Exercises: Assisting
  • Moving and Transferring a Patient
    • 9.3 Ambulating Patient: Assisting
    • 9.4 Hydraulic Lift: Using
    • 9.5 Logrolling Patient in Bed
    • 9.6 Moving Patient Up in Bed
    • 9.7 Positioning Patient in Bed
    • 9.8 Sitting on Side of Bed (Dangling): Assisting
    • 9.9 Transferring Patient Between Bed and Chair
    • 9.10 Transferring Patient Between Bed and Stretcher
    • 9.11 Transporting: Newborn, Infant, Toddler
    • 9.12 Turning Patient: Lateral or Prone Position in Bed
  • Patient Assistive Devices
    • 9.13 Cane: Assisting
    • 9.14 Crutches: Assisting
    • 9.15 Walker: Assisting
  • Traction and Cast Care
    • 9.16 Cast, Initial: Caring for
    • 9.17 Cast, Ongoing for Plaster and Synthetic: Caring for
    • 9.18 Traction, Skin and Skeletal: Caring for
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 10: NUTRITION

  • Chapter at a Glance
  • Healthy Eating Habits
    • 10.1 Body Mass Index (BMI): Assessing
    • 10.2 Diet, Therapeutic: Managing
    • 10.3 Eating Assistance: Providing
    • 10.4 Mealtime: Complementary Health Approaches
    • 10.5 Nutrition: Assessing
  • Enteral Nutrition Using a Feeding Tube
    • 10.6 Feeding, Continuous, Nasointestinal/Jejunostomy with a Small-Bore Tube: Administering
    • 10.7 Feeding, Gastrostomy or Jejunostomy Tubes: Administering
    • 10.8 Gastric Lavage: Performing
    • 10.9 Nasogastric Tube: Feeding
    • 10.10 Nasogastric Tube: Flushing and Maintaining
    • 10.11 Nasogastric Tube: Inserting
    • 10.12 Nasogastric Tube: Removing
  • Parenteral Nutrition Using Intravenous Infusion
    • 10.13 Lipids, IV Infusion: Providing
    • 10.14 Total Parental Nutrition (TPN), IV Infusion: Providing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 11: OXYGENATION

  • Chapter at a Glance
  • Assessment
    • 11.1 Nose and Throat Specimen: Collecting
    • 11.2 Peak Expiratory Flow Rate: Measuring
    • 11.3 Sputum Specimen: Collecting
  • Interventions
    • 11.4 Chest Physiotherapy: Preparing Patient
    • 11.5 Incentive Spirometer: Using
    • 11.6 Pursed-Lip Breathing
    • 11.7 Thoracentesis: Assisting
  • Supplemental Oxygen Therapy
    • 11.8 Oxygen Delivery Systems: Using
    • 11.9 Oxygen, Portable Cylinder: Using
    • 11.10 Ventilator, Mechanical: Caring for Patient
  • Maintaining a Patent Airway
    • 11.11 Airway, Nasopharyngeal: Inserting
    • 11.12 Airway, Oropharyngeal: Inserting
    • 11.13 Endotracheal Tube: Caring for
    • 11.14 Suctioning, Oropharyngeal and Nasopharyngeal: Newborn, Infant, Child, Adult
    • 11.15 Suctioning, Tracheostomy or Endotracheal Tube
    • 11.16 Tracheal Tube: Inflating the Cuff
    • 11.17 Tracheostomy: Caring for
  • Maintaining Lung Expansion
    • 11.18 Chest Tube Drainage: Maintaining
    • 11.19 Chest Tube Insertion: Assisting
    • 11.20 Chest Tube Removal: Assisting
  • Life Threatening Situations
    • 11.21 Airway Obstruction: Clearing
    • 11.22 Cardiac Compressions, External: Performing
    • 11.23 Rescue Breathing: Performing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 12: PERFUSION

  • Chapter at a Glance
  • Maintaining Blood Volume
    • 12.1 Blood Products: Administering
    • 12.2 Blood Transfusion: Administering
    • 12.3 Direct Pressure: Applying
    • 12.4 Pressure Dressing: Applying
  • Antiembolism Devices
    • 12.5 Antiembolism Stockings: Applying
    • 12.6 Pneumatic Compression Device: Applying
    • 12.7 Sequential Compression Devices: Applying
  • Electrical Conduction in the Heart
    • 12.8 Automated External Defibrillator (AED): Adult, Using
    • 12.9 ECG, 12-Lead: Recording
    • 12.10 ECG, Leads: Applying
    • 12.11 ECG, Strip: Interpreting
    • 12.12 Pacemaker, Insertion: Assisting
    • 12.13 Pacemaker, Permanent: Teaching
    • 12.14 Pacemaker, Temporary: Maintaining
    • 12.15 Temporary Cardiac Pacing, Transvenous, Epicardial: Monitoring
  • Arterial Line
    • 12.16 Allen Test: Performing
    • 12.17 Arterial Blood Pressure: Monitoring
    • 12.18 Arterial Blood Samples: Withdrawing
    • 12.19 Arterial Line: Caring for
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 13: PERIOPERATIVE CARE

  • Chapter at a Glance
  • General
    • 13.1 Preoperative Patient Teaching
    • 13.2 Surgical Hand Antisepsis and Scrubs
    • 13.3 Surgical Site: Preparing
  • Using Sterile Technique
    • 13.4 Sterile Field: Maintaining
    • 13.5 Sterile Gown and Gloves: Donning (Closed Method)
    • 13.6 Surgical Patient: Preparing
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 14: REPRODUCTION

  • Chapter at a Glance
  • Antepartum Care
    • 14.1 Amniocentesis: Assisting
    • 14.2 Antepartum, Maternal and Fetal: Assessing
    • 14.3 Antepartum Pelvic Examination: Assisting
    • 14.4 Deep Tendon Reflexes and Clonus: Assessing
    • 14.5 Fetal Well-Being, Nonstress Test and Biophysical Profile: Assessing
    • 14.6 Rh Immune Globulin: Administering
  • Intrapartum Care
    • 14.7 Amniotomy (Artificial Rupture of Membranes): Assisting
    • 14.8 Epidural: Assisting and Caring for Patient
    • 14.9 Fetal External Electronic: Monitoring
    • 14.10 Fetal Heart Rate: Auscultating
    • 14.11 Fetal Internal Scalp Electrode Placement: Monitoring
    • 14.12 Induction of Labor with Oxytocin and Other Agents: Assisting and Caring for Patient
    • 14.13 Intrapartum, Maternal and Fetal: Assessing
    • 14.14 Intrapartum Pelvic Examination: Assisting
    • 14.15 Prolapsed Cord: Caring for Patient
  • Postpartum Care
    • 14.16 Breastfeeding: Assisting
    • 14.17 Lochia: Evaluating
    • 14.18 Postpartum, Maternal: Assessing
    • 14.19 Postpartum, Perineum: Assessing
    • 14.20 Uterine Fundus, After Vaginal or Caesarean Birth: Assessing
  • Newborn Care
    • 14.21 Apgar Score: Assessing
    • 14.22 Circumcision: Caring for
    • 14.23 Newborn: Assessing
    • 14.24 Newborn, Initial Bathing
    • 14.25 Newborn Thermoregulation: Assisting
    • 14.26 Phototherapy, Newborn, Infant: Providing
    • 14.27 Umbilical Cord Clamp: Caring for
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 15: SAFETY

  • Chapter at a Glance
  • Patient Safety
    • 15.1 Abuse: Newborn, Infant, Child, Older Adult, Assessing for
    • 15.2 Fall Prevention: Assessing and Managing
    • 15.3 Seizure Precautions: Implementing
    • 15.4 Suicide: Caring for Suicidal Patient
  • Environmental Safety
    • 15.5 Environmental Safety: Healthcare Facility, Community, Home
    • 15.6 Fire Safety: Healthcare Facility, Community, Home
    • 15.7 Thermal and Electrical Injuries: Preventing
  • Immobilizers and Restraints
    • 15.8 Bed or Chair Alarm, Exit Monitor Device: Applying
    • 15.9 Immobilizer, Mummy: Applying
    • 15.10 Immobilizer, Papoose Board: Applying
    • 15.11 Restraints and Alternatives: Caring for
    • 15.12 Restraints, Torso and Belt: Applying
    • 15.13 Restraints, Wrist and Ankle: Applying
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

CHAPTER 16: TISSUE INTEGRITY

  • Chapter at a Glance
  • Assessment
    • 16.1 Wound Drainage Specimen: Obtaining
  • Dressings and Binders
    • 16.2 Abdominal Binder: Applying
    • 16.3 Closed Wound Drains: Maintaining
    • 16.4 Dressing, Dry: Changing
    • 16.5 Dressing, Sterile: Changing
    • 16.6 Dressing, Venous Ulcer: Changing
    • 16.7 Dressing, Wet-to-Moist: Applying
    • 16.8 Elastic Bandage: Applying
    • 16.9 Surgical Wound: Caring for
  • Wound Care
    • 16.10 Dressing, Alginate: Applying
    • 16.11 Dressing, Hydrocolloid: Applying
    • 16.12 Dressing, Transparent: Applying
    • 16.13 Electrical Stimulation: Using
    • 16.14 Negative Pressure Wound Therapy: Using
    • 16.15 Pressure Injury: Preventing and Caring for
    • 16.16 Staple and Suture: Removing
    • 16.17 Stump: Positioning and Exercising
    • 16.18 Stump: Shrinking and Molding
    • 16.19 Wound: Irrigating
    • Critical Thinking Options for Unexpected Outcomes
    • Review Questions

Appendix A: Answers to Review Questions

Appendix B: Guidelines for Laboratory and Diagnostic Assessment

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