Nursing Interventions & Clinical Skills / Edition 3

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Nursing Interventions & Clinical Skills provides complete coverage of basic, intermediate, and advanced skills in a streamlined, visually-oriented format. This text features a unique, user-friendly, full-color presentation, with more than a thousand photos and drawings. The nursing process framework and clear, 2-column format with rationales help put nursing skills into the context of care delivery. Skills are clustered, with similar skills covered together, to reflect the way they are commonly taught.

• Includes basic, intermediate, and advanced skills.
• Standard beginning and completion protocols for each skill are summarized on inside front cover for easy reference so that routine steps need not be constantly repeated.
• Skills are clustered, with similar skills covered together, to reflect the way they are commonly taught.
• Easy-to-follow 2-column format for skills includes rationales for key steps to help students understand why specific techniques are used.
• Nurse-Alerts highlight safety issues or critical steps in the skills
• Glove logo provides a visual reminder to apply clean gloves.
• Delegation Considerations guide nurses when assigning a skill to unlicensed assistive personnel.
• Special considerations include age-related, home-care, and long term care.
• Communication Tips provide guidelines for students on how to prepare, support, and instruct clients.
• Over a thousand full-color photographs and drawings clearly show how steps are performed.

• Six new skills include Wound Vac, Verifying Tube Placement for a Large-Bore or Small-Bore Feeding Tube, Removal of an Indwelling Catheter, Urinary Diversions, Adapting the Home Setting for Clients with Cognitive Deficits, and Medication and Medication Device Safety.
• New chapter on Palliative Care (Chapter 39) covers Care of the Dying Client.
• Includes new 2002 CDC Hand Hygiene guidelines.
• Documentation samples focus on how to document unexpected responses.
• Expanded Home Care and Long Term Care considerations.
• Client teaching is expanded throughout and incorporated into Communication Tips.
• Visually highlights sterile gloving step to emphasize the importance of this essential action.
• Includes new content on brushless surgical scrubbing and antimicrobial agent handwashing.
• New unit on Wound Care (Unit 6) groups wound care, pressure ulcers, dressings and therapeutic use of heat and cold.
• Surgical Wounds and Pressure Ulcers addressed in separate chapters.
• All illustrations include complete legends for quick identification.

The book contains color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Carole A. Kenner, PhD, RN, FAAN (Council of International Neonatal Nurses)
Description: This book is for beginning and advanced students who are applying the nursing process and learning clinical skills. It builds from simple to complex so the students may integrate their acquired knowledge along the way. The previous edition of this book was published in 2000.
Purpose: The purpose is to promote student learning of clinical interventions and skills necessary to provide sound nursing care. These objectives are good ones and met by the authors.
Audience: The audience is beginning and advanced nursing students. The authors are well known in the area of nursing process and foundational nursing care.
Features: The book presents material from simple to complex in an easy to use format. The first part of the book includes basic material on infection control, patient safety, hygiene, and vital signs. The latter portion addresses complex skills such as gastric intubation and enteral nutrition. The student's learning is reinforced by the presentation of the material. It follows the nursing process and includes icons to direct the reader to apply principles of infection control, delegation, age/developmental considerations, and long-term aspects of care. Two of the new features of this edition are a unit on wound care and one on end of life care. In the palliative care section material should be included to address cultural consideration as well as the neonatal/perinatal patient.
Assessment: There are many books available on application of the nursing process but this one's unique features such as use of icons to guide the learner as well as very colorful, accurate photos of skills or aspects of assessment are an excellent teaching/learning enhancement. This book details more of the special considerations than can be found in competing text such as Kozier, et al., Fundamentals of Nursing: Concepts, Process, and Practice, 6th edition (Prentice Hall Health, 2000) or Doenges, et al., Nurse's Pocket Guide: Diagnoses, Interventions, and Rationales, 8th edition (F.A. Davis, 2002).
Susan E. Appling
This nursing skills book covers most nursingtechnologies, moving from basic to complex. Using a two-column tableformat, it outlines both the steps and associated rationale for eachprocedure and the nursing process is used to organize discussion. Thepurpose is to provide a current and comprehensive reference forimplementation of both basic and complex nursing procedures used in thehospital and the home. Clinical nursing students are the targetaudience, and the book is written at an appropriate level to provideclear guidance for performing techniques and monitoring associatedpatient responses. The book features more than 900 color photographsand illustrations that clearly depict key procedural steps. The tableformat, outlining steps and rationale, is easy to use. Associatednursing diagnoses and nursing alerts for each procedure are in boldtype to facilitate recognition, and critical thinking exercises at theend of each chapter are effective teaching/learning tools. Thisnursing skills book, covering most nursing skills from basic tocomplex, is a clear, concise, and current reference for nursingstudents. Discussion of techniques is effectively organized using thesteps of the nursing process, and procedures are outlined andillustrated to facilitate comprehension and accurate implementation. The authors have written several previous and well-accepted texts onthe subject, and this new reference will be a useful addition to thelibraries of students and healthcare facilities.
A text on basic and advanced nursing skills, incorporating the five- step nursing process--diagnosis, evaluation, expected outcomes, implementation, and evaluation--as an organizational framework. Units on subjects such as activities of daily living; administration of medications; perioperative nursing care; and managing complex nursing interventions feature step-by-step, illustrated instructions for nursing procedures, sample documents, and critical thinking exercises, plus gender-biased color photos. Annotation c. Book News, Inc., Portland, OR (

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323022019
  • Publisher: Elsevier Health Sciences
  • Publication date: 6/13/2003
  • Edition description: Third Edition
  • Edition number: 3
  • Pages: 1100
  • Product dimensions: 8.56 (w) x 10.82 (h) x 1.44 (d)

Table of Contents

1 Professional Nursing Practice
Skill 1.1 Standard Protocols for All Interventions
Skill 1.2 Recording
Skill 1.3 Giving a Change-of-Shift Report
Skill 1.4 Writing an Incident Report
2 Facilitating Communication
Skill 2.1 Establishing Therapeutic Communication
Skill 2.2 Comforting
Skill 2.3 Active Listening
Skill 2.4 Interviewing
Skill 2.5 Communicating with an Anxious Client
Skill 2.6 Verbally Deescalating a Potentially Violent Client
3 Promoting Infection Control
Skill 3.1 Handwashing
Skill 3.2 Using Disposable Clean Gloves
Skill 3.2 Caring for Clients under Isolation Precautions
Skill 3.3 Special Tuberculosis Precautions
4 Basic Sterile Techniques
Skill 4.1 Creating and Maintaining a Sterile Field
Skill 4.2 Sterile Gloving
5 Promoting a Safe Environment
Skill 5.1 Safety Equipment and Fall Prevention
Skill 5.2 Designing a Restraint-Free Environment
Skill 5.3 Applying Restraints
Skill 5.4 Seizure Precautions
Skill 5.5 Safety Measures for Radioactive Materials
6 Promoting Activity and Mobility
Skill 6.1 Assisting with Moving and Positioning Clients in Bed
Skill 6.2 Minimizing Orthostatic Hypotension
Skill 6.3 Transferring from Bed to Chair
Skill 6.4 Using a Mechanical (Hoyer) Lift for Transfer from Bed to Chair
Skill 6.5 Transferring from Bed to Stretcher
Skill 6.6 Assisting Ambulation
Skill 6.7 Canes, Crutches, and Walkers
7 Promoting Hygiene
Skill 7.1 Complete Bathing
Procedural Guideline 7.1 Care of Dentures
Skill 7.2 Oral Care
Skill 7.3 Hair Care
Skill 7.4 Foot and Nail Care
Skill 7.5 Bedmaking
Procedural Guideline 7.2 Unoccupied Bedmaking
Skill 7.6 Caring for Incontinent Clients
8 Promoting Nutrition
Skill 8.1 Feeding Dependent Clients
Skill 8.2 Assisting Clients with Impaired Swallowing
Procedural Guideline 8.1 Obtaining Body Weights
9 Assisting with Elimination
Skill 9.1 Monitoring Intake and Output
Skill 9.2 Providing a Bedpan and Urinal
Skill 9.3 Applying an External Catheter
Skill 9.4 Administering an Enema
Skill 9.5 Catheter Care
10 Promoting Comfort, Sleep, and Relaxation
Skill 10.1 Comfort Measures that Promote Sleep
Skill 10.2 Relaxation Techniques
11 Managing Pain
Skill 11.1 Nonpharmacological Pain Management
Skill 11.2 Pharmacological Pain Management
Skill 11.3 Patient-Controlled Analgesia (PCA)
Skill 11.4 Epidural Analgesia
Skill 11.5 Local Anesthetic Infusion Pump
12 Vital Signs
Skill 12.1 Assessing Temperature, Pulse, Respirations, and Blood Pressure
Procedural Guideline 12.1 Electronic Blood Pressure Measurement
Skill 12.3 Measuring Oxygen Saturation with Pulse Oximetry
13 Shift Assessment
Skill 13.1 General Survey
Skill 13.2 Assessing the Thorax and Lungs
Skill 13.3 Assessing the Heart and Neck Vessels
Skill 13.4 Assessing the Abdomen
Skill 13.5 Assessing Neurological Function
14 Laboratory Tests
Skill 14.1 Urine Specimen Collection—Mid-Stream, Sterile Urinary Catheter
Procedural Guideline 14.1 Collect 24-Hour Timed Specimens
Procedural Guideline 14.2 Urine Screening for Glucose, Ketones, Protein, Blood, and pH
Skill 14.2 Testing for Gastrointestinal Alterations (Stool specimen, Hemoccult test, Gastroocult test)
Skill 14.3 Blood Glucose Monitoring
Skill 14.4 Collecting Blood Specimens—Vacutainer, Blood Cultures
Procedural Guideline 14.3 Venipuncture with Syringe
Skill 14.5 Collecting Specimens from the Nose and Throat (nose and Throat Cultures)
Skill 14.6 Collecting Sputum Specimens (Suction and Expectoration)
Skill 14.7 Obtaining Wound Cultures
15 Diagnostic Tests
Skill 15.1 IV Conscious Sedation (IVCS)
Skill 15.2 Contrast Media Studies: Arteriogram, Cardiac Catheterization, Intravenous Pyelogram
Skill 15.3 Assisting with Aspirations: Bone Marrow, Lumbar Puncture, Paracentesis, Thoracentesis
Skill 15.4 Assisting with Bronchoscopy
Skill 15.5 Cardiac Studies
Skill 15.6 Assisting with Endoscopy (Esophagastroduodenoscopy)
Procedural Guideline 15.1 Assisting with Colonoscopy
Skill 15.7 Assisting with Electrocardiograms
16 Preparation for Medication Administration
17 Non-Parenteral Medications
Skill 17.1 Administering Oral Medications
Skill 17.2 Applying Topical Medications
Skill 17.3 Instilling Eye and Ear Medications
Skill 17.4 Using Metered-Dose Inhalers
Skill 17.5 Using Small-Volume Nebulizers
Skill 17.6 Inserting Rectal and Vaginal Medications
18 Administration of Injections
Procedural Guideline 18.1 Reconstituting Medications from a Powder
Procedural Guideline 18.2 Mixing Medications from Vials
Procedural Guideline 18.3 Teaching Self-Injections
Skill 18.1 Subcutaneous Injections (Includes Insulin)
Skill 18.2 Intramuscular Injections
Skill 18.3 Intradermal Injections
Skill 18.4 Continuous Subcutaneous Medications
19 Preparing the Client for Surgery
Skill 19.1 Preoperative Assessment
Skill 19.2 Preoperative Teaching
Skill 19.3 Physical Preparations
20 Intraoperative Techniques
Skill 20.1 Surgical Hand Scrub
Skill 20.2 Donning Sterile Gown and Closed Gloving
21 Caring for the Postoperative Client
Skill 21.1 Providing Immediate Postoperative Care in Postanesthesia Care Unit
Skill 21.2 Providing Comfort Measures During Phase II (Convalescent Phase)
22 Surgical Wound Care
Skill 22.1 Providing Surgical Wound Care
Skill 22.2 Monitoring and Measuring Drainage Devices
Skill 22.3 Removing Staples and Sutures (Including Applying SteriStrips)
23 Pressure Ulcers
Skill 23.1 Pressure Ulcer Risk Assessment and Prevention Strategies
Skill 23.2 Treatment of Pressure Ulcers and Wound Management
24 Dressings
Skill 24.1 Applying Dressings
Skill 24.2 Changing Transparent Dressings
Skill 24.3 Applying Binders and Bandages
Skill 24.4 Wound vac NEW!
25 Therapeutic Use of Heat and Cold
Skill 25.1 Moist Heat
Skill 25.2 Dry Heat
Skill 25.3 Cold Compresses and Ice Bags
26 Special Mattresses and Beds
Skill 26.1 Using a Support Surface Mattress
Skill 26.2 Using a Low-Air-Loss Bed
Skill 26.3 Using an Air-Fluidized Bed
Skill 26.4 Using a Rotokinetic Bed
Skill 26.5 Using a Bariatric Bed
27 Promoting Range of Motion
Skill 27.1 Range of Motion Exercises
Skill 27.2 Continuous Passive Motion (CPM) Machine (for Client with Total Knee Replacement)
28 Traction, Cast Care, and Immobilization Devices
Skill 28.1 Care of Client in Skin Traction
Skill 28.2 Care of Client in Skeletal Traction/Pin Site Care
Skill 28.3 Care of Client During Cast Application
Skill 28.4 Care of Client During Cast Removal
Skill 28.5 Care of Client with an Immobilization Device (Brace, Splint, Sling)
Procedural Guideline 28.1 Sling Application
29 Intravenous Therapy
Skill 29.1 Basic IV Insertion Techniques (Intermittent and Continuous Infusion)
Skill 29.2 Regulating Flow Rates
Skill 29.3 Maintenance of IV Site
Skill 29.4 Administering IV Medications
Skill 29.5 Transfusion with Blood Products
30 Fluid, Electrolyte, and Acid-Base Balance
Skill 30.1 Monitoring Fluid Balance
Skill 30.2 Monitoring Electrolyte Balance
Skill 30.3 Monitoring Acid-Base Balance
31 Promoting Oxygenation
Skill 31.1 Oxygen Administration
Skill 31.2 Airway Management: Noninvasive Interventions
Skill 31.3 Airway Management: Suctioning
Skill 31.4 Airway Management: Endotracheal Tube and Tracheostomy Care
Skill 31.5 Managing Closed Chest Drainage Systems (Including Managing Postoperative Autotransfusions)
32 Gastrointestinal Intubation
Skill 32.1 Inserting Nasogastric Tube (Includes Checking Placement of Nasal Tube)
Skill 32.2 Irrigating Nasogastric Tube
Skill 32.3 Removing Nasogastric Tube
33 Enteral Nutrition
Skill 33.1 Intubating the Client with a Small-Bore Nasogastric or Nasointestinal Feeding Tube
Skill 33.2 Verifying Tube Placement for a Large-Bore or Small-bore Feeding Tube NEW!
Skill 33.3 Administering Tube Feedings
Skill 33.4 Administering Medication Through a Feeding Tube
34 Altered Bowel Elimination
Skill 34.1 Removing Impactions
Skill 34.2 Pouching an Enterostomy
Skill 34.3 Irrigating a Colostomy
35 Altered Urinary Elimination
Skill 35.1 Urinary Catheterization with Indwelling (Retention) Catheter: Female and Male
Skill 35.2 Removal of an Indwelling Catheter NEW!
Skill 35.3 Inserting Straight Catheter for Specimen Collection or Residual
Skill 35.4 Continuous Bladder Irrigation
Skill 35.5 Suprapubic Catheters
Skill 35.6 Urinary Diversions (Continent and Incontinent) NEW!
36 Altered Sensory Perception
Skill 36.1 Caring for an Eye Prosthesis
Skill 36.2 Eye Irrigations
Skill 36.3 Caring for Clients with Hearing Aids
Skill 36.4 Ear Irrigations
37 Emergency Measures for Life Support in the Hospital Setting
Skill 37.1 Resuscitation
Skill 37.2 Code Management
38 Care of the Client with Special Needs
Skill 38.1 Managing Central Venous Lines
Skill 38.2 Administration of Total Parenteral Nutrition
Skill 38.3 Mechanical Ventilation
Skill 38.4 Care of Clients Receiving Hemodialysis
Skill 38.5 Peritoneal Dialysis
39 Palliative Care NEW CHAPTER!
Skill 39.1 Care of the Dying Client NEW!
Skill 39.2 Care of the Body after Death
40 Discharge Teaching and Home Health Management
Skill 40.1 Client Teaching
Skill 40.2 Risk Assessment and Accident Prevention
Skill 40.3 Adapting the Home Setting for Clients with Cognitive Deficits NEW!
Skill 40.4 Medication and Medication Device Safety NEW!
Skill 40.5 Home Oxygen Therapy

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