Skills in Clinical Nursing is intended as a primary textbook for nursing education programs and as a reference for practicing nurses.
Completely revised and updated to reflect significant changes in practice Skills in Clinical Nursing 6e, provides current information in a clear, concise format and continues to be a definitive source for clinical nursing skills. Progressing from the simple to the complex, each chapter places techniques in perspective to client anatomy, physiology, and pathophysiology. Applying the nursing process to each technique, it illustrates a detailed step-by-step implementation while providing a thorough overview of the rationale and purpose.
Unit 1 Introduction
Chapter 1 Foundational Skills
Skill 1-1 Hand Hygiene
Skill 1-2 Using Standard Precautions
Skill 1-3 Applying and Removing Personal Protective Equipment (Gloves, Gown, Mask, Eyewear
Skill 1-4 Assisting with Invasive Procedures
Unit 2 Health Assessment
Chapter 2 Vital Signs
Skill 2-1 Assessing Body Temperature
Skill 2-2 Assessing Peripheral Pulses
Skill 2-3 Assessing an Apical Pulse
Skill 2-4 Assessing an Apical-Radial Pulse
Skill 2-5 Assessing Respirations
Skill 2-6 Assessing Blood Pressure
Skill 2-7 Assessing Oxygen Saturation (Pulse Oximeter)
Chapter 3 Health Assessment
Skill 3-1 Assessing Appearance and Mental Status
Skill 3-2 Assessing the Skin
Skill 3-3 Assessing the Hair
Skill 3-4 Assessing the Nails
Skill 3-5 Assessing the Skull and Face
Skill 3-6 Assessing the Eye Structures and Visual Acuity
Skill 3-7 Assessing the Ears and Hearing
Skill 3-8 Assessing the Nose and Sinuses
Skill 3-9 Assessing the Mouth and Oropharynx
Skill 3-10 Assessing the Neck
Skill 3-11 Assessing the Thorax and Lungs
Skill 3-12 Assessing the Heart and Central Vessels
Skill 3-13 Assessing the Peripheral Vascular System
Skill 3-14 Assessing the Breasts and Axillae
Skill 3-15 Assessing the Abdomen
Skill 3-16 Assessing the Musculoskeletal System
Skill 3-17 Assessing the Neurologic System
Skill 3-18 Assessing the Female Genitals and Inguinal AreaSkill 3-19 Assessing the Male Genitals and Inguinal Area
Skill 3-20 Assessing the AnusSkill 3-21 Assessing Intake and Output
Chapter 4 Diagnostic Testing
Skill 4-1 Obtaining a Capillary Blood Specimen and Measuring Blood Glucose
Skill 4-2 Obtaining and Testing a Stool Specimen
Skill 4-3 Collecting a Routine Urine Specimen
Skill 4-4 Collecting a Timed Urine Specimen
Skill 4-5 Collecting a Urine Specimen for Culture and Sensitivity by the Clean Catch Method
Skill 4-6 Performing Urine Testing Skill 4-7 Collecting A Sputum Specimen
Skill 4-8 Obtaining Nose and Throat Specimens
Skill 4-9 Obtaining a Wound Drainage Specimen
Unit 3 Assisting with Client Hygiene and Comfort
Chapter 5 Client Hygiene
Skill 5-1 Bathing the Adult or Pediatric Client
Skill 5-2 Providing Perineal-Genital Care
Skill 5-3 Brushing and Flossing the Teeth
Skill 5-4 Providing Special Oral Care for the Unconscious or Debilitated Client
Skill 5-5 Providing Hair Care
Skill 5-6 Providing Foot Care
Skill 5-7 Removing, Cleaning, and Inserting a Hearing Aid
Chapter 6 Bed-Making
Skill 6-1 Changing an Unoccupied Bed
Skill 6-2 Changing an Occupied Bed
Chapter 7 Infection Control
Skill 7-1 Establishing and Maintaining a Sterile Field
Skill 7-2 Applying and Removing Sterile Gloves (Open Method)
Skill 7-3 Implementing Transmission-Based Precautions
Chapter 8 Heat and Cold Therapy
Skill 8-1 Applying Dry Heat Measures: Hot Water Bottle, Electric Heating Pad, Aquathermia Pad, Disposable Hot Pack
Skill 8-2 Applying Dry Cold Measures: Ice Bag, Ice Collar, Ice Glove, Disposable Cold Pack
Skill 8-3 Applying Compresses and Moist Packs
Chapter 9 Pain Management
Skill 9-1 Assessing the Client in Pain
Skill 9-2 Managing Pain with a PCA Pump
Skill 9-3 Managing a TENS Unit
Skill 9-4 Providing a Back Massage
Skill 9-5 Teaching Progressive Relaxation
Skill 9-6 Assisting with Guided Imagery
Unit 4 Mobility and Safety
Chapter 10 Positioning the Client
Skill 10-1 Supporting the Client’s Position in Bed
Skill 10-2 Moving a Client Up in Bed
Skill 10-3 Turning a Client to a Lateral or Prone Position in Bed
Skill 10-4 Logrolling a Client
Skill 10-5 Assisting the Client to Sit on the Side of the Bed (Dangling)
Skill 10-6 Transferring between Bed and Chair
Skill 10-7 Transferring between Bed and Stretcher
Skill 10-8 Using a Hydraulic Lift
Chapter 11 Mobilizing the Client
Skill 11-1 Assisting the Client in Use of a Wheelchair
Skill 11-2 Assisting the Client to Ambulate
Skill 11-3 Assisting the Client to Use a Cane
Skill 11-4 Assisting the Client to Use Crutches
Skill 11-5 Assisting the Client to Use a Walker
Chapter 12 Fall Prevention and Restraints
Skill 12-1 Using a Bed or Chair Exit Safety Monitoring Device
Skill 12-2 Applying Restraints
Skill 12-3 Implementing Seizure Precautions
Chapter 13 Maintaining Joint Mobility
Skill 13-1 Performing Passive Range of Motion Exercises
Skill 13-2 Using a Continuous Passive Motion Device
Unit 5 Medication Administration
Chapter 14 Drug Calculations
Chapter 15 Administering Oral and Enteral Medications
Skill 15-1 Administering Oral Medications
Skill 15-2 Administering Medications by Enteral Tube
Chapter 16 Administering Topical Medications
Skill 16-1 Applying Dermatologic Medications
Skill 16-2 Administering Ophthalmic Medications
Skill 16-3 Administering Otic Medications
Skill 16-4 Administering Nasal Medications
Skill 16-5 Administering Metered-Dose Inhaler Medications
Skill 16-6 Administering Vaginal Medications
Skill 16-7 Administering Rectal Medications
Chapter 17 Administering Parenteral Medications
Skill 17-1 Preparing Medications from Ampules
Skill 17-2 Preparing Medications from Vials
Skill 17-3 Mixing Medications Using One Syringe
Skill 17-4 Administering an Intradermal Injection for Skin Tests
Skill 17-5 Administering a Subcutaneous Injection
Skill 17-6 Administering an Intramuscular Injection
Skill 17-7 Adding Medications to Intravenous Fluid Containers
Skill 17-8 Administering Intermittent Intravenous Medications Using a Secondary Set
Skill 17-9 Administering Intravenous Medications Using IV Push
Chapter 18 Administering Intravenous Therapy
Skill 18-1 Performing Venipuncture
Skill 18-2 Starting an Intravenous Infusion
Skill 18-3 Using an Infusion Pump or Controller
Skill 18-4 Maintaining Infusions
Skill 18-5 Maintaining Intermittent Infusion Devices
Skill 18-6 Discontinuing Infusion Devices
Skill 18-7 Administering Blood Transfusions
Skill 18-8 Managing Central Lines
Skill 18-9 Performing Central Line Dressing Changes
Skill 18-10 Working with Implanted Vascular Access Devices
Unit 6 Nutrition and Elimination
Chapter 19 Feeding Clients
Skill 19-1 Assisting an Adult to Eat
Skill 19-2 Inserting a Nasogastric Tube
Skill 19-3 Removing Nasogastric Tube
Skill 19-4 Administering a Tube Feeding
Skill 19-5 Administering a Gastrostomy or Jejunostomy Feeding
Skill 19-6 Providing Total Parenteral Nutrition
Chapter 20 Assisting with Urinary Elimination
Skill 20-1 Assisting with a Urinal
Skill 20-2 Applying an External Urinary Device
Skill 20-3 Performing Urinary Catheterization
Skill 20-4 Performing Catheter Care and Removal
Skill 20-5 Performing Bladder Irrigation
Skill 20-6 Performing Urinary Ostomy Care
Chapter 21 Assisting with Fecal Elimination
Skill 21-1 Assisting with a Bedpan
Skill 21-2 Administering an Enema
Skill 21-3 Removing a Fecal Impaction
Skill 21-4 Changing a Bowel Diversion Ostomy Appliance
Chapter 22 Caring for Clients with Peritoneal Dialysis
Skill 22-1 Assisting with Peritoneal Dialysis Catheter Insertion
Skill 22-2 Conducting Peritoneal Dialysis Procedures
Unit 7 Circulatory and Ventilatory Support
Chapter 23 Promoting Circulation
Skill 23-1 Applying Antiemboli Stockings
Skill 23-2 Applying a Sequential Compression Device
Chapter 24 Breathing Exercises
Skill 24-1 Teaching Abdominal (Diaphragmatic) Breathing
Skill 24-2 Using an Incentive Spirometer
Chapter 25 Oxygen Therapy
Skill 25-1 Administering Oxygen by Cannula, Face Mask, or Face tent
Skill 25-2 Measuring Peak Expiratory Flow
Chapter 26 Suctioning
Skill 26-1 Oropharyngeal, Nasopharyngeal, and Nasotrachial Suctioning
Skill 26-2 Suctioning a Tracheostomy or Endotracheal Tube
Chapter 27 Caring for the Client with a Tracheostomy
Skill 27-1 Providing Tracheostomy Care
Skill 27-2 Capping a Tracheostomy Tube with a Speaking Valve
Chapter 28 Assisting with Mechanical Ventilation
Skill 28-1 Caring for the Client on a Mechanical Ventilator
Skill 28-2 Weaning the Client from a Ventilator
Chapter 29 Caring for the Client with Chest Tube Drainage
Skill 29-1 Assisting with Chest Tube Insertion
Skill 29-2 Maintaining Chest Tube Drainage
Skill 29-3 Assisting with Chest Tube Removal
Chapter 30 Administering Emergency Measures to the Hospitalized Client
Skill 30-1 Clearing an Obstructed Airway
Skill 30-2 Performing Rescue Breathing
Skill 30-3 Administering External Cardiac Compressions
Skill 30-4 Delivering Automated External Defibrillation
Unit 8 Wounds and Injury Care
Chapter 31 Performing Wound and Pressure Ulcer Care
Skill 31-1 Assessing Wounds and Pressure Ulcers
Skill 31-2 Performing a Dry Dressing Change
Skill 31-3 Applying a Transparent Wound Barrier
Skill 31-4 Applying a Hydrocolloid Dressing
Skill 31-5 Irrigating a Wound
Skill 31-6 Assisting with a Sitz Bath
Skill 31-7 Performing a Damp-to-Damp Dressing Change
Skill 31-8 Using Alginates on Wounds
Skill 31-9 Applying Bandages and Binders
Chapter 32 Orthopedic Care
Skill 32-1 Providing Initial Cast Care
Skill 32-2 Providing Ongoing Cast Care
Skill 32-3 Caring for Clients in Skeletal Traction
Chapter 33 Performing Perioperative Care
Skill 33-1 Conducting Preoperative Teaching
Skill 33-2 Performing a Surgical Hand Antisepsis/Scrub
Skill 33-3 Applying a Sterile Gown and Sterile Gloves (Closed Method)
Skill 33-4 Managing Gastrointestinal (GI) Suction
Skill 33-5 Cleaning a Sutured Wound and Changing a Dressing on a Wound with a Drain
Skill 33-6 Maintaining Closed Wound Drainage
Skill 33-7 Removing Sutures
Chapter 34 End-of-Life Care
Skill 34-1 Meeting the Physiologic Needs of the Dying Client
Skill 34- 2 Performing Postmortem Care
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