Nursing Interventions & Clinical Skills E-Book by Perry, Anne Griffin -- Read -- Imperial Library of Trantor

Index

Title Page Table of Contents Copyright About the Authors Contributors Reviewers Acknowledgments

Notes From the Authors

Preface to the Instructor

Key Features New to This Edition Ancillaries

Unit 1 Quality and Safety in Nursing Practice

1 Using Evidence in Nursing Practice

Introduction Steps in the EBP Framework Safe and Effective Nursing Skills and Procedures Practice Standards Practice Standards Benefits of EBP Practice Reflections Clinical Review Questions References

2 Communication and Collaboration

SKILL 2.1 Discharge Planning and Transitional Care SKILL 2.2 Workplace Violence and Safety Clinical Review Questions References

3 Documentation and Informatics

Introduction Practice Standards Electronic Health Record Evidence-Based Practice Safety Guidelines Confidentiality Legal Guidelines in Documentation Standards Guidelines for Quality Documentation Special Considerations Practice Reflections Clinical Review Questions References

4 Patient Safety and Quality Improvement

SKILL 4.1 Fall Prevention in a Health Care Setting SKILL 4.2 Designing a Restraint-Free Environment SKILL 4.3 Applying Physical Restraints SKILL 4.4 Seizure Precautions Clinical Review Questions References

5 Infection Control

SKILL 5.1 Hand Hygiene SKILL 5.2 Applying Personal Protective Equipment SKILL 5.3 Caring for Patients Under Isolation Precautions SKILL 5.4 Preparing a Sterile Field SKILL 5.5 Sterile Gloving Clinical Review Questions References

6 Disaster Preparedness

SKILL 6.1 Care of a Patient After Biological Exposure SKILL 6.2 Care of a Patient After Chemical Exposure SKILL 6.3 Care of a Patient After Radiation Exposure Clinical Review Questions References

Unit 2 Patient Assessment Skills

7 Vital Signs

SKILL 7.1 Measuring Body Temperature SKILL 7.2 Assessing Apical Pulse SKILL 7.3 Assessing Radial Pulse SKILL 7.4 Assessing Respirations SKILL 7.5 Assessing Blood Pressure Clinical Review Questions References

8 Health Assessment

SKILL 8.1 General Survey SKILL 8.2 Assessing the Head and Neck SKILL 8.3 Assessing the Thorax and Lungs SKILL 8.4 Cardiovascular Assessment SKILL 8.5 Assessing the Abdomen SKILL 8.6 Assessing the Genitalia and Rectum SKILL 8.7 Musculoskeletal and Neurological Assessment Clinical Review Questions References

9 Specimen Collection

SKILL 9.1 Urine Specimen Collection—Midstream (Clean-Voided) Urine, Sterile Urinary Catheter SKILL 9.2 Testing for Gastrointestinal Alterations—Gastroccult Test, Stool Specimen, and Hemoccult Test SKILL 9.3 Collecting Nose and Throat Specimens SKILL 9.4 Collecting a Sputum Specimen SKILL 9.5 Collecting Wound Drainage Specimens SKILL 9.6 Blood Glucose Monitoring SKILL 9.7 Collecting Blood and Culture Specimens by Venipuncture (Syringe and Vacutainer Method) Clinical Review Questions References

10 Diagnostic Procedures

SKILL 10.1 Intravenous Moderate Sedation SKILL 10.2 Contrast Media Studies: Arteriogram (Angiogram), Cardiac Catheterization, Intravenous Pyelogram SKILL 10.3 Care of Patients Undergoing Aspirations: Bone Marrow, Lumbar Puncture, Paracentesis, Thoracentesis SKILL 10.4 Care of Patients Undergoing Bronchoscopy SKILL 10.5 Care of Patients Undergoing Gastrointestinal Endoscopy SKILL 10.6 Obtaining a 12-Lead Electrocardiogram Clinical Review Questions References

Unit 3 Basic Human Needs

11 Bathing and Personal Hygiene

SKILL 11.1 Complete or Partial Bed Bath SKILL 11.2 Performing Mouth Care for an Unconscious or Debilitated Patient Clinical Review Questions References

12 Care of the Eye and Ear

SKILL 12.1 Eye Irrigation SKILL 12.2 Ear Irrigation Clinical Review Questions References

13 Promoting Nutrition

SKILL 13.1 Dysphagia Screening and Assisting With Oral Nutrition SKILL 13.2 Aspiration Precautions SKILL 13.3 Insertion and Removal of a Small-Bore Feeding Tube SKILL 13.4 Verifying Placement and Irrigating a Feeding Tube SKILL 13.5 Administering Enteral Nutrition: Nasogastric, Nasointestinal, Gastrostomy, or Jejunostomy Tube Clinical Review Questions References

14 Parenteral Nutrition

SKILL 14.1 Administering Central Parenteral Nutrition SKILL 14.2 Administering Peripheral Parenteral Nutrition With Lipid (Fat) Emulsion Clinical Review Questions References

15 Pain Management

SKILL 15.1 Pain Assessment and Basic Comfort Measures SKILL 15.2 Nonpharmacological Pain Management SKILL 15.3 Pharmacological Pain Management SKILL 15.4 Patient-Controlled Analgesia SKILL 15.5 Epidural Analgesia SKILL 15.6 Local Anesthetic Infusion Pump for Analgesia SKILL 15.7 Moist and Dry Heat Application SKILL 15.8 Cold Application Clinical Review Questions References

16 Promoting Oxygenation

SKILL 16.1 Oxygen Administration SKILL 16.2 Airway Management: Noninvasive Positive-Pressure Ventilation SKILL 16.3 Airway Management: Suctioning SKILL 16.4 Care of Artificial Airways SKILL 16.5 Managing Closed Chest Drainage Systems Clinical Review Questions References

Unit 4 Activity and Mobility

17 Safe Patient Handling

SKILL 17.1 Transfer Techniques SKILL 17.2 Moving and Positioning Patients in Bed Clinical Review Questions References

18 Exercise, Mobility, and Immobilization Devices

SKILL 18.1 Assisting With Ambulation (Without Assist Devices) SKILL 18.2 Use of Canes, Crutches, and Walkers SKILL 18.3 Care of a Patient With an Immobilization Device Clinical Review Questions References

Unit 5 Promoting Elimination

19 Urinary Elimination

SKILL 19.1 Applying a Male Incontinence Device SKILL 19.2 Insertion of a Straight or Indwelling Catheter SKILL 19.3 Care and Removal of an Indwelling Catheter SKILL 19.4 Suprapubic Catheter Care SKILL 19.5 Performing Catheter Irrigation Clinical Review Questions References

20 Bowel Elimination and Gastric Decompression

SKILL 20.1 Administering an Enema SKILL 20.2 Insertion, Maintenance, and Removal of a Nasogastric Tube for Gastric Decompression Clinical Review Questions References

21 Ostomy Care

SKILL 21.1 Pouching a Bowel Diversion SKILL 21.2 Pouching a Urostomy SKILL 21.3 Catheterizing a Urostomy Clinical Review Questions References

Unit 6 Medication Administration

22 Preparation for Safe Medication Administration

Introduction Practice Standards Evidence-Based Practice Safety Guidelines Pharmacokinetics Drug Actions Types of Medication Action Administering Medications Distribution Systems Medication Administration Record Seven Rights of Medication Administration Medication Preparation Nursing Process Reporting Medication Errors Patient and Family Caregiver Teaching Handling of Special Medications Special Considerations Practice Reflections Clinical Review Questions References

23 Nonparenteral Medications

SKILL 23.1 Administering Oral Medications SKILL 23.2 Administering Medications Through a Feeding Tube SKILL 23.3 Applying Topical Medications to the Skin SKILL 23.4 Instilling Eye and Ear Medications SKILL 23.5 Using Metered-Dose Inhalers SKILL 23.6 Using Small-Volume Nebulizers Clinical Review Questions References

24 Parenteral Medications

Introduction Practice Standards Evidence-Based Practice Safety Guidelines Needlestick Prevention SKILL 24.1 Preparing Injections: Vials and Ampules Assessment SKILL 24.2 Administering Subcutaneous Injections Assessment SKILL 24.3 Administering Intramuscular Injections Injection Sites Assessment SKILL 24.4 Administering Intradermal Injections Assessment SKILL 24.5 Administering Medications by Intravenous Bolus Assessment SKILL 24.6 Administering Intravenous Medications by Piggyback and Syringe Pumps Assessment SKILL 24.7 Administering Medications by Continuous Subcutaneous Infusion Assessment Special Considerations Practice Reflections Clinical Review Questions References

Unit 7 Dressings and Wound Care

25 Wound Care and Irrigation

SKILL 25.1 Performing a Wound Irrigation SKILL 25.2 Managing Wound Drainage Evacuation SKILL 25.3 Removing Sutures and Staples SKILL 25.4 Negative-Pressure Wound Therapy Clinical Review Questions References

26 Pressure Injury Prevention and Care

SKILL 26.1 Risk Assessment, Skin Assessment, and Prevention Strategies SKILL 26.2 Treatment of Pressure Injuries and Wound Management Clinical Review Questions References

27 Dressings, Bandages, and Binders

SKILL 27.1 Applying a Gauze Dressing (Dry and Damp-to-Dry) SKILL 27.2 Applying a Pressure Bandage SKILL 27.3 Applying Hydrocolloid, Hydrogel, Foam, or Alginate Dressings Clinical Review Questions References

Unit 8 Complex Nursing Interventions

28 Intravenous and Vascular Access Therapy

SKILL 28.1 Insertion of a Short-Peripheral Intravenous Device SKILL 28.2 Regulating Intravenous Infusion Flow Rates SKILL 28.3 Maintenance of an Intravenous Site SKILL 28.4 Managing Central Vascular Access Devices SKILL 28.5 Transfusion of Blood Products Clinical Review Questions References

29 Preoperative and Postoperative Care

SKILL 29.1 Preoperative Assessment SKILL 29.2 Preoperative Teaching SKILL 29.3 Patient Preparation Before Surgery SKILL 29.4 Providing Immediate Anesthesia Recovery in the Postanesthesia Care Unit (PACU) SKILL 29.5 Providing Early Postoperative (Phase II) and Convalescent Phase (Phase III) Recovery Clinical Review Questions References

30 Emergency Measures for Life Support in the Hospital Setting

SKILL 30.1 Inserting an Oropharyngeal Airway SKILL 30.2 Using an Automated External Defibrillator SKILL 30.3 Code Management Clinical Review Questions References

Unit 9 Supportive Nursing Interventions

31 End-of-Life Care

SKILL 31.1 Supporting Patients and Families in Grief SKILL 31.2 Symptom Management at End of Life SKILL 31.3 Care of the Body After Death Clinical Review Questions References

32 Home Care Safety

SKILL 32.1 Home Environment Assessment and Safety SKILL 32.2 Adapting the Home Setting for Clients With Cognitive Deficits SKILL 32.3 Medication and Medical Device Safety Clinical Review Questions References

Appendixes

Appendix A Integrative Practice Reflections

Gerontological Focus Home Care Focus

Appendix B Abbreviations and Equivalents

Abbreviations for Conversion Using Household Measures Standard Equivalents, Abbreviations, and Conversions Symbols Abbreviations

Answers to Clinical Review Questions Index Index of Skills

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