Cover image for Clinical nursing skills : basic to advanced skills
Title:
Clinical nursing skills : basic to advanced skills
Author:
Smith, Sandra Fucci.
Personal Author:
Edition:
Fifth edition.
Publication Information:
Upper Saddle River, N.J. : Prentice Hall Health, [2000]

©2000
Physical Description:
xxxii, 1199 pages : illustrations (some color) ; 28 cm + 1 computer optical disc (4 3/4 in.).
Language:
English
ISBN:
9780838515662
Format :
Book

Available:*

Library
Call Number
Material Type
Home Location
Status
Item Holds
Searching...
RT41 .S5826 2000 TEXT Adult Non-Fiction Central Closed Stacks
Searching...

On Order

Summary

Summary

Appropriate as a stand alone, saleable supplement for a variety of core courses including Fundamentals and Medical Surgical Nursing.

Today's nursing students need a text that will prepare and equip them with the skills needed for the new millennium from basic to advanced, and hospital to home care. Now in its Fifth Edition, Clinical Nursing Skills does this and more, continuing its high standards for skill presentation while offering a current and comprehensive text relevant for the twenty-first century nurse.

The new edition of this acclaimed, best-selling text features the clear, direct, and honest style that is the hallmark of authors Sandra Smith and Donna Duell. Its "student-friendly" format provides all the information needed at every level for success as a nurse: from basic skills for the beginning learner, to mastery of advanced skills for senior students, and finally, as an invaluable resource for the accomplished nurse.

The field of nursing is continuously changing. Choose the text that is your students' information source today, NCLEX resource for tomorrow and a valuable reference throughout their careers. Clinical Nursing Skills, Fifth Edition.


Table of Contents

Prefacep. v
Acknowledgmentsp. vii
Chapter 1 Professional Nursingp. 1
Learning Objectivesp. 2
Professional Rolep. 2
Legal Aspectsp. 4
Client's Rightsp. 6
Clinical Practicep. 9
Medical Asepsis Principlesp. 17
Protocol for Proceduresp. 17
Management Guidelinesp. 18
Delegation of Responsibilitiesp. 76
Information Flowp. 18
Chapter 2 Nursing Process and Critical Thinkingp. 19
Learning Objectivesp. 20
Critical Thinkingp. 20
Nursing Processp. 20
Nurses Are Critical Thinkersp. 22
Nursing Diagnosisp. 25
Management Guidelinesp. 27
Delegation of Responsibilitiesp. 27
Information Flowp. 27
Chapter 3 Client Care Plans and Managementp. 29
Learning Objectivesp. 30
Care Plansp. 30
Communicationp. 36
Delegating Client Carep. 40
Student Clinical Planningp. 41
Management Guidelinesp. 43
Delegation of Responsibilitiesp. 43
Information Flowp. 43
Chapter 4 Documentation and Reportingp. 45
Learning Objectivesp. 46
Terminologyp. 46
Chartingp. 46
Reportingp. 61
Documentationp. 61
Word Roots, Prefixes and Suffixesp. 64
Management Guidelinesp. 66
Delegation of Responsibilitiesp. 66
Information Flowp. 66
Chapter 5 Communication and Nurse-Client Relationshipp. 67
Learning Objectivesp. 68
Terminologyp. 68
Communicationp. 69
Therapeutic Communication Techniquesp. 69
Blocks to Communicationp. 71
Cultural Diversity Nursingp. 72
Relationship Therapyp. 72
Nursing Diagnosesp. 74
Unit 1 Therapeutic Communicationp. 75
Introducing Yourself to a Clientp. 76
Beginning a Client Interactionp. 76
Assisting a Client to Discuss Cultural Preferencesp. 76
Assisting a Client to Describe Personal Experiencesp. 77
Encouraging a Client to Express Needs, Feelings, and Thoughtsp. 77
Using Communication to Increase a Client's Sense of Self-Worthp. 77
Critical Thinking Applicationp. 78
Unit 2 Nurse-Client Relationshipp. 79
Initiating a Nurse-Client Relationshipp. 80
Facilitating a Nurse-Client Relationshipp. 80
Terminating a Nurse-Client Relationshipp. 81
Critical Thinking Applicationp. 81
Gerontologic Considerationsp. 82
Management Guidelinesp. 82
Delegation of Responsibilitiesp. 82
Information Flowp. 82
Chapter 6 Alternative Treatment Methods and Stress Managementp. 83
Learning Objectivesp. 84
Terminologyp. 84
Stressp. 85
A New Paradigm for Healthp. 90
Alternative Treatment Methodsp. 91
Nursing Diagnosesp. 95
Unit 1 Stress and Adaptationp. 96
Determining the Effect of Stressp. 97
Determining Response Patternsp. 98
Managing Stressp. 98
Manipulating the Environment to Reduce Stressp. 98
Teaching Coping Strategiesp. 99
Managing Stress Using a Holistic Modelp. 99
Alleviating Stress Using Controlled Breathingp. 100
Alleviating Stress Using Body Relaxationp. 101
Alleviating Stress Using Meditationp. 101
Critical Thinking Applicationp. 102
Gerontologic Considerationsp. 102
Management Guidelinesp. 102
Delegation of Responsibilitiesp. 102
Information Flowp. 102
Chapter 7 Admission and Dischargep. 103
Learning Objectivesp. 104
Terminologyp. 104
Admission, Transfer, and Dischargep. 105
Nursing Diagnosesp. 108
Unit 1 Admission and Transferp. 109
Admitting a Clientp. 109
Transferring a Clientp. 112
Critical Thinking Applicationp. 113
Unit 2 Height and Weightp. 114
Obtaining Height and Weightp. 114
Critical Thinking Applicationp. 116
Unit 3 Dischargep. 117
Discharging a Clientp. 117
Discharging a Client Against Medical Advice (AMA)p. 118
Critical Thinking Applicationp. 120
Gerontologic Considerationsp. 120
Management Guidelinesp. 121
Delegation of Responsibilitiesp. 121
Information Flowp. 121
Chapter 8 Safe Client Environment and Restraintsp. 123
Learning Objectivesp. 124
Terminologyp. 124
Orientation to the Client Environmentp. 124
Characteristics that Influence Adaptationp. 125
Physical and Biological Dimensionsp. 126
Sociocultural Dimensionsp. 130
A Sale Environmentp. 131
Nursing Diagnosesp. 133
Unit 1 A Safe Environmentp. 134
Preventing Mechanical Injuriesp. 135
Preventing Thermal/Electrical Injuriesp. 135
Providing Safety for Clients During a Firep. 136
Providing Safety for Clients Receiving Radioactive Materialsp. 137
Critical Thinking Applicationp. 138
Unit 2 Restraintsp. 139
Applying Torso/Belt Restraintp. 139
Using Wrist Restraintsp. 140
Using Mitt Restraintsp. 141
Using Elbow Restraintsp. 141
Applying a Chest Restraintp. 142
Applying Mummy Restraintsp. 143
Critical Thinking Applicationp. 144
Gerontologic Considerationsp. 145
Management Guidelinesp. 146
Delegation of Responsibilitiesp. 146
Information Flowp. 146
Chapter 9 Bathing and Bedmakingp. 147
Learning Objectivesp. 148
Terminologyp. 148
General Terminologyp. 149
Basic Health Carep. 150
Nursing Diagnosesp. 151
Unit 1 Bedmakingp. 152
Folding a Mitered Cornerp. 153
Changing a Pillowcasep. 153
Making an Unoccupied Bedp. 153
Making a Surgical Bedp. 156
Changing an Occupied Bedp. 156
Critical Thinking Applicationp. 159
Unit 2 Bath Carep. 160
Folding a Washcloth Mittp. 161
Providing Morning Carep. 161
Bathing an Adult Clientp. 162
Bathing an Infantp. 164
Bathing in a Hydraulic Bathtub Chairp. 165
Bathing the Critically Illp. 166
Critical Thinking Applicationp. 167
Unit 3 Skin Integrityp. 168
Monitoring Skin Conditionp. 168
Preventing Skin Breakdownp. 169
Critical Thinking Applicationp. 171
Unit 4 Evening Carep. 172
Providing Evening Carep. 173
Providing Back Carep. 173
Critical Thinking Applicationp. 175
Gerontologic Considerationsp. 175
Management Guidelinesp. 176
Delegation of Responsibilitiesp. 176
Information Flowp. 176
Chapter 10 Personal Hygienep. 177
Learning Objectivesp. 178
Terminologyp. 178
Hygienic Carep. 179
Nursing Diagnosesp. 180
Unit 1 Oral Hygienep. 181
Providing Oral Hygienep. 182
Flossing Client's Teethp. 183
Providing Denture Carep. 183
Providing Oral Care for Unconscious Clientsp. 184
Critical Thinking Applicationp. 185
Unit 2 Hair Carep. 186
Providing Hair Carep. 187
Shampooing Hairp. 187
Braiding Hairp. 189
Providing Hair Care for Beards and Mustachesp. 189
Shaving a Clientp. 190
Critical Thinking Applicationp. 190
Unit 3 Pediculosisp. 191
Removing Licep. 191
Critical Thinking Applicationp. 192
Unit 4 Foot Carep. 193
Providing Foot Carep. 193
Providing Nail Carep. 194
Critical Thinking Applicationp. 195
Unit 5 Bedpan, Urinal, and Commodep. 196
Using a Bedpan and Urinalp. 196
Assisting Client to Commodep. 197
Critical Thinking Applicationp. 198
Unit 6 Perineal and Genital Carep. 199
Draping a Female Clientp. 199
Providing Female Perineal Carep. 200
Administering a Vaginal Irrigationp. 201
Providing Male Perineal Carep. 201
Critical Thinking Applicationp. 202
Unit 7 Eye and Ear Carep. 203
Providing Routine Eye Carep. 203
Providing Eye Care for Comatose Clientp. 204
Removing and Cleaning an Artificial Eyep. 204
Removing and Cleaning Hard Contact Lensesp. 205
Removing and Cleaning Soft Contact Lensesp. 205
Cleaning and Checking a Hearing Aidp. 206
Critical Thinking Applicationp. 206
Gerontologic Considerationsp. 207
Management Guidelinesp. 207
Delegation of Responsibilitiesp. 207
Information Flowp. 207
Chapter 11 Vital Signsp. 209
Learning Objectivesp. 210
Terminologyp. 210
Vital Signsp. 211
Temperaturep. 212
Pulsep. 213
Respirationp. 214
Blood Pressurep. 215
Nursing Diagnosesp. 217
Unit 1 Temperaturep. 218
Taking an Oral Temperaturep. 219
Taking a Rectal Temperaturep. 220
Taking an Axillary Temperaturep. 220
Using an Electronic Thermometerp. 221
Using an Infrared Thermometer for Tympanic Temperaturep. 222
Using a Chemical Strip Tapep. 223
Critical Thinking Applicationp. 224
Unit 2 Pulse Ratep. 225
Taking a Radial Pulsep. 226
Taking an Apical Pulsep. 227
Taking an Apical-Radial Pulsep. 228
Taking a Peripheral Pulsep. 229
Monitoring Peripheral Pulses with Doppler Ultrasound Stethoscopep. 229
Critical Thinking Applicationp. 231
Unit 3 Respirationsp. 232
Obtaining the Respiratory Ratep. 232
Critical Thinking Applicationp. 233
Unit 4 Blood Pressurep. 235
Taking a Blood Pressurep. 235
Palpating Systolic Arterial Blood Pressurep. 238
Measuring Leg Blood Pressurep. 239
Measuring Blood Pressure by Flush Method in Small Infantp. 239
Using a Continuous Noninvasive Monitoring Devicep. 240
Critical Thinking Applicationp. 241
Gerontologic Considerationsp. 242
Management Guidelinesp. 243
Delegation of Responsibilitiesp. 243
Information Flowp. 243
Chapter 12 Body Mechanics and Positioningp. 245
Learning Objectivesp. 246
Terminologyp. 246
Musculoskeletal Systemp. 247
System Alterationsp. 247
Body Mechanicsp. 248
Nursing Diagnosesp. 248
Unit 1 Proper Body Mechanicsp. 249
Establishing Body Alignmentp. 249
Maintaining Proper Body Alignmentp. 250
Using Coordinated Movementsp. 251
Using Basic Principlesp. 252
Critical Thinking Applicationp. 254
Unit 2 Moving and Turning Clientsp. 255
Turning to Side-Lying Positionp. 257
Turning to a Prone Positionp. 257
Moving the Client Up in Bedp. 258
Moving the Client with Assistancep. 258
Transferring Client from Bed to Gurneyp. 259
Dangling at the Bedsidep. 260
Moving from Bed to Chairp. 261
Using a Hoyer Liftp. 262
Logrolling the Clientp. 263
Using a Footboardp. 264
Placing a Trochanter Rollp. 265
Critical Thinking Applicationp. 266
Gerontologic Considerationsp. 266
Management Guidelinesp. 267
Delegation of Responsibilitiesp. 267
Information Flowp. 267
Chapter 13 Exercise and Ambulationp. 269
Learning Objectivesp. 271
Terminologyp. 271
Rehabilitation Conceptsp. 271
Musculoskeletal Systemp. 271
Jointsp. 271
Exercisep. 272
Ambulationp. 272
Crutchesp. 273
Nursing Diagnosesp. 274
Unit 1 Range of Motionp. 275
Performing Passive Range of Motionp. 275
Using Continuous Passive Motion Machinep. 279
Teaching Active Range of Motionp. 280
Critical Thinking Applicationp. 280
Unit 2 Ambulationp. 281
Minimizing Orthostatic Hypotensionp. 282
Ambulating with Two Assistantsp. 282
Ambulating with One Assistantp. 283
Ambulating with a Walkerp. 284
Ambulating with a Canep. 285
Critical Thinking Applicationp. 286
Unit 3 Crutch Walkingp. 287
Teaching Muscle-Strengthening Exercisesp. 287
Measuring Client for Crutchesp. 288
Teaching Crutch Walking: Four-Point Gaitp. 289
Teaching Crutch Walking: Three-Point Gaitp. 289
Teaching Crutch Walking: Two-Point Gaitp. 290
Teaching Swing-To Gait and Swing-Through Gaitp. 290
Teaching Upstairs and Downstairs Ambulation with Crutchesp. 291
Critical Thinking Applicationp. 292
Gerontologic Considerationsp. 293
Management Guidelinesp. 294
Delegation of Responsibilitiesp. 294
Information Flowp. 294
Chapter 14 Physical Assessmentp. 295
Learning Objectivesp. 296
Assessmentp. 296
Health Historyp. 296
Nurses' Rolep. 296
Examination Techniquesp. 297
Focus Assessmentp. 298
Neurologic Assessmentp. 300
Assessment of the Head and Neckp. 307
Assessment of the Skinp. 311
Assessment of the Chest: Lungs, Breasts, and Heartp. 314
Assessment of the Abdomen and Genitourinary Tractp. 321
Mental-Spiritual Assessmentp. 325
Mental Status Assessmentp. 326
Gerontologic Considerationsp. 330
Management Guidelinesp. 332
Delegation of Responsibilitiesp. 332
Information Flowp. 332
Chapter 15 Infection Controlp. 333
Learning Objectivesp. 334
Terminologyp. 334
Infection Controlp. 336
Barriers to Infectionp. 337
Conditions Predisposing to Infectionp. 337
Standard Precautionsp. 339
Acquired Immunodeficiency Syndromep. 342
Healthcare Workers' Exposure to HIVp. 343
Health Care Worker Protection Actp. 343
Other Infectious Diseasesp. 344
Nursing Diagnosesp. 345
Unit 1 Basic Medical Asepsisp. 346
Handwashing (Medical Asepsis)p. 346
Cleaning Washable Articlesp. 348
Donning and Removing Clean Glovesp. 348
Critical Thinking Applicationp. 349
Unit 2 Standard Precautionsp. 350
Donning Protective Gear Utilizing Standard Precautionsp. 351
Exiting a Client's Room Utilizing Standard Precautionsp. 352
Critical Thinking Applicationp. 353
Unit 3 Isolationp. 357
Preparing for Isolationp. 357
Putting On and Removing a Gownp. 358
Using a Maskp. 360
Assessing Vital Signsp. 360
Removing Items from Isolation Roomp. 361
Utilizing Double-Bagging for Isolationp. 361
Removing a Specimen from Isolation Roomp. 362
Transporting Isolation Client Outside the Roomp. 362
Removing Soiled Large Equipment from Isolation Roomp. 363
Critical Thinking Applicationp. 364
Gerontologic Considerationsp. 364
Management Guidelinesp. 364
Delegation of Responsibilitiesp. 364
Information Flowp. 364
Chapter 16 Medication Administrationp. 365
Learning Objectivesp. 366
Terminologyp. 366
Therapeutic Agents (Drugs)p. 367
Biologic Processes of Drug Metabolismp. 367
Drug Administrationp. 368
Nursing Diagnosesp. 369
Unit 1 Medication Biodynamicsp. 370
Preparing Medicationsp. 370
Converting Dosage Systemsp. 372
Calculating Dosagesp. 372
Preparing for Medication Administrationp. 373
Using the Narcotic Control Systemp. 375
Critical Thinking Applicationp. 376
Unit 2 Oral Administrationp. 377
Preparing Oral Medicationsp. 377
Administering Oral Medications to Adultsp. 378
Administering Oral Medications to Childrenp. 379
Critical Thinking Applicationp. 380
Unit 3 Parenteral Administrationp. 381
Preparing Injectionsp. 381
Administering Intradermal Injectionsp. 385
Administering Subcutaneous (Sub Q) Injectionsp. 386
Preparing Insulin Injectionsp. 388
Teaching Use of Insulin Pumpp. 391
Administering Sub Q Heparinp. 393
Administering Intramuscular (IM) Injectionsp. 394
Using Z-Track Methodp. 398
Critical Thinking Applicationp. 399
Unit 4 Topical Administrationp. 401
Applying Dermal Ointmentsp. 402
Applying Ointment to Burnsp. 402
Applying Transdermal Medicationsp. 403
Instilling Ophthalmic Dropsp. 404
Administering Ophthalmic Ointmentp. 405
Administering Otic Medicationsp. 406
Critical Thinking Applicationp. 407
Unit 5 Mucous Membrane Applicationsp. 408
Administering Sublingual/Buccal Medicationsp. 409
Administering Respiratory Medicationsp. 409
Instilling Nose Dropsp. 409
Administering Metered-Dose Inhaled (MDI) Medicationsp. 410
Using a Spacer with MDIp. 411
Critical Thinking Applicationp. 412
Unit 6 Suppository Administrationp. 413
Administering Rectal Suppositoriesp. 413
Administering Vaginal Suppositoriesp. 414
Critical Thinking Applicationp. 415
Unit 7 Irrigationsp. 416
Irrigating the Eyep. 416
Irrigating the Earp. 417
Irrigating the Throatp. 417
Critical Thinking Applicationp. 418
Gerontologic Considerationsp. 418
Management Guidelinesp. 419
Delegation of Responsibilitiesp. 419
Information Flowp. 419
Chapter 17 Pain Medicationp. 423
Learning Objectivesp. 424
Terminologyp. 424
Coping with Painp. 425
Noninvasive Pain Reliefp. 428
Techniques for Pain Controlp. 429
Nursing Diagnosesp. 431
Unit 1 Pain Reliefp. 432
Alleviating Pain through Touchp. 433
Using Relaxation Techniquesp. 433
Using Transcutaneous Electric Nerve Stimulation (TENS)p. 433
Administering Epidural Narcotic Analgesiap. 435
Critical Thinking Applicationp. 437
Unit 2 Patient-Controlled Analgesia (PCA)p. 439
Qualifying the Client for PCAp. 440
Administering PCAp. 440
Changing Dose Volumep. 443
Changing Lockout Intervalp. 443
Changing 4-Hour Limitp. 444
Terminating a PCA Infusionp. 444
Teaching PCA to a Clientp. 444
Critical Thinking Applicationp. 446
Gerontologic Considerationsp. 447
Management Guidelinesp. 448
Delegation of Responsibilitiesp. 448
Information Flowp. 448
Chapter 18 Nutritional Managementp. 449
Learning Objectivesp. 450
Terminologyp. 450
Essential Nutrientsp. 451
Assimilation of Nutrientsp. 453
Normal and Therapeutic Nutritionp. 454
Nursing Diagnosesp. 457
Unit 1 Nutrition Maintenancep. 458
Serving a Food Trayp. 459
Feeding a Clientp. 459
Critical Thinking Applicationp. 460
Unit 2 Therapeutic Dietsp. 461
Providing Therapeutic Dietsp. 461
Critical Thinking Applicationp. 465
Unit 3 Nutrients via Tube Feedingp. 466
Inserting a Nasogastric Tubep. 467
Irrigating a Nasogastric Tubep. 470
Collecting a Gastric Specimen from a Nasogastric Tubep. 471
Removing a Nasogastric Tubep. 471
Giving an Intermittent Nasogastric Feedingp. 472
Feeding via Continuous Nasogastric Methodp. 473
Giving a Gastrostomy Feedingp. 475
Inserting a Small-Bore Feeding Tube (Keofeed, Dubbhoff, Moss)p. 476
Critical Thinking Applicationp. 477
Gerontologic Considerationsp. 478
Management Guidelinesp. 479
Delegation of Responsibilitiesp. 479
Information Flowp. 479
Chapter 19 Specimen Collectionp. 481
Learning Objectivesp. 482
Terminologyp. 482
Laboratory Testsp. 483
Nursing Diagnosesp. 485
Unit 1 Urine Specimensp. 486
Collecting Midstream Urinep. 486
Collecting 24-Hour Urine Specimenp. 487
Critical Thinking Applicationp. 488
Unit 2 Infant Urine Specimenp. 489
Collecting a Specimen from an Infantp. 489
Critical Thinking Applicationp. 490
Unit 3 Stool Specimensp. 491
Collecting Adult Stool Specimenp. 491
Collecting Stool for Parasitesp. 492
Collecting Infant Stool Specimenp. 492
Testing for Occult Blood
Collecting Stool for Bacterial Culturep. 494
Testing for Pinwormsp. 494
Critical Thinking Applicationp. 498
Unit 4 Blood Specimensp. 496
Withdrawing Venous Bloodp. 497
Using Vacutainer Systemp. 498
Withdrawing Arterial Bloodp. 498
Collecting a Specimen for Culturep. 499
Obtaining Blood Specimen for Glucose Testing (Capillary Puncture)p. 500
Measuring Blood Glucose Using Chemstripp. 501
Measuring Blood Glucose Using Accu-Chek or Glucometerp. 502
Measuring Blood Glucose Using Lifescan One-Touch IIp. 503
Critical Thinking Applicationp. 504
Unit 5 Sputum Collectionp. 506
Obtaining Sputum Specimenp. 506
Using Suction Trapp. 507
Collecting Specimen by Transtracheal Aspirationp. 507
Critical Thinking Applicationp. 508
Unit 6 Throat and Wound Specimens for Culturep. 509
Obtaining a Throat Specimenp. 509
Obtaining Specimen for Aerobic Culturep. 510
Obtaining Specimen for Anaerobic Culturep. 511
Critical Thinking Applicationp. 512
Gerontologic Considerationsp. 512
Management Guidelinesp. 513
Delegation of Responsibilitiesp. 513
Information Flowp. 513
Chapter 20 Diagnostic Testsp. 515
Learning Objectivesp. 516
Terminologyp. 516
Preparationp. 517
Nursing Diagnosesp. 519
Unit 1 Contrast Media Studiesp. 520
Preparing for Contrast Media Studiesp. 520
Critical Thinking Applicationp. 525
Unit 2 Nuclear Imagingp. 528
Preparing for Nuclear Scanp. 527
Teaching for Nuclear Scanp. 529
Critical Thinking Applicationp. 530
Unit 3 Barium Studiesp. 531
Preparing for Barium Studiesp. 531
Critical Thinking Applicationp. 533
Unit 4 Diagnostic Proceduresp. 534
Assisting with Lumbar Puncturep. 535
Assisting with Liver Biopsyp. 536
Assisting with Thoracentesisp. 537
Assisting with Paracentesisp. 538
Assisting with Bone Marrow Aspirationp. 539
Assisting with Vaginal Examination and Papanicolaou (Pap) Smearp. 539
Assisting with Proctoscopyp. 540
Assisting with Fiberoptic Colonoscopyp. 540
Assisting with Gastroscopy-Endoscopyp. 541
Assisting with Cystoscopyp. 542
Assisting with Bronchoscopyp. 542
Assisting with Amniocentesisp. 543
Assisting with Magnetic Resonance Imaging (MRI)p. 543
Critical Thinking Applicationp. 544
Gerontologic Considerationsp. 545
Management Guidelinesp. 546
Delegation of Responsibilitiesp. 546
Information Flowp. 546
Chapter 21 Urinary Eliminationp. 547
Learning Objectivesp. 548
Terminologyp. 548
Urinary Systemp. 549
Alterations in Urinary Eliminationp. 551
Nursing Interventionsp. 551
Nursing Diagnosesp. 552
Unit 1 Intake and Outputp. 553
Measuring Intake and Outputp. 553
Critical Thinking Applicationp. 555
Unit 2 Urine Studiesp. 556
Monitoring Specific Gravity with Urinometerp. 556
Monitoring Specific Gravity with Spectrometerp. 557
Determining Urine Glucose with Tapep. 557
Measuring Urine Glucosep. 558
Measuring Urine Ketone Bodiesp. 559
Critical Thinking Applicationp. 561
Unit 3 Catheterizationp. 562
Draping a Female Clientp. 563
Inserting a Straight Catheter (Female)p. 563
Inserting a Straight Catheter (Male)p. 565
Inserting a Retention Catheter (Female)p. 567
Inserting a Retention Catheter (Male)p. 570
Providing Catheter Carep. 571
Removing a Retention Catheterp. 572
Critical Thinking Applicationp. 573
Unit 4 External Catheter Systemp. 575
Applying a Condom Catheterp. 575
Attaching Catheter to Leg Bagp. 576
Critical Thinking Applicationp. 573
Unit 5 Suprapubic Catheter Carep. 578
Providing Suprapubic Catheter Carep. 578
Critical Thinking Applicationp. 580
Unit 6 Bladder Irrigation and Instillationp. 581
Irrigating by Opening a Closed Systemp. 581
Irrigating a Closed Systemp. 583
Instilling Medicationsp. 583
Maintaining Continuous Irrigationp. 584
Critical Thinking Applicationp. 585
Unit 7 Specimens from Closed Systemsp. 587
Collecting Specimen from a Closed Systemp. 587
Critical Thinking Applicationp. 588
Unit 8 Urinary Diversionp. 589
Applying a Urinary Diversion Pouchp. 589
Obtaining Specimen from an Ileal Conduitp. 593
Emptying Continent Urinary Diversionp. 593
Critical Thinking Applicationp. 594
Unit 9 Peritoneal Dialysisp. 596
Assisting with Catheter Insertionp. 597
Managing Peritoneal Dialysisp. 597
Maintaining Peritoneal Dialysisp. 599
Providing Catheter Site Carep. 599
Administering CAPDp. 600
Critical Thinking Applicationp. 600
Unit 10 Hemodialysisp. 603
Initiating Hemodialysisp. 604
Managing Hemodialysisp. 607
Terminating Hemodialysisp. 607
Using Continuous Venovenous Hemofiltration (CVVH)p. 609
Maintaining Central Venous Dual-Lumen Catheter (DLC)p. 610
Flushing Permanent Dual-Lumen Catheter (PDLC) with Heparinp. 612
Critical Thinking Applicationp. 613
Gerontologic Considerationsp. 615
Management Guidelinesp. 615
Delegation of Responsibilitiesp. 615
Information Flowp. 616
Chapter 22 Bowel Eliminationp. 617
Learning Objectivesp. 618
Terminologyp. 618
Anatomy and Physiologyp. 619
Defecationp. 620
Alteration in Eliminationp. 621
Nursing Diagnosesp. 624
Unit 1 Rectal Tube Insertionp. 625
Inserting a Rectal Tubep. 625
Critical Thinking Applicationp. 627
Unit 2 Bowel Evacuationp. 628
Removing a Fecal Impactionp. 629
Providing Digital Stimulationp. 629
Developing a Regular Bowel Routinep. 630
Administering a Suppositoryp. 631
Critical Thinking Applicationp. 632
Unit 3 Enema Administrationp. 633
Administering an Enemap. 634
Administering an Enema to a Childp. 635
Administering a Disposable Enema (Fleet's)p. 636
Administering a Retention Enemap. 637
Administering a Harris Flush Enemap. 637
Critical Thinking Applicationp. 638
Unit 4 Colostomy Irrigationp. 640
Performing a Colostomy Irrigationp. 640
Performing Irrigation in Bedp. 643
Critical Thinking Applicationp. 644
Unit 5 Fecal Ostomy Pouch Applicationp. 647
Applying a Fecal Ostomy Pouchp. 647
Critical Thinking Applicationp. 651
Unit 6 Intestinal Tube Insertionp. 653
Assisting in Intestinal Tube Insertionp. 653
Removing an Intestinal Tubep. 656
Critical Thinking Applicationp. 656
Gerontologic Considerationsp. 657
Management Guidelinesp. 657
Delegation of Responsibilitiesp. 657
Information Flowp. 657
Chapter 23 Heat and Cold Therapyp. 659
Learning Objectivesp. 660
Terminologyp. 660
Temperature Controlp. 661
Therapeutic Effects of Heatp. 663
Therapeutic Effects of Coldp. 663
Nursing Diagnosesp. 664
Unit 1 Moist Heatp. 665
Applying Hot Moist Pack to Skinp. 665
Applying Hot Sterile Moist Compressp. 666
Providing a Sitz Bathp. 668
Critical Thinking Applicationp. 669
Unit 2 Warm Dry Heatp. 670
Using a Commercial Heat Packp. 670
Using a Heat Cradlep. 671
Using the Infant Radiant Warmerp. 671
Applying an Aquathermic Padp. 672
Critical Thinking Applicationp. 673
Unit 3 Cold Applicationsp. 675
Providing a Tepid Bathp. 675
Using Ice Applicationp. 676
Using Instant Cold Packp. 677
Critical Thinking Applicationp. 677
Unit 4 Hypothermia Blanketp. 679
Using a Cooling Blanketp. 679
Critical Thinking Applicationp. 682
Gerontologic Considerationsp. 684
Management Guidelinesp. 684
Delegation of Responsibilitiesp. 684
Information Flowp. 684
Chapter 24 Wound Care and Dressingsp. 685
Learning Objectivesp. 686
Terminologyp. 686
Wound Healingp. 687
Wound Classificationp. 687
Types of Wound Healingp. 688
Major Factors Affecting Wound Healingp. 688
Goals of Wound Carep. 689
Wound Infectionsp. 689
Wounds Caused by Vascular Insufficiencyp. 690
Nursing Diagnosesp. 691
Unit 1 Measures to Prevent Infectionp. 692
Completing a Surgical Hand Scrubp. 692
Donning Sterile Glovesp. 693
Pouring from a Sterile Containerp. 695
Preparing a Sterile Fieldp. 695
Preparing a Sterile Field Using Prepackaged Suppliesp. 697
Critical Thinking Applicationp. 697
Unit 2 Dressing Changep. 698
Changing a Dry Sterile Dressingp. 698
Removing Suturesp. 700
Removing Staplesp. 701
Critical Thinking Applicationp. 702
Unit 3 Wound Carep. 703
Assessing a Woundp. 704
Changing a Wound Dressingp. 705
Changing a Dressing for a Venous Ulcerp. 707
Assessing Ankle-Brachial Index (ABI)p. 710
Caring for a Wound with a Drainp. 710
Applying an Abdominal Binderp. 712
Maintaining Wound Drainage Systemp. 712
Irrigating Woundsp. 714
Critical Thinking Applicationp. 715
Unit 4 Wet-to-Damp Dressingsp. 717
Applying Wet-to-Damp Dressingsp. 717
Critical Thinking Applicationp. 719
Unit 5 Pressure Ulcersp. 720
Preventing Pressure Ulcersp. 722
Applying Transparent Adhesive Film Dressingp. 723
Using Hydrocolloid Dressingp. 725
Critical Thinking Applicationp. 728
Gerontologic Considerationsp. 728
Management Guidelinesp. 729
Delegation of Responsibilitiesp. 729
Information Flowp. 729
Chapter 25 Respiratory Carep. 731
Learning Objectivesp. 732
Terminologyp. 732
The Respiratory Systemp. 733
The Respiratory Cyclep. 733
Assessment of Respiratory Functionp. 735
Nursing Diagnosesp. 736
Unit 1 Respiratory Maintenance Measuresp. 737
Instructing Client to Deep Breathep. 737
Instructing Client to Cottghp. 738
Teaching Diaphragmatic Breathingp. 739
Teaching Use of an Incentive Spirometer (IS)p. 739
Using a Mask and Bag Resuscitatorp. 740
Critical Thinking Applicationp. 741
Unit 2 Chest Physiotherapy (CPT)p. 742
Preparing Client for CPTp. 742
Performing Postural Drainagep. 743
Performing Percussionp. 744
Performing Vibrationp. 744
Critical Thinking Applicationp. 745
Unit 3 Oxygen Administrationp. 746
Monitoring Clients Receiving Oxygenp. 746
Using Pulse Oximetryp. 747
Using an Oxygen Analyzerp. 748
Using an Oxygen Cylinderp. 749
Using Nasal Cannulaep. 749
Using an Oxygen Face Maskp. 750
Using a Pediatric Oxygen Maskp. 751
Using a Pediatric Oxygen Tentp. 753
Using an Oxygen Hoodp. 753
Critical Thinking Applicationp. 754
Unit 4 Intermittent Positive Pressure Breathing (IPPB)p. 756
Setting Up a Positive Pressure Devicep. 756
Administering a Nebulized Treatment by IPPBp. 757
Administering Medication by Nonpressurized Nebulization--Aerosol (NPA)p. 758
Critical Thinking Applicationp. 759
Unit 5 Artificial Airways (Intubation)p. 760
Inserting an Oropharyngeal Airwayp. 760
Inserting a Nasopharyngeal Airway (Nasal Trumpet)p. 761
Assisting with Endotracheal Intubationp. 762
Monitoring Tracheal Tube Cuff Pressurep. 763
Providing Care for Client with Endotracheal Tubep. 763
Extubationp. 763
Critical Thinking Applicationp. 764
Unit 6 Suctioningp. 766
Suctioning Using Separate Catheter and Glovep. 766
Suctioning Using Catheter and Sleevep. 768
Suctioning with a Closed Suction Systemp. 769
Critical Thinking Applicationp. 771
Unit 7 Tracheostomy Carep. 773
Assisting with Tracheostomy Intubationp. 774
Inflating a Tracheal Tube Cuffp. 775
Cleaning the Inner Cannula and Ostomyp. 775
Changing Tracheostomy Tube Tiesp. 777
Performing Tracheostomy Suctioningp. 779
Capping a Tracheostomy Tubep. 781
Critical Thinking Applicationp. 782
Unit 8 Chest Drainage Systemsp. 784
Maintaining a Three-Bottle Systemp. 784
Setting Up and Maintaining a Disposable Water-Seal Suction Systemp. 786
Assisting with Removal of Chest Tubesp. 788
Administering Blood Through Autotransfusion Using Pleur-Evac ATSp. 789
Critical Thinking Applicationp. 790
Gerontologic Considerationsp. 791
Management Guidelinesp. 792
Delegation of Responsibilitiesp. 792
Information Flowp. 792
Chapter 26 Circuiatory Maintenancep. 795
Learning Objectivesp. 796
Terminologyp. 796
The Circulatory Systemp. 797
Electrical Conductionp. 798
Alterations in Circulationp. 799
Altered Circulationp. 800
Nursing Diagnosesp. 801
Unit 1 Control of Bleedingp. 802
Using Digital Pressurep. 802
Using Pressure Dressingp. 803
Critical Thinking Applicationp. 804
Unit 2 Circulatory Maintenancep. 805
Applying Elastic Hosieryp. 805
Applying Sequential Compression Devicesp. 807
Critical Thinking Applicationp. 809
Unit 3 Electrocardiogram (ECG) Monitoringp. 810
Monitoring the ECGp. 811
Interpreting an ECG Stripp. 812
Recording a 12-Lead ECGp. 815
Monitoring Clients on Telemetryp. 817
Critical Thinking Applicationp. 819
Unit 4 Emergency Life-Support Measuresp. 821
Administering Basic Life-Support to an Adultp. 821
Administering CPR to a Childp. 825
Administering the Heimlich Maneuver for Conscious Clientp. 826
Administering the Heimlich Maneuver for Unconscious Clientp. 827
Calling a Codep. 828
Using an Emergency "Crash" Cartp. 829
Performing Emergency Defibrillationp. 830
Providing Care Following Codep. 830
Critical Thinking Applicationp. 830
Unit 5 Pacemaker Managementp. 831
Assisting with Pacemaker Insertionp. 831
Maintaining Pacemaker Functionp. 833
Providing Client Teachingp. 833
Critical Thinking Applicationp. 835
Gerontologic Considerationsp. 836
Management Guidelinesp. 836
Delegation of Responsibilitiesp. 836
Information Flowp. 837
Chapter 27 Intravenous Therapy Managementp. 839
Learning Objectivesp. 840
Terminologyp. 840
Fluids and Electrolyte Balancep. 841
Fluid and Electrolyte Imbalancep. 842
Nursing Diagnosesp. 843
Unit 1 Initiating Intravenous Therapyp. 844
Preparing the Infusion Systemp. 844
Preparing the Venipuncture Sitep. 847
Inserting a Winged Needlep. 848
Inserting an Over-the-Needle Catheterp. 850
Critical Thinking Applicationp. 853
Unit 2 Intravenous Managementp. 854
Regulating Infusion Flow Ratep. 854
Using an Electronic Flow-Control Devicep. 856
Using a Syringe Pumpp. 856
Managing the IV Sitep. 858
Changing Gown for Client with IVp. 859
Discontinuing an IVp. 860
Critical Thinking Applicationp. 861
Unit 3 Intake and Outputp. 863
Monitoring Intake and Outputp. 863
Monitoring IV Intakep. 866
Critical Thinking Applicationp. 866
Unit 4 IV Medication Administrationp. 868
Adding Medication to IV Solutionp. 868
Using a Secondary ("Piggyback") Bagp. 869
Using a Volume Control Setp. 870
Using a Peripheral Saline Lockp. 872
Administering Medications by IV Line Injection "Push"p. 872
Critical Thinking Applicationp. 874
Unit 5 Blood Transfusionsp. 875
Administering Blood through a Y-Setp. 875
Administering Blood through a Straight Linep. 877
Administering Blood Componentsp. 878
Monitoring for Potential Complicationsp. 878
Critical Thinking Applicationp. 881
Gerontologic Considerationsp. 882
Management Guidelinesp. 882
Delegation of Responsibilitiesp. 882
Information Flowp. 883
Chapter 28 Central Venous Access Devicesp. 885
Learning Objectivesp. 886
Terminologyp. 886
Central Vascular Access Devicesp. 887
Nursing Diagnosesp. 888
Unit 1 Percutaneous Central Venous Cathetersp. 889
Assisting with Percutaneous Central Venous Catheterizationp. 889
Changing a Central Venous Catheter Dressingp. 890
Drawing Blood from a Central Venous Catheterp. 892
Measuring and Monitoring Central Venous Pressure (CVP)p. 894
Critical Thinking Applicationp. 897
Unit 2 Total Parenteral Nutritionp. 898
Assisting with Catheter Insertionp. 898
Maintaining Hyperalimentation Infusions (TPN)p. 901
Changing Hyperalimentation (TPN) Dressing and Tubingp. 901
Maintaining Hyperalimentation for Childrenp. 903
Critical Thinking Applicationp. 904
Unit 3 Lipid Emulsion Therapyp. 905
Infusing IV Lipidsp. 905
Critical Thinking Applicationp. 907
Unit 4 Tunneled Central Venous Access Devices (CVADs)p. 908
Maintaining the Hickman or Broviac CV Catheterp. 908
Changing the Hickman or Broviac CV Catheter Dressingp. 909
Maintaining the CV Catheter with Groshong Valvep. 910
Drawing Blood from the CV Catheter with Groshong Valvep. 911
Critical Thinking Applicationp. 912
Unit 5 Implanted Subcutaneous CV Infusion Portp. 914
Accessing and Flushing an Implanted Venous Access Port Using a Huber Needlep. 914
Administering Drugs via an Implanted Venous Access Portp. 916
Administering Infusions via an Implanted Venous Access Portp. 916
Drawing Blood from an Implanted Venous Access Portp. 918
Critical Thinking Applicationp. 919
Unit 6 Peripherally Inserted Central Catheter (PICC)p. 920
Maintaining the PICCp. 920
Changing the PICC Dressingp. 921
Drawing Blood from the PICCp. 922
Removing the PICCp. 923
Critical Thinking Applicationp. 923
Gerontologic Considerationsp. 924
Management Guidelinesp. 924
Delegation of Responsibilitiesp. 924
Information Flowp. 925
Chapter 29 Orthopedic Measuresp. 927
Learning Objectivesp. 928
Terminologyp. 928
Restoring Functionp. 929
Nursing Diagnosesp. 932
Unit 1 Bandage Applicationp. 933
Applying a Slingp. 933
Applying a Circular Bandagep. 934
Applying a Spiral Bandagep. 935
Applying a Figure-Eight Bandagep. 935
Critical Thinking Applicationp. 936
Unit 2 Splinting a Fracturep. 937
Applying a Splintp. 937
Critical Thinking Applicationp. 938
Unit 3 Cast Carep. 939
Caring for a Wet Castp. 940
Assessing a Casted Extremityp. 940
Instructing in Care of a Synthetic Castp. 941
Critical Thinking Applicationp. 942
Unit 4 Tractionp. 943
Monitoring Skin Tractionp. 943
Monitoring Skeletal Tractionp. 946
Monitoring External Fixation Devicesp. 948
Critical Thinking Applicationp. 949
Unit 5 Halo Traction and Back Bracep. 950
Placing a Jewett-Taylor Back Bracep. 950
Monitoring Halo Tractionp. 951
Critical Thinking Applicationp. 952
Unit 6 Clients with Amputated Limbsp. 953
Positioning and Exercisingp. 953
Applying a Compression Bandagep. 954
Critical Thinking Applicationp. 955
Unit 7 Clients with Joint Replacementp. 960
Providing Care for a Client with Hip Replacementp. 956
Providing Care for a Client with Knee Replacementp. 958
Critical Thinking Applicationp. 959
Unit 8 Nelson Bedp. 960
Using a Nelson Bedp. 960
Moving to Chair Positionp. 961
Moving to Contour Positionp. 962
Tilting Bed to Vertical Positionp. 962
Tilting Bed to Trendelenburg's Positionp. 963
Critical Thinking Applicationp. 964
Unit 9 Stryker Framep. 965
Using a Stryker Wedge Turning Framep. 965
Turning from Supine to Pronep. 966
Using a Stryker Parallel Framep. 968
Assisting Client with Bedpanp. 968
Attaching Fixed Tractionp. 968
Attaching Skeletal Tractionp. 969
Critical Thinking Applicationp. 970
Gerontologic Considerationsp. 970
Management Guidelinesp. 971
Delegation of Responsibilitiesp. 971
Information Flowp. 971
Chapter 30 Opfrative Carep. 973
Learning Objectivesp. 974
Terminologyp. 974
The Surgical Experiencep. 975
Nursing Diagnosesp. 978
Unit 1 Stress in Preoperative Clientsp. 979
Preventing Anxiety and Stressp. 979
Reducing Anxiety and Stressp. 980
Assisting the Client Who Uses Denialp. 980
Critical Thinking Applicationp. 981
Unit 2 Preoperative Teachingp. 982
Providing Surgical Informationp. 983
Providing Client Teachingp. 984
Providing Family Teachingp. 984
Providing Teaching for Laser Therapyp. 985
Providing Teaching for Lithotripsyp. 986
Instructing in Deep Breathing Exercisesp. 987
Instructing in Coughing Exercisesp. 987
Providing Instruction to Turn in Bedp. 988
Instructing in Leg Exercisesp. 988
Critical Thinking Applicationp. 989
Unit 3 Preoperative Carep. 990
Obtaining Baseline Datap. 991
Preparing the Surgical Sitep. 991
Preparing the Client for Surgeryp. 993
Administering Preoperative Medicationsp. 995
Critical Thinking Applicationp. 996
Unit 4 Postanesthesia Room Care and Dischargep. 997
Providing Postanesthesia Room (PAR) Carep. 998
Discharging Client from Postanesthesia Room to Nursing Unitp. 999
Discharging Client from Postanesthesia Room to Homep. 1000
Critical Thinking Applicationp. 1001
Unit 5 Postoperative Carep. 1002
Providing Postoperative Carep. 1002
Administering Postoperative Medicationsp. 1003
Critical Thinking Applicationp. 1004
Gerontologic Considerationsp. 1005
Management Guidelinesp. 1006
Delegation of Responsibilitiesp. 1006
Information Flowp. 1006
Chapter 31 Client Education and Discharge Planningp. 1007
Learning Objectivesp. 1008
Terminologyp. 1008
Client Educationp. 1009
Discharge Planningp. 1010
Nursing Diagnosesp. 1012
Unit 1 Client Educationp. 1013
Collecting Datap. 1014
Determining Readiness to Learnp. 1015
Identifying Learning Needsp. 1015
Determining Appropriate Teaching Strategyp. 1016
Selecting the Educational Settingp. 1016
Implementing the Teaching Strategyp. 1017
Developing an Evaluation Toolp. 1018
Critical Thinking Applicationp. 1018
Unit 2 Discharge Planningp. 1020
Preparing a Client for Dischargep. 1020
Completing a Discharge Summaryp. 1021
Critical Thinking Applicationp. 1022
Gerontologic Considerationsp. 1022
Management Guidelinesp. 1023
Delegation of Responsibilitiesp. 1023
Information Flowp. 1024
Chapter 32 Care of the Dying Clientp. 1027
Learning Objectivesp. 1028
Terminologyp. 1028
Loss and Grievingp. 1028
Stages of Dyingp. 1029
The Hospice Optionp. 1030
Nursing Diagnosesp. 1031
Unit 1 The Grief Processp. 1032
Understanding Griefp. 1033
Assisting with Griefp. 1033
Clinical Thinking Applicationp. 1034
Unit 2 The Dying Clientp. 1035
Assisting the Dying Clientp. 1036
Clinical Thinking Applicationp. 1037
Unit 3 Postmortem Carep. 1038
Providing Postmortem Carep. 1038
Critical Thinking Applicationp. 1040
Gerontologic Considerationsp. 1040
Management Guidelinesp. 1040
Delegation of Responsibilitiesp. 1040
Information Flowp. 1041
Chapter 33 Advanced Nursing Skillsp. 1043
Learning Objectivesp. 1044
Terminologyp. 1044
Advanced Skills in Nursing Practicep. 1045
Unit 1 Cardiac Emergenciesp. 1047
Using the Emergency Cartp. 1048
Checking Contents of the Emergency Cartp. 1048
Calling a Codep. 1050
Performing Defibrillationp. 1050
Assisting with Elective Synchronized Cardioversionp. 1052
Critical Thinking Applicationp. 1054
Unit 2 Arterial Blood Pressure Monitoringp. 1056
Performing the Allen's Testp. 1058
Assisting with Arterial Line Insertionp. 1058
Maintaining Arterial Line Functionp. 1060
Withdrawing Arterial Blood Samplesp. 1061
Removing Arterial Catheterp. 1062
Critical Thinking Applicationp. 1063
Unit 3 Pulmonary Artery Pressure (Hemodynamic) Monitoringp. 1066
Assisting Physician with Catheter Insertionp. 1068
Obtaining Pressure Readingsp. 1070
Obtaining Cardiac Output Measurementsp. 1071
Leveling the Transducer and Zeroing the Monitorp. 1072
Critical Thinking Applicationp. 1073
Unit 4 Mechanical Ventilationp. 1074
Caring for Clients on Ventilatorsp. 1076
Providing Positive End-Expiratory Pressure (PEEP)p. 1078
Providing Continuous Positive Airway Pressure (CPAP/BIPAP)p. 1078
Critical Thinking Applicationp. 1079
Unit 5 Weaning from Ventilation to Extubationp. 1083
Weaning the Mechanically Ventilated Clientp. 1083
Critical Thinking Applicationp. 1084
Management Guidelinesp. 1085
Delegation of Responsibilitiesp. 1085
Information Flowp. 1086
Chapter 34 Home Care Managementp. 1087
Learning Objectivesp. 1088
Introductionp. 1088
Unit 1 Admission to Home Carep. 1091
Identifying Eligibility for Medicare Reimbursementp. 1097
Completing Admission Documentationp. 1098
Maintaining Nurse's Safetyp. 1098
Assessing Home for Safe Environmentp. 1099
Evaluating Client's Safetyp. 1100
Assessing Caregiver's Safetyp. 1100
Unit 2 Infection Controlp. 1101
Nursing Diagnosesp. 1101
Preparing for Client Carep. 1102
Disposing of Waste Material in the Home Settingp. 1103
Cleansing Thermometerp. 1104
Caring for an AIDS or HIV Client in the Homep. 1104
Cleansing Equipment in the Home Settingp. 1105
Teaching Preventive Measures in the Homep. 1105
Teaching Safer Practices to IV Drug Usersp. 1106
Unit 3 Body Mechanicsp. 1108
Nursing Diagnosesp. 1108
Positioning Nonhospital Bed for Client Carep. 1109
Moving a Helpless Client Up in Bed Without Assistancep. 1109
Unit 4 Hygienic Carep. 1110
Nursing Diagnosesp. 1111
Bathing Client in the Homep. 1112
Transferring Client to Tub or Showerp. 1112
Adapting Bedmaking to the Homep. 1113
Providing Pressure Ulcer Carep. 1113
Preparing Normal Salinep. 1113
Removing Licep. 1114
Unit 5 Medicationsp. 1115
Nursing Diagnosesp. 1115
Administering Medicationsp. 1116
Sterilizing Nondisposable Medication Equipmentp. 1117
Unit 6 Total Parenteral Nutritionp. 1118
Nursing Diagnosesp. 1119
Administering Total Parenteral Nutrition (TPN) in the Homep. 1120
Discontinuing TPN Infusionp. 1120
Unit 7 Urinary Eliminationp. 1121
Nursing Diagnosesp. 1121
Using Clean Technique for Intermittent Self-Catheterizationp. 1123
Administering Chronic Ambulatory Peritoueal Dialysis (CAPD)p. 1123
Changing Dressing for CAPD Clientp. 1125
Unit 8 Respiratory Carep. 1126
Nursing Diagnosesp. 1126
Caring for Oxygen Equipmentp. 1128
Teaching Safety Measures for Oxygen Usep. 1128
Managing Ventilator Equipmentp. 1128
Providing Catheter Care for Transtracheal Catheterp. 1129
Teaching the Client Catheter Carep. 1130
Unit 9 Circulatory Carep. 1132
Nursing Diagnosesp. 1132
Monitoring Pacemaker at Homep. 1133
Checking with Pacemaker Clinic via Telephonep. 1134
Instructing in Use of Holter Monitorp. 1134
Bibliographyp. 1135
Appendix A Critical Thinking Indexp. 1143
Appendix B Web Site Listingp. 1153
Indexp. 1157
Quick Reference to Nursing Skillsp. 1191