Table of Contents

• Free Topics
  • 1.1 Using Principles of Body Mechanics and Ergonomic Safety
  • 1.2 Infection Control in the Home (Including Teaching Points)
  • 1.3 Using Principles of Surgical Asepsis
  • 10.1 Administering Heat Therapy: Aquathermia Pad
  • 10.5 Administering a Sitz Bath
  • 11.3 Changing Sterile and Nonsterile Dressings
  • 2.1 Establishing a Nurse—Client Relationship
  • 2.3 Preparing a Shift Report (Interdisciplinary Information Exchange)
  • 2.3 Special Considerations when Communicating with Potentially Violentchr(133)
  • 2.5 Charting/Documenting (Nurses' Progress Report)
  • 3.5 Assessing Pain
  • 4.8 Shaving a Client
  • 5.17 Administering Intermittent Intravenous Medications
  • 5.18 Administering Medication by Nasogastric Tube
  • 5.2 Administering Eye (Ophthalmic) Drops
  • 5.20 Administering Vaginal Medication
  • 5.4 Administering Nasal Medication
  • 5.8 Preparing Medication From a Vial
  • 6.12 Managing a Tracheostomy/Endotracheal Tube Cuff
  • 6.15 Obtaining Pulse Oximetry
  • 6.8 Suctioning an Oral Airway
  • 7.1 Managing Intake and Output (I&O)
  • 7.19 Managing a Gastrostomy/Jejunostomy Tube
  • 7.20 Managing Enteral Tube Feeding
  • 8.12 Managing Peritoneal Dialysis
  • 8.2 Collecting a Timed Urine Specimen
  • 9.10 Providing Residual Limb Care Following Amputation
  • Acknowledgments
  • Contributors
  • Dedication
  • Figure 1.1
  • Figure 1.5
  • Figure 1.6
  • Figure 3.1
  • Figure 3.11
  • Figure 3.3
  • Figure 3.5
  • Figure 4.2
  • Figure 4.4
  • Figure 4.6
  • Figure 5.1
  • Figure 5.14C
  • Figure 5.19
  • Figure 5.23
  • Figure 6.2I
  • Figure 6.3
  • Figure 6.5
  • Figure 6.7
  • Guidelines for Preparing Various Forms of Medication
  • Nurses' Guide to Clinical Procedures
  • Preface
  • Section 2.5
  • Section 3.7
  • Section 3.8
  • Section 5.11
  • Section 5.14
  • Section 5.3
  • Section 5.9
  • Section 6.1
  • Section 6.3
• Safety, Asepsis, and Infection Control
  • 1.1 Using Principles of Body Mechanics and Ergonomic Safety
  • 1.2 Using Principles of Medical Asepsis
  • 1.3 Using Principles of Surgical Asepsis
  • 1.4 Using Precaution (Isolation) Techniques: Infection Prevention
  • 1.5 Disposing of Biohazardous Waste
  • 1.6 Using Protective Devices: Limb and Body Restraints
  • Display(s)
    • 1.1 Hand Hygiene
    • 1.2 Infection Control in the Home (Including Teaching Points)
    • 1.3 Injection Prevention: Standard and Expanded Precautions
  • Figure(s)
    • Figure 1.1
    • Figure 1.2
    • Figure 1.3
    • Figure 1.4
    • Figure 1.5
    • Figure 1.6
  • Overview
  • Sample Documentation
    • Section 1.1
    • Section 1.2
    • Section 1.3
    • Section 1.4
    • Section 1.6
• Documenting and Reporting
  • 2.1 Establishing a Nurse—Client Relationship
  • 2.2 Providing Client and Family Education
  • 2.3 Preparing a Shift Report (Interdisciplinary Information Exchange)
  • 2.4 Following the Nursing Process (Preparing a Plan of Care)
  • 2.5 Charting/Documenting (Nurses' Progress Report)
  • 2.6 Reporting Incidents (Variance or Unusual Occurrence Reporting)
  • Display(s)
    • 2.1 Barriers to Therapeutic Communication
    • 2.2 Considerations for Interactions with Special Clients/Families
    • 2.3 Special Considerations when Communicating with Potentially Violentchr(133)
    • 2.4 Preparation Guide for Development of a Teaching Plan
    • 2.5 Report Format—Summary
    • 2.6 The Nursing Process
    • 2.7 Writing Goals
  • Overview
  • Sample Documentation
    • Section 2.1
    • Section 2.2
    • Section 2.3
    • Section 2.5
    • Section 2.6
  • Table(s)
    • Guidelines for Initial Assessment Notes
• Essential Assessment Components
  • 3.1 Measuring Electronic Vital Signs
  • 3.2 Palpating Blood Pressure
  • 3.3 Obtaining Doppler Pulse
  • 3.4 Measuring Apical—Radial Pulse
  • 3.5 Assessing Pain
  • 3.6 Obtaining Weight with a Sling Scale
  • 3.7 Obtaining Weight with Standard Scale (Standing, Chair)
  • 3.8 Performing Basic Health Assessment
  • Figure(s)
    • Figure 3.1
    • Figure 3.10
    • Figure 3.11
    • Figure 3.12
    • Figure 3.2
    • Figure 3.3
    • Figure 3.4
    • Figure 3.5
    • Figure 3.6
    • Figure 3.7
    • Figure 3.8
    • Figure 3.9
  • Overview
  • Sample Documentation
    • Section 3.1
    • Section 3.2
    • Section 3.3
    • Section 3.4
    • Section 3.5
    • Section 3.6
    • Section 3.7
    • Section 3.8
• Hygiene
  • 4.1 Providing a Therapeutic Back Massage
  • 4.2 Preparing a Bed
  • 4.3 Providing Hair Care
  • 4.4 Shampooing a Bedridden Client
  • 4.5 Providing Oral Care: Brushing the Client's Teeth
  • 4.6 Performing Denture Care
  • 4.7 Caring for Contact Lenses and Artificial Eyes
  • 4.8 Shaving a Client
  • Figure(s)
    • Figure 4.1
    • Figure 4.2
    • Figure 4.3
    • Figure 4.4
    • Figure 4.5
    • Figure 4.6
  • Overview
  • Sample Documentation
    • Section 4.1
    • Section 4.2
    • Section 4.3
    • Section 4.4
    • Section 4.5
    • Section 4.6
    • Section 4.7
    • Section 4.8
• Medication Administration
  • 5.1 Using Principles of Medication Administration
  • 5.10 Administering Medication with the Needleless System
  • 5.11 Mixing Medications
  • 5.12 Administering Intradermal Medications
  • 5.13 Administering Subcutaneous Medications
  • 5.14 Using a Continuous Subcutaneous Insulin Pump
  • 5.15 Administering Intramuscular Medications
  • 5.16 Administering a Z-Track Injection
  • 5.17 Administering Intermittent Intravenous Medications
  • 5.18 Administering Medication by Nasogastric Tube
  • 5.19 Administering Rectal Medication
  • 5.2 Administering Eye (Ophthalmic) Drops
  • 5.20 Administering Vaginal Medication
  • 5.21 Applying Topical Medications
  • 5.3 Administering Ear (Otic) Drops
  • 5.4 Administering Nasal Medication
  • 5.5 Administering Nebulizer Medication
  • 5.6 Administering Oral Medication
  • 5.7 Administering Buccal and Sublingual Medication
  • 5.8 Preparing Medication From a Vial
  • 5.9 Preparing Medication From an Ampule
  • Display(s)
    • 5.1 Principles of Management, Storage, and Disposal of Medicationschr(133)
    • 5.2 Methods of Dosage Calculation
  • Figure(s)
    • Figure 5.1
    • Figure 5.10
    • Figure 5.11
    • Figure 5.12
    • Figure 5.13
    • Figure 5.14A
    • Figure 5.14B
    • Figure 5.14C
    • Figure 5.14D
    • Figure 5.15
    • Figure 5.16
    • Figure 5.17
    • Figure 5.18
    • Figure 5.19
    • Figure 5.2
    • Figure 5.20
    • Figure 5.21
    • Figure 5.22
    • Figure 5.23
    • Figure 5.24
    • Figure 5.25
    • Figure 5.26
    • Figure 5.27
    • Figure 5.28
    • Figure 5.29
    • Figure 5.3
    • Figure 5.4
    • Figure 5.5
    • Figure 5.6
    • Figure 5.7
    • Figure 5.8
    • Figure 5.9
  • Overview
  • Sample Documentation
    • Section 5.1
    • Section 5.10
    • Section 5.11
    • Section 5.12
    • Section 5.13
    • Section 5.14
    • Section 5.15
    • Section 5.16
    • Section 5.17
    • Section 5.18
    • Section 5.19
    • Section 5.2
    • Section 5.20
    • Section 5.21
    • Section 5.3
    • Section 5.4
    • Section 5.5
    • Section 5.6
    • Section 5.7
    • Section 5.8
    • Section 5.9
  • Table(s)
    • Guidelines for Preparing Various Forms of Medication
• Oxygenation
  • 6.1 Chest Drainage System Preparation
  • 6.10 Suctioning and Maintaining an Endotracheal Tube
  • 6.11 Caring for a Tracheostomy (Suctioning, Cleaning, and Changing
  • 6.12 Managing a Tracheostomy/Endotracheal Tube Cuff
  • 6.13 Capping a Tracheostomy Tube
  • 6.14 Collecting a Suctioned Sputum Specimen
  • 6.15 Obtaining Pulse Oximetry
  • 6.16 Maintaining Mechanical Ventilation
  • 6.17 Using Incentive Spirometry
  • 6.2 Maintaining a Chest Tube
  • 6.3 Performing Autotransfusion/Reinfusion of Chest Tube Drainage
  • 6.4 Performing Chest Physiotherapy: Postural Drainage, Chest Percussion
  • 6.5 Applying a Nasal Cannula/Face Mask
  • 6.6 Inserting an Oral Airway
  • 6.7 Inserting and Maintaining a Nasal Airway
  • 6.8 Suctioning an Oral Airway
  • 6.9 Performing Nasopharyngeal/Nasotracheal Suctioning
  • Figure(s)
    • Figure 6.10
    • Figure 6.11
    • Figure 6.12
    • Figure 6.13
    • Figure 6.14
    • Figure 6.15
    • Figure 6.16
    • Figure 6.17
    • Figure 6.18
    • Figure 6.19
    • Figure 6.1A
    • Figure 6.1B
    • Figure 6.20
    • Figure 6.21
    • Figure 6.22
    • Figure 6.23
    • Figure 6.24
    • Figure 6.25
    • Figure 6.26
    • Figure 6.27
    • Figure 6.2A
    • Figure 6.2B
    • Figure 6.2C
    • Figure 6.2D
    • Figure 6.2E
    • Figure 6.2F
    • Figure 6.2G
    • Figure 6.2H
    • Figure 6.2I
    • Figure 6.2J
    • Figure 6.3
    • Figure 6.4
    • Figure 6.5
    • Figure 6.6
    • Figure 6.7
    • Figure 6.8
    • Figure 6.9
  • Overview
  • Sample Documentation
    • Section 6.1
    • Section 6.10
    • Section 6.11
    • Section 6.12
    • Section 6.13
    • Section 6.14
    • Section 6.15
    • Section 6.16
    • Section 6.17
    • Section 6.3
    • Section 6.4
    • Section 6.5
    • Section 6.6
    • Section 6.7
    • Section 6.8
    • Section 6.9
  • Table(s)
    • Modes of Ventilation
    • Ventilator Alarms
• Fluids and Nutrition
  • 7.1 Managing Intake and Output (I&O)
  • 7.10 Converting to an IV Lock
  • 7.11 Assisting with Inserting and Maintaining a Central Venous Line
  • 7.12 Managing Total Parenteral Nutrition
  • 7.13 Managing a Pulmonary Artery Catheter
  • 7.14 Managing an Arterial Line
  • 7.15 Managing Blood Transfusion
  • 7.16 Inserting a Nasogastric/Nasointestinal Tube
  • 7.17 Maintaining a Nasogastric Tube
  • 7.18 Discontinuing a Nasogastric Tube
  • 7.19 Managing a Gastrostomy/Jejunostomy Tube
  • 7.2 Testing Capillary Blood Glucose
  • 7.20 Managing Enteral Tube Feeding
  • 7.3 Performing Venipuncture for Blood Specimen
  • 7.4 Selecting a Vein for IV Therapy
  • 7.5 Preparing Solutions for IV Therapy
  • 7.6 Inserting a Catheter/IV Lock for IV Therapy
  • 7.7 Calculating Flow Rate
  • 7.8 Regulating IV Fluid
  • 7.9 Changing IV Tubing and Dressings
  • Display(s)
    • 7.1 IV Calculations
  • Figure(s)
    • Figure 7.1
    • Figure 7.10
    • Figure 7.11A
    • Figure 7.11B
    • Figure 7.12A
    • Figure 7.12B
    • Figure 7.13
    • Figure 7.14
    • Figure 7.15
    • Figure 7.16
    • Figure 7.17
    • Figure 7.18
    • Figure 7.19
    • Figure 7.2
    • Figure 7.20
    • Figure 7.21
    • Figure 7.22
    • Figure 7.23
    • Figure 7.24
    • Figure 7.25
    • Figure 7.26
    • Figure 7.3
    • Figure 7.4
    • Figure 7.5
    • Figure 7.6
    • Figure 7.7
    • Figure 7.8
    • Figure 7.9
  • Overview
  • Sample Documentation
    • Section 7.1
    • Section 7.11
    • Section 7.12
    • Section 7.13
    • Section 7.14
    • Section 7.15
    • Section 7.16
    • Section 7.17
    • Section 7.19
    • Section 7.2
    • Section 7.20
    • Section 7.3
    • Section 7.4
    • Section 7.7
    • Section 7.9
  • Table(s)
    • Flow Rates for Intravenous Infusions
    • Transfusion Reactions
    • Troubleshooting PA Catheter Problems
    • Troubleshooting Tips for IV Infusion Management
• Elimination
  • 8.1 Collecting a Midstream Urine Specimen
  • 8.10 Scanning the Bladder
  • 8.11 Caring for a Hemodialysis Shunt, Graft, and Fistula
  • 8.12 Managing Peritoneal Dialysis
  • 8.13 Caring for Nephrostomy Tubes
  • 8.14 Removing Fecal Impaction
  • 8.15 Administering an Enema
  • 8.16 Applying an Ostomy Pouch and Wafer
  • 8.17 Evacuating and Cleaning an Ostomy Pouch
  • 8.18 Caring for an Ostomy Stoma
  • 8.19 Irrigating a Colostomy
  • 8.2 Collecting a Timed Urine Specimen
  • 8.20 Testing Stool for Occult Blood with Hemoccult Slide
  • 8.3 Collecting a Urine Specimen From an Indwelling Catheter
  • 8.4 Applying a Condom Catheter
  • 8.5 Performing a Male Catheterization (Urethral/Straight Cath and
  • 8.6 Performing a Female Catheterization (Urethral/Straight Cath
  • 8.7 Caring for a Urinary Catheter
  • 8.8 Removing an Indwelling Catheter
  • 8.9 Irrigating a Bladder/Catheter
  • Figure(s)
    • Figure 8.1
    • Figure 8.10
    • Figure 8.11
    • Figure 8.12A
    • Figure 8.12B
    • Figure 8.13
    • Figure 8.14
    • Figure 8.15
    • Figure 8.16
    • Figure 8.17
    • Figure 8.18
    • Figure 8.19
    • Figure 8.20
    • Figure 8.21
    • Figure 8.22
    • Figure 8.2A
    • Figure 8.2B
    • Figure 8.3
    • Figure 8.4
    • Figure 8.5
    • Figure 8.6
    • Figure 8.7A
    • Figure 8.7B
    • Figure 8.8
    • Figure 8.9
  • Overview
  • Sample Documentation
    • Section 8.1
    • Section 8.10
    • Section 8.11
    • Section 8.12
    • Section 8.13
    • Section 8.14
    • Section 8.15
    • Section 8.16
    • Section 8.17
    • Section 8.18
    • Section 8.19
    • Section 8.2
    • Section 8.20
    • Section 8.3
    • Section 8.4
    • Section 8.5
    • Section 8.6
    • Section 8.7
    • Section 8.8
    • Section 8.9
• Activity and Mobility
  • 9.1 Positioning the Body
  • 9.10 Providing Residual Limb Care Following Amputation
  • 9.11 Using a Hoyer Lift
  • 9.2 Positioning the Body via Logrolling
  • 9.3 Performing Range-of-Motion Exercises
  • 9.4 Supporting Axillary Crutch Walking
  • 9.5 Caring for a Cast
  • 9.6 Maintaining Traction
  • 9.7 Applying Antiembolism Hose
  • 9.8 Applying a Pneumatic Compression Device
  • 9.9 Using a Continuous Passive Motion (CPM) Device
  • Display(s)
    • 9.1 Techniques for General Crutch-Walking Maneuvers
  • Figure(s)
    • Figure 9.10
    • Figure 9.11
    • Figure 9.12
    • Figure 9.13
    • Figure 9.14
    • Figure 9.15
    • Figure 9.16
    • Figure 9.17
    • Figure 9.18
    • Figure 9.19
    • Figure 9.1A
    • Figure 9.1B
    • Figure 9.1C
    • Figure 9.1D
    • Figure 9.1E
    • Figure 9.1F
    • Figure 9.1G
    • Figure 9.2
    • Figure 9.20
    • Figure 9.21
    • Figure 9.22A
    • Figure 9.22B
    • Figure 9.23
    • Figure 9.3A
    • Figure 9.3B
    • Figure 9.3C
    • Figure 9.3D
    • Figure 9.3E
    • Figure 9.3F
    • Figure 9.3G
    • Figure 9.3H
    • Figure 9.3I
    • Figure 9.3J
    • Figure 9.3K
    • Figure 9.3L
    • Figure 9.3M
    • Figure 9.3N
    • Figure 9.3O
    • Figure 9.3P
    • Figure 9.3Q
    • Figure 9.3R
    • Figure 9.3S
    • Figure 9.3T
    • Figure 9.4
    • Figure 9.5
    • Figure 9.6
    • Figure 9.7
    • Figure 9.8
    • Figure 9.9
  • Overview
  • Sample Documentation
    • Section 9.1
    • Section 9.10
    • Section 9.11
    • Section 9.2
    • Section 9.3
    • Section 9.4
    • Section 9.5
    • Section 9.6
    • Section 9.7
    • Section 9.8
    • Section 9.9
  • Table(s)
    • Body Positioning
    • Descriptions of Range-of-Motion Maneuvers
• Rest and Comfort
  • 10.1 Administering Heat Therapy: Aquathermia Pad
  • 10.2 Administering Heat Therapy: Commercial Heat Pack/Moist, Warm
  • 10.3 Administering Heat Therapy: Heat Cradle and Heat Lamp
  • 10.4 Administering Cold Therapy: Ice Bag/Collar/Glove/Commercial
  • 10.5 Administering a Sitz Bath
  • 10.6 Administering a Tepid Sponge Bath
  • 10.7 Using a Transcutaneous Electrical Nerve Stimulation (TENS) Unit
  • 10.8 Using Patient-Controlled Analgesia
  • 10.9 Using Epidural Pump Therapy
  • Figure(s)
    • Figure 10.1
    • Figure 10.2
    • Figure 10.3
    • Figure 10.4
    • Figure 10.5
    • Figure 10.6
  • Overview
  • Sample Documentation
    • Section 10.1
    • Section 10.2
    • Section 10.3
    • Section 10.4
    • Section 10.5
    • Section 10.6
    • Section 10.7
    • Section 10.8
    • Section 10.9
  • Table(s)
    • Hot and Cold Conditions
• Perioperative Nursing and Wound Healing
  • 11.1 Applying a Sterile Gown
  • 11.10 Collecting a Wound Specimen
  • 11.2 Applying Sterile Gloves
  • 11.3 Changing Sterile and Nonsterile Dressings
  • 11.4 Removing Sutures
  • 11.5 Providing Preoperative Care
  • 11.6 Providing Postoperative Care
  • 11.7 Managing a Pressure Ulcer
  • 11.8 Irrigating a Wound
  • 11.9 Managing a Wound Drain
  • Figure(s)
    • Figure 11.1
    • Figure 11.10
    • Figure 11.2
    • Figure 11.3
    • Figure 11.4
    • Figure 11.5
    • Figure 11.6
    • Figure 11.7
    • Figure 11.8
    • Figure 11.9
  • Overview
  • Sample Documentation
    • Section 11.1
    • Section 11.10
    • Section 11.3
    • Section 11.4
    • Section 11.5
    • Section 11.6
    • Section 11.7
    • Section 11.8
    • Section 11.9
• Special Procedures
  • 12.1 Managing and Providing Client Teaching for an Automatic Implantable
  • 12.2 Managing a Hyperthermia/Hypothermia Unit
  • 12.3 Providing Postmortem Care
  • Figure(s)
    • Figure 12.1
  • Overview
  • Sample Documentation
    • Section 12.1
    • Section 12.2
    • Section 12.3
• Community-Based Variations
  • 13.1 Preplanning and Organizing for Home Health Care
  • 13.2 Maintaining Supplies and Equipment
  • 13.3 Performing Environmental Assessment and Management
  • 13.4 Assessing a Support System
  • 13.5 Preparing Solutions in the Home
  • Figure(s)
    • Figure 13.1
    • Figure 13.2
  • Overview
  • Sample Documentation
    • Section 13.3
    • Section 13.4
    • Section 13.5
• Appendices
  • A. Pain Management
  • B. Common Clinical Abbreviations
  • C. Diagnostic Laboratory Tests: Normal Values
  • D. Types of Isolation
  • E. Medication Interactions: Drug-Drug
  • F. Medication Interactions: Drug-Nutrient
  • G. Equipment Substitution in the Home
  • H. Potential Bioterrorism and Chemical Terrorism Agents Posing Greatest
  • I. Nanda-Approved Nursing Diagnoses
• Bibliography
  • Bibliography
• Front Matter
  • Acknowledgments
  • Contributors
  • Dedication
  • Nurses' Guide to Clinical Procedures
  • Preface