Instant digital products (PDF, ePub, MOBI) ready for you
Download now and discover formats that fit your needs...
Canadian Fundamentals of Nursing 2019 6th edition Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall, Barbara J. Astle, Wendy Duggleby Patricia A. Potter
https://ebookmass.com/product/canadian-fundamentals-ofnursing-2019-6th-edition-patricia-a-potter-anne-griffin-perrypatricia-stockert-amy-hall-barbara-j-astle-wendy-duggleby-patricia-apotter/ ebookmass.com
Fundamentos de Enfermagem Patricia Potter & Anne Griffin Perry & Patricia Stockert & Amy Hall
https://ebookmass.com/product/fundamentos-de-enfermagem-patriciapotter-anne-griffin-perry-patricia-stockert-amy-hall/
ebookmass.com
Elsevier Weekblad - Week 26 - 2022 Gebruiker
https://ebookmass.com/product/elsevier-weekbladweek-26-2022-gebruiker/
ebookmass.com
Elementary Statistics: Picturing the World 6th Edition, (Ebook PDF)
https://ebookmass.com/product/elementary-statistics-picturing-theworld-6th-edition-ebook-pdf/
ebookmass.com
Bourbon Breakaway: A Small Town, Brother's Best Friend Romance (Starlight Canyon Book 3) Sienna Judd
https://ebookmass.com/product/bourbon-breakaway-a-small-town-brothersbest-friend-romance-starlight-canyon-book-3-sienna-judd/
ebookmass.com
The Christmas Wish Sharon Sala
https://ebookmass.com/product/the-christmas-wish-sharon-sala/
ebookmass.com
Knowledge, Power, and Women’s Reproductive Health in Japan, 1690–1945 1st ed. 2018 Edition Yuki Terazawa
https://ebookmass.com/product/knowledge-power-and-womens-reproductivehealth-in-japan-1690-1945-1st-ed-2018-edition-yuki-terazawa/
ebookmass.com
Multifunctional hybrid nanomaterials for sustainable agrifood and ecosystems Abd-Elsalam
https://ebookmass.com/product/multifunctional-hybrid-nanomaterialsfor-sustainable-agri-food-and-ecosystems-abd-elsalam/
ebookmass.com
Voices of the Void: A Science-Fiction Anthology Leitzen
https://ebookmass.com/product/voices-of-the-void-a-science-fictionanthology-leitzen/
ebookmass.com
Cummings Review of Otolaryngology 1st Edition Harrison W.
https://ebookmass.com/product/cummings-review-of-otolaryngology-1stedition-harrison-w-lin/
ebookmass.com
Nursing Interventions & Clinical Skills SEVENTH EDITION
ANNE GRIFFIN PERRY, RN, MSN, EdD, FAAN Professor Emerita School of Nursing
Southern Illinois University Edwardsville
Edwardsville, Illinois
PATRICIA A. POTTER, RN, MSN, PhD, FAAN Formerly, Director of Research
Patient Care Services
Barnes-Jewish Hospital
St. Louis, Missouri
WENDY R. OSTENDORF, RN, MS, EdD, CNE
Contributing Faculty
Master's of Science in Nursing
Walden University
Minneapolis, Minnesota
Table of Contents Cover image
Title Page
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 (CleanVoided) 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
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
Copyright NURSING INTERVENTIONS AND CLINICAL SKILLS, SEVENTH
EDITION ISBN: 978-0-323-54701-7
Copyright © 2020 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Previous editions copyrighted 2016, 2012, 2007, 2004, 2000, 1996.
International Standard Book Number: 978-0-323-54701-7
Director: Tamara Myers
Content Development Manager: Lisa P. Newton
Senior Content Development Specialist: Tina Kaemmerer, Melissa Rawe
Publishing Services Manager: Julie Eddy
Senior Project Manager: Jodi M. Willard
Design Direction: Renee Duenow
Printed in China.
3251 Riverport Lane
St. Louis, Missouri 63043
