Learn clinical nursing skills and prepare for success on the Next Generation NCLEX® Examination! Clinical Nursing Skills & Techniques, 10th Edition provides clear, step-by-step guidelines to more than 200 basic, intermediate, and advanced skills. With more than 1,200 full-color illustrations, a nursing process framework, and a focus on evidence-based practice, this manual helps you learn to think critically, ask the right questions at the right time, and make timely decisions. New to this edition are NGN-style unfolding case studies, preparing you for the changes to the NCLEX exam. Written by respected nursing experts Anne Griffin Perry, Patricia A. Potter, Wendy Ostendorf, and Nancy Laplante, this trusted text is the bestselling nursing skills book on the market!
1. Introduction - p. xx 2. 1. Using evidence in nursing practice - p. 2 3. 2. Communication and collaboration - p. 14 4. 3. Admitting, transfer, and discharge - p. 36 5. 4. Documentation and informatics - p. 47 6. Unit 2. Vital Signs and Physical Assessment - p. 66 7. Introduction - p. 66 8. 5. Vital signs - p. 68 9. Purpose - p. 68 10. Practice standards - p. 68 11. Supplemental standards - p. 69 12. Principles for practice - p. 69 13. Patient-centered care - p. 69 14. Evidence-based practice - p. 69 15. Safety guidelines - p. 69 16. ✦ SKILL 5.1 Measuring body temperature - p. 70 17. ✦ SKILL 5.2 Assessing radial pulse - p. 80 18. ✦ SKILL 5.3 Assessing apical pulse - p. 84 19. ✦ SKILL 5.4 Assessing respirations - p. 89 20. ✦ SKILL 5.5 Assessing arterial blood pressure - p. 93 21. ✦ Clinical review questions - p. 106 22. References - p. 106 23. 6. Health assessment - p. 108 24. Purpose - p. 108 25. Practice standards - p. 108 26. Supplemental standards - p. 109 27. Principles for practice - p. 109 28. Patient-centered care - p. 109 29. Evidence-based practice - p. 109 30. Safety guidelines - p. 109 31. Assessment techniques - p. 111 32. Preparation for assessment - p. 113 33. Physical assessment of various age-groups - p. 114 34. ✦ SKILL 6.1 General survey - p. 115 35. ✦ SKILL 6.2 Head and neck assessment - p. 124 36. ✦ SKILL 6.3 Thorax and lung assessment - p. 130 37. ✦ SKILL 6.4 Cardiovascular assessment - p. 138 38. ✦ SKILL 6.5 Abdominal assessment - p. 149 39. ✦ SKILL 6.6 Genitalia and rectum assessment - p. 156 40. ✦ SKILL 6.7 Musculoskeletal and neurological assessment - p. 161 41. ✦ Clinical review questions - p. 170 42. Phase 1 - p. 173 43. Phase 2 - p. 173 44. Phase 3 - p. 174 45. References - p. 175 46. Unit 3. Special Procedures - p. 176 47. Introduction - p. 176 48. 7. Specimen collection - p. 178 49. Purpose - p. 178 50. Practice standards - p. 178 51. Supplemental standards - p. 178 52. Principles for practice - p. 179 53. Patient-centered care - p. 179 54. Evidence-based practice - p. 179 55. Safety guidelines - p. 179 56. ✦ SKILL 7.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter - p. 179 57. ✦ SKILL 7.2 Measuring occult blood in stool - p. 187 58. ✦ SKILL 7.3 Measuring occult blood in gastric secretions (gastroccult) - p. 191 59. ✦ SKILL 7.4 Collecting nose and throat specimens for culture - p. 193 60. ✦ SKILL 7.5 Obtaining vaginal or urethral discharge specimens - p. 197 61. ✦ SKILL 7.6 Collecting a sputum specimen by suction - p. 200 62. ✦ SKILL 7.7 Obtaining wound drainage specimens - p. 204 63. ✦ SKILL 7.8 Collecting blood specimens and culture by venipuncture (syringe and vacutainer method) - p. 207 64. ✦ SKILL 7.9 Blood glucose monitoring - p. 215 65. ✦ SKILL 7.10 Obtaining an arterial specimen for blood gas measurement - p. 221 66. ✦ Clinical review questions - p. 226 67. References - p. 226 68. 8. Diagnostic procedures - p. 228 69. Unit 4. Infection Control - p. 260 70. Introduction - p. 260 71. 9. Medical asepsis - p. 262 72. 10. Sterile technique - p. 278 73. Unit 5. Activity and Mobility - p. 296 74. Introduction - p. 296 75. 11. Safe patient handling and mobility - p. 298 76. 12. Exercise, mobility, and immobilization devices - p. 322 77. 13. Support surfaces and special beds - p. 359 78. Unit 6. Safety and Comfort - p. 378 79. Introduction - p. 378 80. 14. Patient safety - p. 380 81. Purpose - p. 380 82. Practice standards - p. 380 83. Supplemental standards - p. 381 84. Principles for practice - p. 381 85. Patient-centered care - p. 381 86. Evidence-based practice - p. 381 87. Safety guidelines - p. 382 88. ✦ SKILL 14.1 Fall prevention in health care settings - p. 382 89. ✦ SKILL 14.2 Designing a restraint-free environment - p. 391 90. ✦ SKILL 14.3 Applying physical restraints - p. 396 91. ✦ SKILL 14.4 Seizure precautions - p. 404 92. ✦ Clinical review questions - p. 410 93. References - p. 410 94. 15. Disaster preparedness - p. 413 95. 16. Pain management - p. 439 96. Purpose - p. 439 97. Practice standards - p. 439 98. Supplemental standards - p. 440 99. Principles for practice - p. 440 100. Patient-centered care - p. 440 101. Evidence-based practice - p. 441 102. Safety guidelines - p. 441 103. ✦ SKILL 16.1 Pain assessment and basic comfort measures - p. 442 104. ✦ SKILL 16.2 Nonpharmacological pain management - p. 449 105. ✦ SKILL 16.3 Pharmacological pain management - p. 455 106. ✦ SKILL 16.4 Patient-controlled analgesia - p. 461 107. ✦ SKILL 16.5 Epidural analgesia - p. 467 108. ✦ SKILL 16.6 Local anesthetic infusion pump for analgesia - p. 473 109. ✦ SKILL 16.7 Moist and dry heat applications - p. 477 110. ✦ SKILL 16.8 Cold application - p. 483 111. ✦ Clinical review questions - p. 487 112. References - p. 488 113. 17. End-of-life care - p. 491 114. Unit 7. Hygiene - p. 512 115. Introduction - p. 512 116. 18. Personal hygiene and bed making - p. 514 117. Purpose - p. 514 118. Practice standards - p. 514 119. Supplemental standards - p. 514 120. Principles for practice - p. 515 121. Patient-centered care - p. 515 122. Evidence-based practice - p. 515 123. Safety guidelines - p. 515 124. The skin - p. 515 125. The mouth - p. 517 126. The hair - p. 517 127. The nails - p. 517 128. ✦ SKILL 18.1 Complete or partial bed bath - p. 518 129. ✦ SKILL 18.2 Oral hygiene - p. 531 130. ✦ SKILL 18.3 Performing mouth care for an unconscious or debilitated patient - p. 537 131. ✦ SKILL 18.4 Performing nail and foot care - p. 545 132. ✦ Clinical review questions - p. 556 133. References - p. 556 134. 19. Care of the eye and ear - p. 558 135. Unit 8. Medications - p. 580 136. Introduction - p. 580 137. 20. Safe medication preparation - p. 582 138. 21. Nonparenteral medications - p. 605 139. Purpose - p. 605 140. Practice standards - p. 605 141. Supplemental standards - p. 605 142. Principles for practice - p. 606 143. Patient-centered care - p. 606 144. Evidence-based practice - p. 606 145. Safety guidelines - p. 606 146. ✦ SKILL 21.1 Administering oral medications - p. 607 147. ✦ SKILL 21.2 Administering medications through a feeding tube - p. 613 148. ✦ SKILL 21.3 Applying topical medications to the skin - p. 618 149. ✦ SKILL 21.4 Administering ophthalmic medications - p. 623 150. ✦ SKILL 21.5 Administering ear medications - p. 628 151. ✦ SKILL 21.6 Administering nasal instillations - p. 632 152. ✦ SKILL 21.7 Using metered-dose inhalers (MDIs) - p. 635 153. ✦ SKILL 21.8 Using small-volume nebulizers - p. 642 154. ✦ Clinical review questions - p. 649 155. References - p. 650 156. 22. Parenteral medications - p. 652 157. Purpose - p. 652 158. Practice standards - p. 652 159. Supplemental standards - p. 652 160. Principles for practice - p. 653 161. Patient-centered care - p. 653 162. Evidence-based practice - p. 653 163. Safety guidelines - p. 653 164. ✦ SKILL 22.1 Preparing injections: Ampules and vials - p. 657 165. ✦ SKILL 22.2 Administering intradermal injections - p. 666 166. ✦ SKILL 22.3 Administering subcutaneous injections - p. 670 167. ✦ SKILL 22.4 Administering intramuscular injections - p. 678 168. ✦ SKILL 22.5 Administering medications by intravenous bolus - p. 685 169. ✦ SKILL 22.6 Administering intravenous medications by piggyback and syringe pumps - p. 691 170. ✦ SKILL 22.7 Administering medications by continuous subcutaneous infusion - p. 698 171. ✦ Clinical review questions - p. 705 172. Phase 1 - p. 706 173. Phase 2 - p. 707 174. Phase 3 - p. 708 175. References - p. 708 176. Unit 9. Oxygenation - p. 708 177. Introduction - p. 708 178. 23. Oxygen therapy - p. 710 179. Purpose - p. 710 180. Practice standards - p. 710 181. Supplemental standards - p. 710 182. Principles for practice - p. 710 183. Patient-centered care - p. 711 184. Evidence-based practice - p. 711 185. Safety guidelines - p. 711 186. ✦ SKILL 23.1 Applying an oxygen-delivery device - p. 712 187. ✦ SKILL 23.2 Administering oxygen therapy to a patient with an artificial airway - p. 719 188. ✦ SKILL 23.3 Using incentive spirometry - p. 722 189. ✦ SKILL 23.4 Care of a patient receiving noninvasive positive pressure ventilation - p. 725 190. ✦ SKILL 23.5 Care of a patient on a mechanical ventilator - p. 732 191. ✦ Clinical review questions - p. 742 192. References - p. 742 193. 24. Performing chest physiotherapy - p. 744 194. 25. Airway management - p. 757 195. Purpose - p. 757 196. Practice standards - p. 757 197. Supplemental standards - p. 757 198. Principles for practice - p. 757 199. Patient-centered care - p. 758 200. Evidence-based practice - p. 758 201. Safety guidelines - p. 758 202. ✦ SKILL 25.1 Performing oropharyngeal suctioning - p. 759 203. ✦ SKILL 25.2 Airway suctioning - p. 763 204. ✦ SKILL 25.3 Performing endotracheal tube care - p. 774 205. ✦ SKILL 25.4 Performing tracheostomy care - p. 782 206. ✦ Clinical review questions - p. 791 207. References - p. 791 208. 26. Cardiac care - p. 793 209. 27. Closed chest drainage systems - p. 803 210. 28. Emergency measures for life support - p. 826 211. Unit 10. Fluid Balance - p. 848 212. Introduction - p. 848 213. 29. Intravenous and vascular access therapy - p. 850 214. Purpose - p. 850 215. Practice standards - p. 850 216. Supplemental standards - p. 850 217. Principles for practice - p. 850 218. Patient-centered care - p. 851 219. Evidence-based practice - p. 852 220. Safety guidelines - p. 852 221. ✦ SKILL 29.1 Insertion of a short-peripheral intravenous device - p. 853 222. ✦ SKILL 29.2 Regulating intravenous flow rates - p. 868 223. ✦ SKILL 29.3 Changing intravenous solutions - p. 873 224. ✦ SKILL 29.4 Changing infusion tubing - p. 877 225. ✦ SKILL 29.5 Changing a short-peripheral intravenous dressing - p. 881 226. ✦ SKILL 29.6 Managing central vascular access devices - p. 886 227. ✦ Clinical review questions - p. 900 228. References - p. 900 229. 30. Blood therapy - p. 902 230. Unit 11. Nutrition - p. 924 231. Introduction - p. 924 232. 31. Oral nutrition - p. 926 233. 32. Enteral nutrition - p. 950 234. 33. Parenteral nutrition - p. 976 235. Unit 12. Elimination - p. 992 236. Introduction - p. 992 237. 34. Urinary elimination - p. 994 238. 35. Bowel eliminationand gastric intubation - p. 1027 239. 36. Ostomy care - p. 1047 240. Unit 13. Care of the Surgical Patient - p. 1066 241. Introduction - p. 1066 242. 37. Preoperative and postoperative care - p. 1069 243. Purpose - p. 1069 244. Practice standards - p. 1069 245. Supplemental standards - p. 1069 246. Principles for practice - p. 1069 247. Patient-centered care - p. 1070 248. Evidence-based practice - p. 1070 249. Safety guidelines - p. 1070 250. ✦ SKILL 37.1 Preoperative assessment - p. 1071 251. ✦ SKILL 37.2 Preoperative teaching - p. 1075 252. ✦ SKILL 37.3 Patient preparation for surgery - p. 1084 253. ✦ SKILL 37.4 Providing immediate anesthesia recovery in the postanesthesia care unit - p. 1089 254. ✦ SKILL 37.5 Providing early postoperative (phase II) and convalescent phase (phase III) recovery - p. 1097 255. ✦ Clinical review questions - p. 1103 256. References - p. 1104 257. 38. Intraoperative care - p. 1105 258. Unit 14. Dressings and Wound Care - p. 1120 259. Introduction - p. 1120 260. 39. Wound care and irrigation - p. 1122 261. 40. Pressure injury prevention and care - p. 1150 262. 41. Dressings, bandages, and binders - p. 1173 263. Unit 15. Home Care - p. 1208 264. Introduction - p. 1208 265. 42. Home care safety - p. 1210 266. 43. Home care teaching - p. 1234 267. Purpose - p. 1234 268. Practice standards - p. 1234 269. Supplemental standards - p. 1234 270. Principles for practice - p. 1234 271. Client-centered care - p. 1235 272. Evidence-based practice - p. 1235 273. Safety guidelines - p. 1235 274. ✦ SKILL 43.1 Teaching clients to measure body temperature - p. 1235 275. ✦ SKILL 43.2 Teaching blood pressure and pulse measurement - p. 1239 276. ✦ SKILL 43.3 Teaching intermittent self-catheterization - p. 1244 277. ✦ SKILL 43.4 Using home oxygen equipment - p. 1248 278. ✦ SKILL 43.5 Teaching home tracheostomy care and suctioning - p. 1255 279. ✦ SKILL 43.6 Teaching medication self-administration - p. 1260 280. ✦ SKILL 43.7 Managing feeding tubes in the home - p. 1266 281. ✦ SKILL 43.8 Managing parenteral nutrition in the home - p. 1270 282. ✦ Clinical review questions - p. 1275 283. Phase 1 - p. 1276 284. Phase 2 - p. 1277 285. Phase 3 - p. 1278 286. References - p. 1279 287. Appendix A: Terminology/combining forms Prefixes and suffixes - p. 1280 288. Answers to clinical review questions - p. 1283 289. Answers to Next-Generation NCLEX® (NGN)–Style Unfolding Case Studies - p. 1293 290. Index - p. 1312 291. Index of skills and procedural guidelines - p. ES3
Learn clinical nursing skills and prepare for success on the Next Generation NCLEX® Examination! Clinical Nursing Skills & Techniques, 10th Edition provides clear, step-by-step guidelines to more than 200 basic, intermediate, and advanced skills. With more than 1,200 full-color illustrations, a nursing process framework, and a focus on evidence-based practice, this manual helps you learn to think critically, ask the right questions at the right time, and make timely decisions. New to this edition are NGN-style unfolding case studies, preparing you for the changes to the NCLEX exam. Written by respected nursing experts Anne Griffin Perry, Patricia A. Potter, Wendy Ostendorf, and Nancy Laplante, this trusted text is the bestselling nursing skills book on the market!
1. Introduction - p. xx 2. 1. Using evidence in nursing practice - p. 2 3. 2. Communication and collaboration - p. 14 4. 3. Admitting, transfer, and discharge - p. 36 5. 4. Documentation and informatics - p. 47 6. Unit 2. Vital Signs and Physical Assessment - p. 66 7. Introduction - p. 66 8. 5. Vital signs - p. 68 9. Purpose - p. 68 10. Practice standards - p. 68 11. Supplemental standards - p. 69 12. Principles for practice - p. 69 13. Patient-centered care - p. 69 14. Evidence-based practice - p. 69 15. Safety guidelines - p. 69 16. ✦ SKILL 5.1 Measuring body temperature - p. 70 17. ✦ SKILL 5.2 Assessing radial pulse - p. 80 18. ✦ SKILL 5.3 Assessing apical pulse - p. 84 19. ✦ SKILL 5.4 Assessing respirations - p. 89 20. ✦ SKILL 5.5 Assessing arterial blood pressure - p. 93 21. ✦ Clinical review questions - p. 106 22. References - p. 106 23. 6. Health assessment - p. 108 24. Purpose - p. 108 25. Practice standards - p. 108 26. Supplemental standards - p. 109 27. Principles for practice - p. 109 28. Patient-centered care - p. 109 29. Evidence-based practice - p. 109 30. Safety guidelines - p. 109 31. Assessment techniques - p. 111 32. Preparation for assessment - p. 113 33. Physical assessment of various age-groups - p. 114 34. ✦ SKILL 6.1 General survey - p. 115 35. ✦ SKILL 6.2 Head and neck assessment - p. 124 36. ✦ SKILL 6.3 Thorax and lung assessment - p. 130 37. ✦ SKILL 6.4 Cardiovascular assessment - p. 138 38. ✦ SKILL 6.5 Abdominal assessment - p. 149 39. ✦ SKILL 6.6 Genitalia and rectum assessment - p. 156 40. ✦ SKILL 6.7 Musculoskeletal and neurological assessment - p. 161 41. ✦ Clinical review questions - p. 170 42. Phase 1 - p. 173 43. Phase 2 - p. 173 44. Phase 3 - p. 174 45. References - p. 175 46. Unit 3. Special Procedures - p. 176 47. Introduction - p. 176 48. 7. Specimen collection - p. 178 49. Purpose - p. 178 50. Practice standards - p. 178 51. Supplemental standards - p. 178 52. Principles for practice - p. 179 53. Patient-centered care - p. 179 54. Evidence-based practice - p. 179 55. Safety guidelines - p. 179 56. ✦ SKILL 7.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter - p. 179 57. ✦ SKILL 7.2 Measuring occult blood in stool - p. 187 58. ✦ SKILL 7.3 Measuring occult blood in gastric secretions (gastroccult) - p. 191 59. ✦ SKILL 7.4 Collecting nose and throat specimens for culture - p. 193 60. ✦ SKILL 7.5 Obtaining vaginal or urethral discharge specimens - p. 197 61. ✦ SKILL 7.6 Collecting a sputum specimen by suction - p. 200 62. ✦ SKILL 7.7 Obtaining wound drainage specimens - p. 204 63. ✦ SKILL 7.8 Collecting blood specimens and culture by venipuncture (syringe and vacutainer method) - p. 207 64. ✦ SKILL 7.9 Blood glucose monitoring - p. 215 65. ✦ SKILL 7.10 Obtaining an arterial specimen for blood gas measurement - p. 221 66. ✦ Clinical review questions - p. 226 67. References - p. 226 68. 8. Diagnostic procedures - p. 228 69. Unit 4. Infection Control - p. 260 70. Introduction - p. 260 71. 9. Medical asepsis - p. 262 72. 10. Sterile technique - p. 278 73. Unit 5. Activity and Mobility - p. 296 74. Introduction - p. 296 75. 11. Safe patient handling and mobility - p. 298 76. 12. Exercise, mobility, and immobilization devices - p. 322 77. 13. Support surfaces and special beds - p. 359 78. Unit 6. Safety and Comfort - p. 378 79. Introduction - p. 378 80. 14. Patient safety - p. 380 81. Purpose - p. 380 82. Practice standards - p. 380 83. Supplemental standards - p. 381 84. Principles for practice - p. 381 85. Patient-centered care - p. 381 86. Evidence-based practice - p. 381 87. Safety guidelines - p. 382 88. ✦ SKILL 14.1 Fall prevention in health care settings - p. 382 89. ✦ SKILL 14.2 Designing a restraint-free environment - p. 391 90. ✦ SKILL 14.3 Applying physical restraints - p. 396 91. ✦ SKILL 14.4 Seizure precautions - p. 404 92. ✦ Clinical review questions - p. 410 93. References - p. 410 94. 15. Disaster preparedness - p. 413 95. 16. Pain management - p. 439 96. Purpose - p. 439 97. Practice standards - p. 439 98. Supplemental standards - p. 440 99. Principles for practice - p. 440 100. Patient-centered care - p. 440 101. Evidence-based practice - p. 441 102. Safety guidelines - p. 441 103. ✦ SKILL 16.1 Pain assessment and basic comfort measures - p. 442 104. ✦ SKILL 16.2 Nonpharmacological pain management - p. 449 105. ✦ SKILL 16.3 Pharmacological pain management - p. 455 106. ✦ SKILL 16.4 Patient-controlled analgesia - p. 461 107. ✦ SKILL 16.5 Epidural analgesia - p. 467 108. ✦ SKILL 16.6 Local anesthetic infusion pump for analgesia - p. 473 109. ✦ SKILL 16.7 Moist and dry heat applications - p. 477 110. ✦ SKILL 16.8 Cold application - p. 483 111. ✦ Clinical review questions - p. 487 112. References - p. 488 113. 17. End-of-life care - p. 491 114. Unit 7. Hygiene - p. 512 115. Introduction - p. 512 116. 18. Personal hygiene and bed making - p. 514 117. Purpose - p. 514 118. Practice standards - p. 514 119. Supplemental standards - p. 514 120. Principles for practice - p. 515 121. Patient-centered care - p. 515 122. Evidence-based practice - p. 515 123. Safety guidelines - p. 515 124. The skin - p. 515 125. The mouth - p. 517 126. The hair - p. 517 127. The nails - p. 517 128. ✦ SKILL 18.1 Complete or partial bed bath - p. 518 129. ✦ SKILL 18.2 Oral hygiene - p. 531 130. ✦ SKILL 18.3 Performing mouth care for an unconscious or debilitated patient - p. 537 131. ✦ SKILL 18.4 Performing nail and foot care - p. 545 132. ✦ Clinical review questions - p. 556 133. References - p. 556 134. 19. Care of the eye and ear - p. 558 135. Unit 8. Medications - p. 580 136. Introduction - p. 580 137. 20. Safe medication preparation - p. 582 138. 21. Nonparenteral medications - p. 605 139. Purpose - p. 605 140. Practice standards - p. 605 141. Supplemental standards - p. 605 142. Principles for practice - p. 606 143. Patient-centered care - p. 606 144. Evidence-based practice - p. 606 145. Safety guidelines - p. 606 146. ✦ SKILL 21.1 Administering oral medications - p. 607 147. ✦ SKILL 21.2 Administering medications through a feeding tube - p. 613 148. ✦ SKILL 21.3 Applying topical medications to the skin - p. 618 149. ✦ SKILL 21.4 Administering ophthalmic medications - p. 623 150. ✦ SKILL 21.5 Administering ear medications - p. 628 151. ✦ SKILL 21.6 Administering nasal instillations - p. 632 152. ✦ SKILL 21.7 Using metered-dose inhalers (MDIs) - p. 635 153. ✦ SKILL 21.8 Using small-volume nebulizers - p. 642 154. ✦ Clinical review questions - p. 649 155. References - p. 650 156. 22. Parenteral medications - p. 652 157. Purpose - p. 652 158. Practice standards - p. 652 159. Supplemental standards - p. 652 160. Principles for practice - p. 653 161. Patient-centered care - p. 653 162. Evidence-based practice - p. 653 163. Safety guidelines - p. 653 164. ✦ SKILL 22.1 Preparing injections: Ampules and vials - p. 657 165. ✦ SKILL 22.2 Administering intradermal injections - p. 666 166. ✦ SKILL 22.3 Administering subcutaneous injections - p. 670 167. ✦ SKILL 22.4 Administering intramuscular injections - p. 678 168. ✦ SKILL 22.5 Administering medications by intravenous bolus - p. 685 169. ✦ SKILL 22.6 Administering intravenous medications by piggyback and syringe pumps - p. 691 170. ✦ SKILL 22.7 Administering medications by continuous subcutaneous infusion - p. 698 171. ✦ Clinical review questions - p. 705 172. Phase 1 - p. 706 173. Phase 2 - p. 707 174. Phase 3 - p. 708 175. References - p. 708 176. Unit 9. Oxygenation - p. 708 177. Introduction - p. 708 178. 23. Oxygen therapy - p. 710 179. Purpose - p. 710 180. Practice standards - p. 710 181. Supplemental standards - p. 710 182. Principles for practice - p. 710 183. Patient-centered care - p. 711 184. Evidence-based practice - p. 711 185. Safety guidelines - p. 711 186. ✦ SKILL 23.1 Applying an oxygen-delivery device - p. 712 187. ✦ SKILL 23.2 Administering oxygen therapy to a patient with an artificial airway - p. 719 188. ✦ SKILL 23.3 Using incentive spirometry - p. 722 189. ✦ SKILL 23.4 Care of a patient receiving noninvasive positive pressure ventilation - p. 725 190. ✦ SKILL 23.5 Care of a patient on a mechanical ventilator - p. 732 191. ✦ Clinical review questions - p. 742 192. References - p. 742 193. 24. Performing chest physiotherapy - p. 744 194. 25. Airway management - p. 757 195. Purpose - p. 757 196. Practice standards - p. 757 197. Supplemental standards - p. 757 198. Principles for practice - p. 757 199. Patient-centered care - p. 758 200. Evidence-based practice - p. 758 201. Safety guidelines - p. 758 202. ✦ SKILL 25.1 Performing oropharyngeal suctioning - p. 759 203. ✦ SKILL 25.2 Airway suctioning - p. 763 204. ✦ SKILL 25.3 Performing endotracheal tube care - p. 774 205. ✦ SKILL 25.4 Performing tracheostomy care - p. 782 206. ✦ Clinical review questions - p. 791 207. References - p. 791 208. 26. Cardiac care - p. 793 209. 27. Closed chest drainage systems - p. 803 210. 28. Emergency measures for life support - p. 826 211. Unit 10. Fluid Balance - p. 848 212. Introduction - p. 848 213. 29. Intravenous and vascular access therapy - p. 850 214. Purpose - p. 850 215. Practice standards - p. 850 216. Supplemental standards - p. 850 217. Principles for practice - p. 850 218. Patient-centered care - p. 851 219. Evidence-based practice - p. 852 220. Safety guidelines - p. 852 221. ✦ SKILL 29.1 Insertion of a short-peripheral intravenous device - p. 853 222. ✦ SKILL 29.2 Regulating intravenous flow rates - p. 868 223. ✦ SKILL 29.3 Changing intravenous solutions - p. 873 224. ✦ SKILL 29.4 Changing infusion tubing - p. 877 225. ✦ SKILL 29.5 Changing a short-peripheral intravenous dressing - p. 881 226. ✦ SKILL 29.6 Managing central vascular access devices - p. 886 227. ✦ Clinical review questions - p. 900 228. References - p. 900 229. 30. Blood therapy - p. 902 230. Unit 11. Nutrition - p. 924 231. Introduction - p. 924 232. 31. Oral nutrition - p. 926 233. 32. Enteral nutrition - p. 950 234. 33. Parenteral nutrition - p. 976 235. Unit 12. Elimination - p. 992 236. Introduction - p. 992 237. 34. Urinary elimination - p. 994 238. 35. Bowel eliminationand gastric intubation - p. 1027 239. 36. Ostomy care - p. 1047 240. Unit 13. Care of the Surgical Patient - p. 1066 241. Introduction - p. 1066 242. 37. Preoperative and postoperative care - p. 1069 243. Purpose - p. 1069 244. Practice standards - p. 1069 245. Supplemental standards - p. 1069 246. Principles for practice - p. 1069 247. Patient-centered care - p. 1070 248. Evidence-based practice - p. 1070 249. Safety guidelines - p. 1070 250. ✦ SKILL 37.1 Preoperative assessment - p. 1071 251. ✦ SKILL 37.2 Preoperative teaching - p. 1075 252. ✦ SKILL 37.3 Patient preparation for surgery - p. 1084 253. ✦ SKILL 37.4 Providing immediate anesthesia recovery in the postanesthesia care unit - p. 1089 254. ✦ SKILL 37.5 Providing early postoperative (phase II) and convalescent phase (phase III) recovery - p. 1097 255. ✦ Clinical review questions - p. 1103 256. References - p. 1104 257. 38. Intraoperative care - p. 1105 258. Unit 14. Dressings and Wound Care - p. 1120 259. Introduction - p. 1120 260. 39. Wound care and irrigation - p. 1122 261. 40. Pressure injury prevention and care - p. 1150 262. 41. Dressings, bandages, and binders - p. 1173 263. Unit 15. Home Care - p. 1208 264. Introduction - p. 1208 265. 42. Home care safety - p. 1210 266. 43. Home care teaching - p. 1234 267. Purpose - p. 1234 268. Practice standards - p. 1234 269. Supplemental standards - p. 1234 270. Principles for practice - p. 1234 271. Client-centered care - p. 1235 272. Evidence-based practice - p. 1235 273. Safety guidelines - p. 1235 274. ✦ SKILL 43.1 Teaching clients to measure body temperature - p. 1235 275. ✦ SKILL 43.2 Teaching blood pressure and pulse measurement - p. 1239 276. ✦ SKILL 43.3 Teaching intermittent self-catheterization - p. 1244 277. ✦ SKILL 43.4 Using home oxygen equipment - p. 1248 278. ✦ SKILL 43.5 Teaching home tracheostomy care and suctioning - p. 1255 279. ✦ SKILL 43.6 Teaching medication self-administration - p. 1260 280. ✦ SKILL 43.7 Managing feeding tubes in the home - p. 1266 281. ✦ SKILL 43.8 Managing parenteral nutrition in the home - p. 1270 282. ✦ Clinical review questions - p. 1275 283. Phase 1 - p. 1276 284. Phase 2 - p. 1277 285. Phase 3 - p. 1278 286. References - p. 1279 287. Appendix A: Terminology/combining forms Prefixes and suffixes - p. 1280 288. Answers to clinical review questions - p. 1283 289. Answers to Next-Generation NCLEX® (NGN)–Style Unfolding Case Studies - p. 1293 290. Index - p. 1312 291. Index of skills and procedural guidelines - p. ES3
