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For use as a primary textbook in clinical nursing education programs, and as a reference for practicing nurses


Help each student think like a nurse using a clear, consistent presentation of nursing skills
Consistency and accessibility are essential to student success in the Fundamentals of Nursing course. With its clear, approachable, writing style, Skills in Clinical Nursing sets the foundation for nursing excellence. It provides detailed procedures on the most relevant skills performed by nurses as they enter practice. It includes all common variations and is organized from the simplest to the most complex. This edition has been revised and updated to reflect current practice, responding to extensive feedback from clinical nurses, market surveys, and the authors’ own teaching and practice experience. Each chapter contains concise introductory material, placing skills in the context of anatomy, physiology, and pathophysiology, and clearly explaining their purpose and rationale. Each skill is then presented in exceptional step-by-step detail, with over 800 illustrations. Skills coverage is complemented by critical-thinking insights on using assessment data, and essential guidance on appropriate delegation to unlicensed assistive personnel (UAP). Students will learn to think like nurses as they see how the material they are reading is applied in nursing practice.


Table of contents

Brief Table of Contents

Unit 1ntroduction

1. Foundational Skills

Unit 2 Health Assessment

2. Vital Signs

3. Health Assessment

4. Diagnostic Testing

Unit 3 Assisting with Client Hygiene and Comfort

5. Client Hygiene

6. Bed-Making

7. Infection Control

8. Heat and Cold Therapy

9. Pain Management

Unit 4 Mobility and Safety

10. Positioning the Client

11. Mobilizing the Client

12. Fall Prevention and Restraints

13. Maintaining Joint Mobility

Unit 5 Medication Administration

14. Drug Calculations

15. Administering Oral and Enteral Medications

16. Administering Topical Medications

17. Administering Parenteral Medications

18. Administering Intravenous Therapy

Unit 6 Nutrition and Elimination

19. Feeding Clients

20. Assisting with Urinary Elimination

21. Assisting with Fecal Elimination

22. Caring for Clients with Peritoneal Dialysis

Unit 7 Circulatory and Ventilatory Support

23. Promoting Circulation

24. Breathing Exercises

25. Oxygen Therapy

26. Suctioning

27. Caring for the Client with a Tracheostomy

28. Assisting with Mechanical Ventilation

29. Caring for the Client with Chest Tube Drainage

30. Administering Emergency Measures to the Hospitalized Client

Unit 8 Wounds and Injury Care

31. Performing Wound and Pressure Ulcer Care

32. Orthopedic Care

33. Performing Perioperative Care

34. End-of-Life Care

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