Nursing Interventions and Clinical Skills

by
Edition: 3rd
Format: Paperback
Pub. Date: 2003-06-09
Publisher(s): ELSEVIE
List Price: $77.74

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Summary

Nursing Interventions & Clinical Skills provides complete coverage of basic, intermediate, and advanced skills in a streamlined, visually-oriented format. This text features a unique, user-friendly, full-color presentation, with more than a thousand photos and drawings. The nursing process framework and clear, 2-column format with rationales help put nursing skills into the context of care delivery. Skills are clustered, with similar skills covered together, to reflect the way they are commonly taught. Includes basic, intermediate, and advanced skills. Standard beginning and completion protocols for each skill are summarized on inside front cover for easy reference so that routine steps need not be constantly repeated. Skills are clustered, with similar skills covered together, to reflect the way they are commonly taught. Easy-to-follow 2-column format for skills includes rationales for key steps to help students understand why specific techniques are used. Nurse-Alerts highlight safety issues or critical steps in the skills Glove logo provides a visual reminder to apply clean gloves. Delegation Considerations guide nurses when assigning a skill to unlicensed assistive personnel. Special considerations include age-related, home-care, and long term care. Communication Tips provide guidelines for students on how to prepare, support, and instruct clients. Over a thousand full-color photographs and drawings clearly show how steps are performed. Six new skills include Wound Vac, Verifying Tube Placement for a Large-Bore or Small-Bore Feeding Tube, Removal of an Indwelling Catheter, Urinary Diversions, Adapting the Home Setting for Clients with Cognitive Deficits, and Medication and Medication Device Safety. New chapter on Palliative Care (Chapter 39) covers Care of the Dying Client. Includes new 2002 CDC Hand Hygiene guidelines. Documentation samples focus on how to document unexpected responses. Expanded Home Care and Long Term Care considerations. Client teaching is expanded throughout and incorporated into Communication Tips. Visually highlights sterile gloving step to emphasize the importance of this essential action. Includes new content on brushless surgical scrubbing and antimicrobial agent handwashing. New unit on Wound Care (Unit 6) groups wound care, pressure ulcers, dressings and therapeutic use of heat and cold. Surgical Wounds and Pressure Ulcers addressed in separate chapters. All illustrations include complete legends for quick identification.

Table of Contents

UNIT I Fundamental Concepts
Professional Nursing Practice
1(24)
Marty Elkin
Standard Protocols for All Nursing Interventions
12(4)
Recording
16(4)
Giving a Change-of-Shift Report
20(2)
Writing an Incident Report
22(3)
Facilitating Communication
25(24)
Jacqueline Raybuck Saleeby
Establishing Therapeutic Communication
30(3)
Comforting
33(3)
Active Listening
36(3)
Interviewing
39(3)
Communicating With an Anxious Client
42(2)
Verbally Deescalating a Potentially Violent Client
44(5)
Medical Aseptic Techniques
49(19)
Patricia A. Potter
Handwashing and Disinfection
52(4)
Using Disposable Clean Gloves
56(2)
Caring for Clients Under Isolation Precautions
58(6)
Special Tuberculosis Precautions
64(4)
Basic Sterile Techniques
68(12)
Patricia A. Potter
Creating and Maintaining a Sterile Field
69(6)
Sterile Gloving
75(5)
Promoting a Safe Environment
80(30)
Eileen Costantinou
Safety Equipment and Fall Prevention
84(8)
Designing a Restraint-Free Environment
92(4)
Applying Physical Restraints
96(7)
Seizure Precautions
103(3)
Safety Measures for Radioactive Materials
106(4)
UNIT II Basic Human Needs
Promoting Activity and Mobility
110(38)
Rita J. Wunderlich
Assisting With Moving and Positioning Clients in Bed
112(9)
Minimizing Orthostatic Hypotension
121(2)
Transferring From Bed to Chair
123(4)
Using a Mechanical (Hoyer) Lift for Transfer From Bed to Chair
127(3)
Transferring From Bed to Stretcher
130(3)
Assisting With Ambulation
133(2)
Teaching Use of Cane, Crutches, and Walker
135(13)
Promoting Hygiene
148(34)
Cynthia L. Maskey
Complete Bathing
150(8)
Care of Dentures
158(1)
Oral Care
158(4)
Hair Care
162(4)
Foot and Nail Care
166(6)
Bedmaking
172(5)
Unoccupied Bedmaking
173(4)
Caring for Incontinent Clients
177(5)
Promoting Nutrition
182(17)
Marty Elkin
Feeding Dependent Clients
188(4)
Assisting Clients With Dysphagia (Impaired Swallowing)
192(7)
Standing Height and Weight on Platform or Chair Scale
195(4)
Assisting With Elimination
199(23)
Terry L. Wood
Monitoring Intake and Output
200(5)
Providing a Bedpan and Urinal
205(5)
Applying an External Catheter
210(3)
Administering an Enema
213(5)
Catheter Care
218(4)
Promoting Comfort, Sleep, and Relaxation
222(16)
Patricia A. Potter
Comfort Measures That Promote Sleep
224(4)
Relaxation Techniques
228(10)
Pain Management
238(26)
Joan Domigan Wentz
Nonpharmacological Pain Management
239(6)
Pharmacological Pain Management
245(3)
Patient-Controlled Analgesia
248(5)
Epidural Analgesia
253(7)
Local Anesthetic Infusion Pump for Management of Postoperative Pain
260(4)
UNIT III: Assessment Skills
Vital Signs
264(30)
Susan Jane Fetzer
Obtaining Blood Pressure From Lower Extremity by Auscultation
274(1)
Assessing Temperature, Pulse, Respirations, and Blood Pressure
275(14)
Electronic Blood Pressure Measurement
288(1)
Measuring Oxygen Saturation With Pulse Oximetry
289(5)
Shift Assessment
294(53)
Meridith Hunt
General Survey
301(11)
Assessing the Thorax and Lungs
312(7)
Assessing the Heart and Neck Vessels
319(8)
Assessing the Abdomen
327(8)
Assessing the Extremities and Peripheral Circulation
335(12)
Laboratory Tests
347(38)
Marty Elkin
Urine Specimen Collection---Midstream, Sterile Urinary Catheter
349(7)
Collecting 24-Hour Timed Urine Specimens
355(1)
Urine Screening for Glucose, Ketones, Protein, Blood, and pH
355(1)
Testing for Gastrointestinal Alterations (Stool Specimen, Hemoccult Test, Gastroccult Test)
356(4)
Blood Glucose Monitoring
360(5)
Collecting Blood Specimens---Venipuncture With Vacutainer, Blood Cultures
365(9)
Venipuncture With Syringe
374(1)
Collecting Specimens from the Nose and Throat
374(4)
Collecting a Sputum Specimen by Suction
378(3)
Collecting a Sputum Specimen by Expectoration
381(1)
Obtaining Wound Cultures
381(4)
Diagnostic Tests
385(23)
Marty Elkin
Intravenous Conscious Sedation
386(2)
Contrast Media Studies: Arteriogram, Cardiac Catheterization, Intravenous Pyelogram
388(4)
Assisting With Aspirations: Bone Marrow, Lumbar Puncture, Paracentesis, Thoracentesis
392(5)
Assisting With Bronchoscopy
397(3)
Assisting With Gastrointestinal Endoscopy (Esophagastroduodenoscopy)
400(3)
Assisting With Colonoscopy
403(1)
Assisting With Electrocardiograms
403(5)
UNIT IV: Administration of Medications
Preparation for Medication Administration
408(17)
Paula J. Vehlow
Administration of Nonparenteral Medications
425(32)
Julie S. Snyder
Administering Oral Medications
427(7)
Applying Topical Medications
434(5)
Instilling Eye and Ear Medications
439(5)
Using Metered-Dose Inhalers
444(4)
Using Small-Volume Nebulizers
448(3)
Inserting Rectal and Vaginal Medications
451(6)
Administration of Injections
457(34)
Amy M. Hall
Reconstituting Medications From a Powder
466(1)
Mixing Medications From a Vial
466(1)
Subcutaneous Injections (Includes Insulin)
467(8)
Teaching Self-Injections
468(7)
Intramuscular Injections
475(6)
Intradermal Injections
481(4)
Continuous Subcutaneous Medications
485(6)
UNIT V: Perioperative Nursing Care
Preparing the Client for Surgery
491(17)
Patricia A. Stockert
Preoperative Assessment
492(4)
Preoperative Teaching
496(7)
Physical Preparation
503(5)
Intraoperative Techniques
508(11)
Kelly M. Schwartz
Surgical Hand Antisepsis
510(4)
Donning Sterile Gown and Closed Gloving
514(5)
Caring for the Postoperative Client
519(17)
Patricia A. Stockert
Providing Immediate Postoperative Care in Postanesthesia Care Unit
522(8)
Providing Comfort Measures During Early Postoperative Recovery
530(6)
UNIT VI: Wound Care
Surgical Wound Care
536(16)
Janice C. Colwell
Providing Surgical Wound Care
538(3)
Monitoring and Measuring Drainage Devices
541(5)
Removing Staples and Sutures (Including Applying Steri-Strips)
546(6)
Pressure Ulcers
552(18)
Janice C. Colwell
Pressure Ulcer Risk Assessment and Prevention Strategies
555(6)
Treatment of Pressure Ulcers and Wound Management
561(9)
Dressings
570(26)
Anne Perry
Applying Dressings
573(8)
Changing Transparent Dressings
581(4)
Applying Binders and Bandages
585(4)
Wound Vacuum Assisted Closure
589(7)
Therapeutic Use of Heat and Cold
596(15)
Peter R. Miller
Moist Heat
598(4)
Dry Heat
602(3)
Cold Compresses and Ice Bags
605(6)
UNIT VII: Managing Immobilized Clients
Special Mattresses and Beds
611(18)
Nancy Tomaselli
Using a Support Surface Overlay or Mattress
613(3)
Using a Low-Air-Loss Bed
616(3)
Using an Air-Fluidized Bed
619(4)
Using a Rotokinetic Bed
623(3)
Using a Bariatric Bed
626(3)
Promoting Range of Motion
629(17)
Anne Perry
Range-of-Motion Exercises
630(11)
Continuous Passive Motion (for Client With Total Knee Replacement)
641(5)
Traction, Cast Care, and Immobilization Devices
646(29)
Wanda Cleveland Dubuisson
Care of the Client in Skin Traction
648(5)
Care of the Client in Skeletal Traction and Pin Site Care
653(5)
Care of the Client During Cast Application
658(8)
Care of the Client During Cast Removal
666(3)
Care of the Client With an Immobilization Device (Brace, Splint, Sling)
669(6)
Sling Application
672(3)
UNIT VIII: Managing Complex Nursing Interventions
Intravenous Therapy
675(50)
Mimi Hirschberg
Patricia A. Potter
Insertion of a Peripheral Intravenous Device (Intermittent and Continuous Infusion)
676(13)
Regulating Intravenous Infusion Flow Rates
689(8)
Maintenance of Intravenous Site
697(12)
Administering Intravenous Medications
709(9)
Transfusions With Blood Products
718(7)
Fluid, Electrolyte, and Acid-Base Balance
725(22)
Kris M. L'Ecuyer
Monitoring Fluid Balance
729(4)
Monitoring Electrolyte Balance
733(6)
Monitoring Acid-Base Balance
739(8)
Promoting Oxygenation
747(38)
V. Christine Champagne
Oxygen Administration
748(7)
Airway Management: Noninvasive Interventions
755(5)
Airway Management: Suctioning
760(8)
Airway Management: Endotracheal Tube and Tracheostomy Care
768(7)
Managing Closed Chest Drainage Systems (Including Managing Postoperative Autotransfusions)
775(10)
Gastric Intubation
785(12)
Anne Perry
Inserting Nasogastric Tube (Includes Checking Placement of Nasal Tube)
786(6)
Irrigating Nasogastric Tube
792(3)
Removing Nasogastric Tube
795(2)
Enteral Nutrition
797(22)
Patricia A. Potter
Intubating the Client With a Small-Bore Nasogastric or Nasointestinal Feeding Tube
799(6)
Verifying Tube Placement for a Large-Bore or Small-Bore Feeding Tube
805(3)
Administering Tube Feedings
808(6)
Skill 33-4 Administering Medication Through a Feeding Tube
814(5)
Altered Bowel Elimination
819(19)
Anne Perry
Removing Fecal Impactions
821(3)
Pouching an Enterostomy
824(8)
Irrigating a Colostomy
832(6)
Altered Urinary Elimination
838(28)
Marty Elkin
Urinary Catheterization With Indwelling (Retention) Catheter: Female and Male
840(8)
Removal of an Indwelling Catheter
848(2)
Inserting Straight Catheter for Specimen Collection or Residual Urine
850(4)
Continuous Bladder Irrigation
854(3)
Suprapubic Catheters
857(3)
Urinary Diversions (Continent and Incontinent)
860(6)
Altered Sensory Perception
866(16)
Anne Perry
Caring for an Eye Prosthesis
867(4)
Eye Irrigations
871(3)
Caring for Clients With Hearing Aids
874(4)
Ear Irrigations
878(4)
Emergency Measures for Life Support in the Hospital Setting
882(16)
Margaret R. Benz
Resuscitation
883(8)
Code Management
891(7)
Care of the Client With Special Needs
898(27)
Lynn Schallom
Managing Central Venous Lines
899(5)
Administration of Total Parenteral Nutrition
904(4)
Mechanical Ventilation
908(7)
Care of the Client Receiving Hemodialysis
915(5)
Peritoneal Dialysis
920(5)
Palliative Care
925(14)
Deborah Crump
Care of the Dying Client
930(4)
Care of the Body After Death
934(5)
Client Teaching and Home Health Management
939(2)
Amy M. Hall
Patricia A. Stockert
Client Teaching
941(4)
Teaching Clients Self-Injections
945(1)
Risk Assessment and Accident Prevention
946(4)
Adapting the Home Setting for Clients With Cognitive Deficits
950(2)
Helping Clients with Self-Medication and Medical Device Safety
952(3)
Using Home Oxygen Therapy
955(7)
Appendixes
Appendix A Sample Forms
962(17)
Appendix B Abbreviations and Equivalents
979(4)
Appendix C Classification of Nursing Diagnoses by Functional Health Patterns
983

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