CLINICAL NURSING SKILLS

Author: Sandra Smith, Donna Duell, Barbara Martin
Affiliation: National Nursing Review; Los Altos, CA
Publisher: Pearson Health Science
Publication Date: 2012
ISBN 10: 013511473X
ISBN 13: 9780135114735
Edition: 8th

Description:

The most complete, up-to-date and useful guide to modern clinical nursing skills available! With more than 1,200 full-color images illustrating more than 750 new and updated skills, CLINICAL NURSING SKILLS, 8/e is the definitive resource for best practice nursing standards, guidelines, and competencies. The authors teach through extensive case studies and critical thinking features, and thoroughly explain the rationales for each skill and technique. Strong coverage of evidence-based care, cultural/religious considerations, nursing management, and community based nursing is provided throughout. Easily adaptable to any conceptual curriculum model, this text also contains hundreds of NCLEX®-style review questions. This edition adds a new chapter on neurological care; has integrated coverage of home care throughout; provides substantial new coverage of the 2010 national patient safety goals; and contains approximately 50 new skills.

Table of Contents

Front Matter

  • ABOUT
  • Creating a Floor-Ready Nurse
  • Notice
  • Acknowledgments
  • Thank You
  • Preface
  • The Only Skill Resource You’ll Need…for Accurate and Safe Skill Performance!

Professional Nursing

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • PROFESSIONAL ROLE
  • STANDARDS AND STATUTES
  • HIPAA
  • CLIENTS’ RIGHTS AND RESPONSIBILITIES
  • CLINICAL PRACTICE
  • MEDICAL ASEPSIS PRINCIPLES
  • PROTOCOL FOR PROCEDURES
  • NCLEX ® Review Questions

Nursing Process and Critical Thinking

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • NURSING PROCESS
  • CRITICAL THINKING
  • NURSES ARE CRITICAL THINKERS
  • NURSING DIAGNOSIS
  • EVIDENCE-BASED PRACTICE
  • NCLEX ® Review Questions

Managing Client Care: Documentation and Delegation

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • CLIENT CARE PLANS
  • CHARTING/DOCUMENTATION
  • LEGAL FORMS OF DOCUMENTATION
  • REPORTING
  • HEALTHCARE DELIVERY
  • DELEGATING CLIENT CARE
  • STUDENT CLINICAL PLANNING
  • NCLEX ® Review Questions

Communication and Nurse–Client Relationship

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • COMMUNICATION
  • THERAPEUTIC COMMUNICATION TECHNIQUES
  • BLOCKS TO COMMUNICATION
  • MULTICULTURAL HEALTH CARE
  • RELATIONSHIP THERAPY
  • CULTURAL AWARENESS
  • UNIT 1 Therapeutic Communication
  • UNIT 2 Nurse–Client Relationship
  • UNIT 3 Communication in Special Situations: Depression, Anxiety, Anger, and Denial
  • NCLEX ® Review Questions

Admission, Transfer, and Discharge

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • ADMISSION, TRANSFER, AND DISCHARGE
  • ADAPTATION TO HOME CARE
  • CULTURAL AWARENESS
  • UNIT 1 Admission and Transfer
  • UNIT 2 Height and Weight
  • UNIT 3 Discharge
  • UNIT 4 Admission to Home Care
  • NCLEX ® Review Questions

Client Education and Discharge Planning

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • CLIENT EDUCATION
  • DISCHARGE PLANNING
  • ADAPTATION TO HOME CARE
  • CULTURAL AWARENESS
  • UNIT 1 Client Education
  • UNIT 2 Discharge Planning
  • NCLEX ® Review Questions

Safe Client Environment and Restraints

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • ORIENTATION TO THE CLIENT ENVIRONMENT
  • CHARACTERISTICS THAT INFLUENCE ADAPTATION
  • PHYSICAL AND BIOLOGICAL DIMENSIONS
  • SOCIOCULTURAL DIMENSIONS
  • A SAFE ENVIRONMENT
  • SENTINEL EVENTS
  • “NEVER EVENTS”
  • ADAPTATION TO HOME CARE
  • UNIT 1 A Safe Environment
  • UNIT 2 Restraints
  • NCLEX ® Review Questions

Bathing, Bedmaking, and Maintaining Skin Integrity

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • GENERAL TERMINOLOGY
  • BASIC HEALTH CARE
  • CULTURAL AWARENESS
  • UNIT 1 Bedmaking
  • UNIT 2 Bath Care
  • UNIT 3 Skin Integrity
  • UNIT 4 Evening Care
  • NCLEX ® Review Questions

Personal Hygiene

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • HYGIENIC CARE
  • CULTURAL AWARENESS
  • UNIT 1 Oral Hygiene
  • UNIT 2 Hair Care
  • UNIT 3 Pediculosis
  • UNIT 4 Bedpan, Urinal, and Commode
  • UNIT 5 Perineal and Genital Care
  • UNIT 6 Eye and Ear Care
  • NCLEX ® Review Questions

Vital Signs

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • VITAL SIGNS
  • Factors Influencing Vital Signs
  • TEMPERATURE
  • PULSE
  • RESPIRATION
  • BLOOD PRESSURE
  • PAIN
  • CULTURAL AWARENESS
  • UNIT 1 Temperature
  • UNIT 2 Pulse Rate
  • UNIT 3 Respirations
  • UNIT 4 Blood Pressure
  • NCLEX ® Review Questions

Physical Assessment

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • ASSESSMENT
  • HEALTH HISTORY
  • NURSES’ ROLE
  • EXAMINATION TECHNIQUES
  • ASSESSMENT OF THE NERVOUS SYSTEM
  • ASSESSMENT OF THE HEAD AND NECK
  • ASSESSMENT OF THE SKIN AND NAILS
  • ASSESSMENT OF THE CHEST, LUNGS, AND HEART
  • ASSESSMENT OF THE ABDOMEN, SPLEEN, KIDNEY, LIVER, AND GENITOURINARY TRACT
  • MENTAL HEALTH ASSESSMENT
  • NCLEX ® Review Questions

Body Mechanics and Positioning

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • MUSCULOSKELETAL SYSTEM
  • SYSTEM ALTERATIONS
  • BODY MECHANICS
  • HOME CARE
  • CULTURAL AWARENESS
  • UNIT 1 Proper Body Mechanics
  • UNIT 2 Moving and Turning Clients
  • UNIT 3 Adaptations for Home Care
  • NCLEX ® Review Questions

Exercise and Ambulation

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • REHABILITATION CONCEPTS
  • MUSCULOSKELETAL SYSTEM
  • JOINTS
  • EXERCISE
  • AMBULATION
  • ASSISTIVE DEVICES
  • ADAPTATION TO HOME CARE
  • UNIT 1 Range of Motion
  • UNIT 2 Ambulation
  • UNIT 3 Crutch Walking
  • UNIT 4 Adaptation for Home Care
  • NCLEX ® Review Questions

Infection Control

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • CHAIN OF INFECTION
  • BARRIERS TO INFECTION
  • CONDITIONS PREDISPOSING TO INFECTION
  • HEALTHCARE-ASSOCIATED (NOSOCOMIAL) INFECTIONS (HAIs)
  • STANDARD PRECAUTIONS
  • ACQUIRED IMMUNODEFICIENCY SYNDROME
  • OTHER INFECTIOUS DISEASES
  • EMERGING VIRUSES (POSSIBLE PANDEMIC THREATS)
  • HOME CARE ADAPTATIONS
  • CULTURAL AWARENESS
  • UNIT 1 Basic Medical Asepsis
  • UNIT 2 Standard Precautions (Tier 1)
  • UNIT 3 Isolation
  • UNIT 4 Home Care Adaptation
  • NCLEX ® Review Questions

Disaster Preparedness–Bioterrorism

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • INTRODUCTION
  • NATURAL DISASTERS
  • PUBLIC POLICY
  • DISASTER IMPACT ON THE INFRASTRUCTURE
  • DISASTER MANAGEMENT
  • TRIAGE SYSTEMS
  • WEAPONS OF MASS DESTRUCTION
  • ETHICAL CONSIDERATIONS
  • DIVERSITY CONSIDERATIONS
  • SUMMARY
  • UNIT 1 Natural Disasters
  • UNIT 2 Bioterrorism Agents, Antidotes, and Vaccinations
  • UNIT 3 Personal Protective Equipment and Decontamination
  • UNIT 4 Triage, Treatment, and a Communication Matrix
  • NCLEX ® Review Questions

Pain Management

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • COPING WITH PAIN
  • NONINVASIVE PAIN RELIEF
  • TECHNIQUES FOR PAIN CONTROL
  • CULTURAL AWARENESS
  • UNIT 1 Pain Assessment
  • UNIT 2 Nonpharmacological Pain Relief
  • UNIT 3 Pharmacological Pain Management
  • NCLEX ® Review Questions

Alternative Therapies and Stress Management

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • STRESS
  • A NEW PARADIGM FOR HEALTH
  • COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM)
  • HERB–DRUG INTERACTIONS
  • CULTURAL AWARENESS
  • UNIT 1 Stress and Adaptation
  • NCLEX ® Review Questions

Medication Administration

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • PHARMACOLOGIC AGENTS
  • BIOLOGIC EFFECTS OF DRUGS
  • ADMINISTERING MEDICATIONS SAFELY
  • CULTURAL AWARENESS
  • UNIT 1 Medication Preparation
  • UNIT 2 Oral Medication Administration
  • UNIT 3 Topical Medication Administration
  • UNIT 4 Mucous Membrane Medication Administration
  • UNIT 5 Parenteral Medication Administration
  • NCLEX® Review Questions

Nutritional Management and Enteral Intubation

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • NUTRITIONAL MANAGEMENT
  • MACRONUTRIENTS
  • MICRONUTRIENTS
  • NUTRITIONAL ASSESSMENT
  • ASSIMILATION OF NUTRIENTS
  • GASTROINTESTINAL DYSFUNCTIONS
  • NORMAL AND THERAPEUTIC NUTRITION
  • CULTURAL AWARENESS
  • UNIT 1 Modified Therapeutic Diets
  • UNIT 2 Nutrition Maintenance
  • UNIT 3 Nasogastric Tube Therapies
  • UNIT 4 Enteral Feeding
  • NCLEX ® Review Questions

Specimen Collection

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • LABORATORY TESTS
  • UNIT 1 Urine Specimens
  • UNIT 2 Stool Specimens
  • UNIT 3 Blood Specimens
  • UNIT 4 Sputum Collection
  • UNIT 5 Swab Specimens

Diagnostic Procedures

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • CLIENT PREPARATION
  • CULTURAL AWARENESS
  • UNIT 1 Contrast Media and X-Ray Studies
  • UNIT 2 Nuclear Scanning
  • UNIT 3 Barium Studies
  • UNIT 4 Endoscopic Studies
  • UNIT 5 Fluid Analysis and Microscopic Studies
  • NCLEX ® Review Questions

Urinary Elimination

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • URINARY SYSTEM
  • ALTERATIONS IN URINARY ELIMINATION
  • NURSING INTERVENTIONS
  • ADAPTATIONS FOR HOME CARE
  • CULTURAL AWARENESS
  • UNIT 1 Intake and Output
  • UNIT 2 External Urine Collection System
  • UNIT 3 Catheterization
  • UNIT 4 Bladder Irrigation
  • UNIT 5 Suprapubic Catheter Care
  • UNIT 6 Specimens From Closed Systems
  • UNIT 7 Urinary Diversion
  • UNIT 8 Hemodialysis (Renal Replacement Therapy)
  • UNIT 9 Adaptation to Home Care
  • NCLEX ® Review Questions

Bowel Elimination

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • ANATOMY AND PHYSIOLOGY
  • DEFECATION
  • ALTERATIONS IN ELIMINATION
  • ADAPTATION FOR HOME CARE
  • CULTURAL AWARENESS
  • UNIT 1 Bowel Management
  • UNIT 2 Enema Administration
  • UNIT 3 Fecal Ostomy Pouch Application
  • NCLEX ® Review Questions

Heat and Cold Therapies

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • TEMPERATURE REGULATION
  • CONDITIONS AFFECTING TEMPERATURE REGULATION
  • THE INFLAMMATORY RESPONSE
  • LOCAL HEAT THERAPIES (THERMOTHERAPY)
  • LOCAL COLD THERAPIES (CRYOTHERAPY)
  • INDUCED HYPOTHERMIA
  • CULTURAL AWARENESS
  • UNIT 1 Local Heat Therapies (Thermotherapy)
  • UNIT 2 Local Cold Therapies (Cryotherapy)
  • UNIT 3 Temperature Management Therapies
  • NCLEX ® Review Questions

Wound Care and Dressings

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • WOUND HEALING
  • WOUND CLASSIFICATION
  • TYPES OF WOUND HEALING
  • MAJOR FACTORS AFFECTING WOUND HEALING
  • GOALS OF WOUND CARE
  • WOUND INFECTIONS
  • ADJUNCTIVE WOUND CARE THERAPY
  • HOME CARE
  • UNIT 1 Measures to Prevent Infection
  • UNIT 2 Dressing Change
  • UNIT 3 Wound Care
  • UNIT 4 Promoting a Moist Environment
  • UNIT 5 Pressure Ulcers
  • UNIT 6 Adjunctive Wound Care Therapy
  • NCLEX ® Review Questions

Perioperative Care

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • THE SURGICAL EXPERIENCE
  • PERIOPERATIVE CARE
  • CULTURAL AWARENESS
  • UNIT 1 Stress in Preoperative Clients
  • UNIT 2 Preoperative Teaching
  • UNIT 3 Preoperative Care
  • UNIT 4 Moderate (Conscious) Sedation
  • UNIT 5 Postanesthesia Care Unit (PACU) and Discharge
  • UNIT 6 Postoperative Care
  • NCLEX ® Review Questions

Orthopedic Interventions

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • RESTORING FUNCTION
  • UNIT 1 Application of Immobilizing Devices
  • UNIT 2 Cast Care
  • UNIT 3 Traction
  • UNIT 4 Client With Joint Replacement
  • UNIT 5 Client With an Amputation
  • UNIT 6 Stryker Frame
  • NCLEX ® Review Questions

Intravenous Therapy

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • FLUID AND ELECTROLYTE BALANCE
  • FLUID AND ELECTROLYTE IMBALANCE
  • IV ADMINISTRATION
  • CULTURAL AWARENESS
  • UNIT 1 Initiating Intravenous Therapy
  • UNIT 2 Intravenous Management
  • UNIT 3 Monitoring Fluid Balance
  • UNIT 4 IV Medication Administration
  • UNIT 5 Blood Transfusions
  • NCLEX ® Review Questions

Central Vascular Access Devices

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • VENOUS ACCESS DEVICES
  • UNIT 1 Percutaneous Central Vascular Catheters
  • UNIT 2 Total Parenteral Nutrition/Total Nutrient Admixture
  • UNIT 3 Lipid Emulsion Therapy
  • UNIT 4 Tunneled Central Vascular Access Devices (CVADs)
  • UNIT 5 Implanted Subcutaneous Port
  • UNIT 6 Peripherally Inserted Central Catheter (PICC)
  • NCLEX ® Review Questions

Respiratory Care

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • THE RESPIRATORY SYSTEM
  • PROCESSES OF RESPIRATION
  • ASSESSMENT OF RESPIRATORY FUNCTION
  • UNIT 1 Respiratory Preventive and Maintenance Measures
  • UNIT 2 Chest Physiotherapy (CPT)
  • UNIT 3 Oxygen Administration
  • UNIT 4 Intubated Airways
  • UNIT 5 Suctioning
  • UNIT 6 Tracheostomy Care
  • UNIT 7 Chest Drainage Systems
  • NCLEX ® Review Questions

Circulatory Maintenance

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • THE CIRCULATORY SYSTEM
  • ELECTRICAL CONDUCTION
  • ALTERATIONS IN CIRCULATION
  • ALTERED CIRCULATION
  • UNIT 1 Control of Bleeding
  • UNIT 2 Circulatory Maintenance
  • UNIT 3 Electrocardiogram (ECG)
  • UNIT 4 Emergency Life Support Measures
  • UNIT 5 Pacemaker Management
  • UNIT 6 Adaptations for Home Care
  • NCLEX ® Review Questions

Neurologic Management

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • INTRODUCTION
  • THE CONSCIOUS STATE
  • STRUCTURES AND FUNCTIONS THAT PROTECT THE BRAIN
  • INTRACRANIAL HYPERTENSION
  • NURSING CARE OF THE NEUROLOGIC CLIENT
  • CULTURAL AWARENESS
  • UNIT 1 Assessment of the Neurologic Client
  • UNIT 2 Intracranial Pressure Monitoring and Management
  • NCLEX ® Review Questions

Advanced Nursing Skills

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • ADVANCED SKILLS IN NURSING PRACTICE
  • CULTURAL AWARENESS
  • UNIT 1 Pulmonary Artery Pressure (Hemodynamic) Monitoring
  • UNIT 2 Arterial Blood Pressure Monitoring
  • UNIT 3 Cardiac Emergencies
  • UNIT 4 Mechanical Ventilation
  • NCLEX ® Review Questions

End-of-Life Care

  • CHAPTER OUTLINE
  • LEARNING OBJECTIVES
  • TERMINOLOGY
  • LOSS AND GRIEVING
  • HOSPICE AND PALLIATIVE CARE
  • CORE PRINCIPLES FOR END-OF-LIFE CARE
  • SYMPTOM MANAGEMENT
  • CULTURAL AWARENESS
  • UNIT 1 The Grief Process
  • UNIT 2 The Dying Client
  • UNIT 3 Postmortem Care
  • NCLEX ® Review Questions

NCLEX-RN® Answers with Rationale

  • CHAPTER 1—PROFESSIONAL NURSING
  • CHAPTER 2—NURSING PROCESS AND CRITICAL THINKING
  • CHAPTER 3—MANAGING CLIENT CARE: DOCUMENTATION AND DELEGATION
  • CHAPTER 4—COMMUNICATION AND NURSE–CLIENT RELATIONSHIP
  • CHAPTER 5—ADMISSION, TRANSFER, AND DISCHARGE
  • CHAPTER 6—CLIENT EDUCATION AND DISCHARGE PLANNING
  • CHAPTER 7—SAFE CLIENT ENVIRONMENT AND RESTRAINTS
  • CHAPTER 8—BATHING, BED MAKING, AND MAINTAINING SKIN INTEGRITY
  • CHAPTER 9—PERSONAL HYGIENE
  • CHAPTER 10—VITAL SIGNS
  • CHAPTER 11—PHYSICAL ASSESSMENT
  • CHAPTER 12—BODY MECHANICS AND POSITIONING
  • CHAPTER 13—EXERCISE AND AMBULATION
  • CHAPTER 14—INFECTION CONTROL
  • CHAPTER 15—DISASTER PREPAREDNESS— BIOTERRORISM
  • CHAPTER 16—PAIN MANAGEMENT
  • CHAPTER 17—ALTERNATIVE THERAPIES AND STRESS MANAGEMENT
  • CHAPTER 18—MEDICATION ADMINISTRATION
  • CHAPTER 19—NUTRITIONAL MANAGEMENT AND ENTERAL INTUBATION
  • CHAPTER 20—SPECIMEN COLLECTION
  • CHAPTER 21—DIAGNOSTIC PROCEDURES
  • CHAPTER 22—URINARY ELIMINATION
  • CHAPTER 23—BOWEL ELIMINATION
  • CHAPTER 24—HEAT AND COLD THERAPIES
  • CHAPTER 25—WOUND CARE AND DRESSINGS
  • CHAPTER 26—PERIOPERATIVE NURSING
  • CHAPTER 27—ORTHOPEDIC INTERVENTIONS
  • CHAPTER 28—INTRAVENOUS THERAPY
  • CHAPTER 29—CENTRAL VASCULAR ACCESS
  • CHAPTER 30—RESPIRATORY CARE
  • CHAPTER 31—CIRCULATORY MAINTENANCE
  • CHAPTER 32—NEUROLOGICAL MANAGEMENT
  • CHAPTER 33—ADVANCED NURSING SKILLS
  • CHAPTER 34—END-OF-LIFE CARE

Bibliography

  • Bibliography
  • Vendors
  • References Found on the Internet