1. Instructions for online access - p. iii 2. Cover image - p. iii 3. Title Page - p. iii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. About the Authors - p. vii 8. Contributors - p. ix 9. Reviewers - p. xiii 10. Preface to the Student - p. xv 11. Preface to the Instructor - p. xvii 12. Unit 1 Supporting the Patient Through the Health Care System - p. xix 13. 1 Evidence-Informed Nursing Practice - p. 1 14. 2 Transitions in Care - p. 12 15. 3 Communication and Collaboration - p. 31 16. 4 Documentation and Informatics - p. 52 17. Unit 2 Infection Control - p. 68 18. 5 Medical Asepsis - p. 69 19. 6 Sterile Technique - p. 85 20. Unit 3 Vital Signs and Physical Assessment - p. 100 21. 7 Vital Signs - p. 101 22. 8 Health Assessment - p. 143 23. Purpose - p. 143 24. Standards of Care - p. 143 25. Principles for Practice - p. 144 26. Person-Centred Care - p. 144 27. Evidence-Informed Practice - p. 144 28. Safety Guidelines - p. 145 29. Assessment Techniques - p. 145 30. Preparation for Assessment - p. 147 31. Physical Assessment of Various Age Groups - p. 149 32. SKILL 8.1 General Survey - p. 149 33. SKILL 8.2 Head and Neck Assessment - p. 157 34. SKILL 8.3 Thorax and Lung Assessment - p. 162 35. SKILL 8.4 Cardiovascular Assessment - p. 170 36. SKILL 8.5 Abdominal Assessment - p. 180 37. SKILL 8.6 Genitalia and Rectum Assessment - p. 188 38. SKILL 8.7 Musculoskeletal and Neurological Assessment - p. 192 39. Clinical Debrief - p. 202 40. Review Questions - p. 202 41. References - p. 202 42. Unit 4 Special Procedures - p. 204 43. 9 Specimen Collection - p. 205 44. Purpose - p. 206 45. Standards of Care - p. 206 46. Principles for Practice - p. 206 47. Person-Centred Care - p. 206 48. Evidence-Informed Practice - p. 206 49. Safety Guidelines - p. 206 50. SKILL 9.1 Urine Specimen Collection: Midstream (Clean-Voided) and Sterile Urinary Catheter - p. 206 51. SKILL 9.2 Measuring Occult Blood in Stool - p. 213 52. SKILL 9.3 Measuring Occult Blood in Gastric Secretions (Gastroccult) - p. 217 53. SKILL 9.4 Collecting Nose and Throat Specimens for Culture - p. 220 54. SKILL 9.5 Obtaining Vaginal or Urethral Discharge Specimens - p. 223 55. SKILL 9.6 Collecting a Sputum Specimen by Suction - p. 226 56. SKILL 9.7 Obtaining Wound Specimens for Culture - p. 230 57. SKILL 9.8 Collecting Blood Specimens and Culture by Venipuncture (Syringe and Vacutainer Method) - p. 233 58. SKILL 9.9 Blood Glucose Monitoring - p. 242 59. SKILL 9.10 Obtaining an Arterial Specimen for Blood Gas Measurement - p. 246 60. Clinical Debrief - p. 252 61. Review Questions - p. 252 62. References - p. 252 63. 10 Diagnostic Procedures - p. 253 64. Unit 5 Activity and Mobility - p. 282 65. 11 Safe Patient Handling, Transfer, and Positioning - p. 283 66. 12 Exercise and Mobility - p. 305 67. 13 Support Surfaces and Special Beds - p. 337 68. Unit 6 Safety and Comfort - p. 354 69. 14 Patient Safety - p. 355 70. 15 Emergency Preparedness and Disaster Management - p. 384 71. 16 Pain Assessment and Management - p. 407 72. 17 Palliative Care - p. 441 73. Unit 7 Hygiene - p. 463 74. 18 Personal Hygiene and Bed Making - p. 464 75. 19 Care of the Eye and Ear - p. 508 76. Unit 8 Medications - p. 526 77. 20 Safe Medication Preparation - p. 527 78. 21 Nonparenteral Medications - p. 546 79. Purpose - p. 546 80. Standards of Care - p. 546 81. Principles for Practice - p. 547 82. Person-Centred Care - p. 547 83. Evidence-Informed Practice - p. 547 84. Safety Guidelines - p. 548 85. SKILL 21.1 Administering Oral Medications - p. 548 86. SKILL 21.2 Administering Medications Through a Feeding Tube - p. 556 87. SKILL 21.3 Applying Topical Medications to the Skin - p. 561 88. SKILL 21.4 Administering Ophthalmic Medications - p. 567 89. SKILL 21.5 Administering Ear Medications - p. 572 90. SKILL 21.6 Administering Nasal Instillations - p. 576 91. SKILL 21.7 Using Metered-Dose Inhalers (MDIs) - p. 580 92. SKILL 21.8 Using Small-Volume Nebulizers - p. 587 93. SKILL 21.9 Administering Vaginal Instillations - p. 591 94. SKILL 21.10 Administering Rectal Suppositories - p. 595 95. Clinical Debrief - p. 599 96. Review Questions - p. 599 97. References - p. 599 98. 22 Parenteral Medications - p. 601 99. Purpose - p. 601 100. Standards of Care - p. 601 101. Principles for Practice - p. 602 102. Person-Centred Care - p. 602 103. Evidence-Informed Practice - p. 602 104. Safety Guidelines - p. 602 105. SKILL 22.1 Preparing Injections: Ampoules and Vials - p. 606 106. SKILL 22.2 Administering Intradermal Injections - p. 615 107. SKILL 22.3 Administering Subcutaneous Injections - p. 619 108. SKILL 22.4 Administering Continuous Subcutaneous Medications - p. 626 109. SKILL 22.5 Administering Intramuscular Injections - p. 631 110. SKILL 22.6 Administering Medications by Intravenous Bolus - p. 638 111. SKILL 22.7 Administering Intravenous Medications by Piggyback, Intermittent Infusion Sets, and Mini-Infusion Pumps - p. 644 112. Clinical Debrief - p. 650 113. Review Questions - p. 651 114. References - p. 651 115. Unit 9 Oxygenation - p. 652 116. 23 Oxygen Therapy - p. 653 117. 24 Performing Chest Physiotherapy - p. 688 118. 25 Airway Management - p. 700 119. 26 Cardiac Care - p. 735 120. 27 Closed Chest Drainage Systems - p. 745 121. 28 Emergency Measures for Life Support - p. 767 122. Unit 10 Fluid Balance - p. 783 123. 29 Vascular Access and Infusion Therapy - p. 784 124. Purpose - p. 784 125. Standards of Care - p. 784 126. Principles for Practice - p. 785 127. Person-Centred Care - p. 786 128. Evidence-Informed Practice - p. 786 129. Safety Guidelines - p. 786 130. SKILL 29.1 Insertion of a Short-Peripheral Intravenous Access Device - p. 787 131. SKILL 29.2 Initiating and Regulating Intravenous Infusions - p. 799 132. SKILL 29.3 Changing Intravenous Solution Containers - p. 806 133. SKILL 29.4 Changing Administration Sets (Infusion Tubing) - p. 809 134. SKILL 29.5 Changing a Short-Peripheral Venous Access Device Dressing - p. 811 135. SKILL 29.6 Caring for Patients With Central Vascular Access Devices - p. 816 136. Clinical Debrief - p. 829 137. Review Questions - p. 830 138. References - p. 830 139. 30 Blood Therapy - p. 831 140. Unit 11 Nutrition - p. 848 141. 31 Oral Nutrition - p. 849 142. 32 Enteral Nutrition - p. 873 143. 33 Parenteral Nutrition - p. 898 144. Unit 12 Elimination - p. 910 145. 34 Urinary Elimination and Catheterization - p. 911 146. 35 Bowel Elimination and Gastric Intubation - p. 945 147. 36 Ostomy Care - p. 973 148. Unit 13 Care of the Surgical Patient - p. 987 149. 37 Preoperative and Postoperative Care - p. 988 150. 38 Intraoperative Care - p. 1022 151. Unit 14 Dressings and Wound Care - p. 1034 152. 39 Prevention and Care of Skin Breakdown - p. 1035 153. 40 Wound Care Management and Dressings - p. 1076 154. 41 Therapeutic Use of Heat and Cold - p. 1107 155. Unit 15 Nursing in the Community - p. 1125 156. 42 Safety in the Community - p. 1126 157. 43 Self-Care Teaching in the Community - p. 1150 158. Answer Key - p. 1192 159. Appendix A - p. 1208 160. Index - p. 1211 161. Index of Skills and Procedural Guidelines - p. 1240
1. Instructions for online access - p. iii 2. Cover image - p. iii 3. Title Page - p. iii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. About the Authors - p. vii 8. Contributors - p. ix 9. Reviewers - p. xiii 10. Preface to the Student - p. xv 11. Preface to the Instructor - p. xvii 12. Unit 1 Supporting the Patient Through the Health Care System - p. xix 13. 1 Evidence-Informed Nursing Practice - p. 1 14. 2 Transitions in Care - p. 12 15. 3 Communication and Collaboration - p. 31 16. 4 Documentation and Informatics - p. 52 17. Unit 2 Infection Control - p. 68 18. 5 Medical Asepsis - p. 69 19. 6 Sterile Technique - p. 85 20. Unit 3 Vital Signs and Physical Assessment - p. 100 21. 7 Vital Signs - p. 101 22. 8 Health Assessment - p. 143 23. Purpose - p. 143 24. Standards of Care - p. 143 25. Principles for Practice - p. 144 26. Person-Centred Care - p. 144 27. Evidence-Informed Practice - p. 144 28. Safety Guidelines - p. 145 29. Assessment Techniques - p. 145 30. Preparation for Assessment - p. 147 31. Physical Assessment of Various Age Groups - p. 149 32. SKILL 8.1 General Survey - p. 149 33. SKILL 8.2 Head and Neck Assessment - p. 157 34. SKILL 8.3 Thorax and Lung Assessment - p. 162 35. SKILL 8.4 Cardiovascular Assessment - p. 170 36. SKILL 8.5 Abdominal Assessment - p. 180 37. SKILL 8.6 Genitalia and Rectum Assessment - p. 188 38. SKILL 8.7 Musculoskeletal and Neurological Assessment - p. 192 39. Clinical Debrief - p. 202 40. Review Questions - p. 202 41. References - p. 202 42. Unit 4 Special Procedures - p. 204 43. 9 Specimen Collection - p. 205 44. Purpose - p. 206 45. Standards of Care - p. 206 46. Principles for Practice - p. 206 47. Person-Centred Care - p. 206 48. Evidence-Informed Practice - p. 206 49. Safety Guidelines - p. 206 50. SKILL 9.1 Urine Specimen Collection: Midstream (Clean-Voided) and Sterile Urinary Catheter - p. 206 51. SKILL 9.2 Measuring Occult Blood in Stool - p. 213 52. SKILL 9.3 Measuring Occult Blood in Gastric Secretions (Gastroccult) - p. 217 53. SKILL 9.4 Collecting Nose and Throat Specimens for Culture - p. 220 54. SKILL 9.5 Obtaining Vaginal or Urethral Discharge Specimens - p. 223 55. SKILL 9.6 Collecting a Sputum Specimen by Suction - p. 226 56. SKILL 9.7 Obtaining Wound Specimens for Culture - p. 230 57. SKILL 9.8 Collecting Blood Specimens and Culture by Venipuncture (Syringe and Vacutainer Method) - p. 233 58. SKILL 9.9 Blood Glucose Monitoring - p. 242 59. SKILL 9.10 Obtaining an Arterial Specimen for Blood Gas Measurement - p. 246 60. Clinical Debrief - p. 252 61. Review Questions - p. 252 62. References - p. 252 63. 10 Diagnostic Procedures - p. 253 64. Unit 5 Activity and Mobility - p. 282 65. 11 Safe Patient Handling, Transfer, and Positioning - p. 283 66. 12 Exercise and Mobility - p. 305 67. 13 Support Surfaces and Special Beds - p. 337 68. Unit 6 Safety and Comfort - p. 354 69. 14 Patient Safety - p. 355 70. 15 Emergency Preparedness and Disaster Management - p. 384 71. 16 Pain Assessment and Management - p. 407 72. 17 Palliative Care - p. 441 73. Unit 7 Hygiene - p. 463 74. 18 Personal Hygiene and Bed Making - p. 464 75. 19 Care of the Eye and Ear - p. 508 76. Unit 8 Medications - p. 526 77. 20 Safe Medication Preparation - p. 527 78. 21 Nonparenteral Medications - p. 546 79. Purpose - p. 546 80. Standards of Care - p. 546 81. Principles for Practice - p. 547 82. Person-Centred Care - p. 547 83. Evidence-Informed Practice - p. 547 84. Safety Guidelines - p. 548 85. SKILL 21.1 Administering Oral Medications - p. 548 86. SKILL 21.2 Administering Medications Through a Feeding Tube - p. 556 87. SKILL 21.3 Applying Topical Medications to the Skin - p. 561 88. SKILL 21.4 Administering Ophthalmic Medications - p. 567 89. SKILL 21.5 Administering Ear Medications - p. 572 90. SKILL 21.6 Administering Nasal Instillations - p. 576 91. SKILL 21.7 Using Metered-Dose Inhalers (MDIs) - p. 580 92. SKILL 21.8 Using Small-Volume Nebulizers - p. 587 93. SKILL 21.9 Administering Vaginal Instillations - p. 591 94. SKILL 21.10 Administering Rectal Suppositories - p. 595 95. Clinical Debrief - p. 599 96. Review Questions - p. 599 97. References - p. 599 98. 22 Parenteral Medications - p. 601 99. Purpose - p. 601 100. Standards of Care - p. 601 101. Principles for Practice - p. 602 102. Person-Centred Care - p. 602 103. Evidence-Informed Practice - p. 602 104. Safety Guidelines - p. 602 105. SKILL 22.1 Preparing Injections: Ampoules and Vials - p. 606 106. SKILL 22.2 Administering Intradermal Injections - p. 615 107. SKILL 22.3 Administering Subcutaneous Injections - p. 619 108. SKILL 22.4 Administering Continuous Subcutaneous Medications - p. 626 109. SKILL 22.5 Administering Intramuscular Injections - p. 631 110. SKILL 22.6 Administering Medications by Intravenous Bolus - p. 638 111. SKILL 22.7 Administering Intravenous Medications by Piggyback, Intermittent Infusion Sets, and Mini-Infusion Pumps - p. 644 112. Clinical Debrief - p. 650 113. Review Questions - p. 651 114. References - p. 651 115. Unit 9 Oxygenation - p. 652 116. 23 Oxygen Therapy - p. 653 117. 24 Performing Chest Physiotherapy - p. 688 118. 25 Airway Management - p. 700 119. 26 Cardiac Care - p. 735 120. 27 Closed Chest Drainage Systems - p. 745 121. 28 Emergency Measures for Life Support - p. 767 122. Unit 10 Fluid Balance - p. 783 123. 29 Vascular Access and Infusion Therapy - p. 784 124. Purpose - p. 784 125. Standards of Care - p. 784 126. Principles for Practice - p. 785 127. Person-Centred Care - p. 786 128. Evidence-Informed Practice - p. 786 129. Safety Guidelines - p. 786 130. SKILL 29.1 Insertion of a Short-Peripheral Intravenous Access Device - p. 787 131. SKILL 29.2 Initiating and Regulating Intravenous Infusions - p. 799 132. SKILL 29.3 Changing Intravenous Solution Containers - p. 806 133. SKILL 29.4 Changing Administration Sets (Infusion Tubing) - p. 809 134. SKILL 29.5 Changing a Short-Peripheral Venous Access Device Dressing - p. 811 135. SKILL 29.6 Caring for Patients With Central Vascular Access Devices - p. 816 136. Clinical Debrief - p. 829 137. Review Questions - p. 830 138. References - p. 830 139. 30 Blood Therapy - p. 831 140. Unit 11 Nutrition - p. 848 141. 31 Oral Nutrition - p. 849 142. 32 Enteral Nutrition - p. 873 143. 33 Parenteral Nutrition - p. 898 144. Unit 12 Elimination - p. 910 145. 34 Urinary Elimination and Catheterization - p. 911 146. 35 Bowel Elimination and Gastric Intubation - p. 945 147. 36 Ostomy Care - p. 973 148. Unit 13 Care of the Surgical Patient - p. 987 149. 37 Preoperative and Postoperative Care - p. 988 150. 38 Intraoperative Care - p. 1022 151. Unit 14 Dressings and Wound Care - p. 1034 152. 39 Prevention and Care of Skin Breakdown - p. 1035 153. 40 Wound Care Management and Dressings - p. 1076 154. 41 Therapeutic Use of Heat and Cold - p. 1107 155. Unit 15 Nursing in the Community - p. 1125 156. 42 Safety in the Community - p. 1126 157. 43 Self-Care Teaching in the Community - p. 1150 158. Answer Key - p. 1192 159. Appendix A - p. 1208 160. Index - p. 1211 161. Index of Skills and Procedural Guidelines - p. 1240
