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Fundamental Nursing Skills and Concepts / Edition 10

Fundamental Nursing Skills and Concepts / Edition 10

by Barbara K Timby


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Product Details

ISBN-13: 2901608317874
Publisher: LWW
Publication date: 03/28/2012
Edition description: Tenth
Pages: 926
Product dimensions: 6.00(w) x 1.25(h) x 9.00(d)

Table of Contents

Unit 1Exploring Contemporary Nursing1
1Nursing Foundations1
Nursing Origins1
The Nightingale Reformation2
Nursing in the United States3
Contemporary Nursing5
The Educational Ladder5
Future Trends9
Unique Nursing Skills11
2Nursing Process16
Definition of the Nursing Process16
Characteristics of the Nursing Process16
Steps of the Nursing Process17
Use of the Nursing Process25
Unit 2Integrating Basic Concepts29
3Laws and Ethics29
Professional Liability36
4Health and Illness44
Health Care System47
National Health Goals50
Nursing Team51
Continuity of Health Care52
5Homeostasis, Adaptation, and Stress54
Nursing Implications61
6Culture and Ethnicity66
Anglo-American Culture and U.S. Subcultures68
Transcultural Nursing69
Culturally Sensitive Nursing77
Unit 3Fostering Communication81
7The Nurse-Client Relationship81
Nursing Roles within the Nurse-Client Relationship81
The Therapeutic Nurse-Client Relationship83
8Client Teaching90
Importance of Client Teaching90
Assessing the Learner91
Informal and Formal Teaching94
Skill 8-1Teaching Adult Clients96
9Recording and Reporting98
Medical Records98
Methods of Charting101
Protecting Health Information104
Documenting Information106
Communication for Continuity and Collaboration108
Skill 9-1Making Entries in a Client's Record114
Unit 4Performing Assessment and Evaluation117
10Admission, Discharge, Transfer, and Referrals117
The Admission Process117
The Discharge Process124
Client Transfer125
Client Referral128
Skill 10-1Admitting a Client132
Skill 10-2Discharging a Client135
11Vital Signs137
Body Temperature138
Blood Pressure153
Documenting Vital Signs160
Nursing Implications160
Skill 11-1Assessing Body Temperature164
Skill 11-2Assessing the Radial Pulse172
Skill 11-3Assessing the Respiratory Rate174
Skill 11-4Assessing Blood Pressure176
Skill 11-5Obtaining a Thigh Blood Pressure180
Skill 11-6Assessing for Postural Hypotension182
12Physical Assessment185
Overview of Physical Assessment185
Performing a Physical Assessment188
Data Collection190
Nursing Implications203
Skill 12-1Performing a Physical Assessment207
13Special Examinations and Tests209
Examinations and Tests209
Nursing Implications223
Skill 13-1Assisting With a Pelvic Examination226
Skill 13-2Assisting With a Sigmoidoscopy230
Skill 13-3Using a Glucometer233
Unit 5Assisting With Basic Needs237
Overview of Nutrition237
Nutritional Patterns and Practices244
Nutritional Status Assessment245
Management of Problems Interfering with Nutrition248
Management of Client Nutrition251
Skill 14-1Serving and Removing Meal Trays256
Skill 14-2Feeding a Client257
15Fluid and Chemical Balance260
Body Fluid260
Fluid Volume Assessment263
Common Fluid Imbalances266
Intravenous Fluid Administration269
Blood Administration278
Parenteral Nutrition279
Nursing Implications281
Skill 15-1Recording Intake and Output286
Skill 15-2Preparing Intravenous Solutions288
Skill 15-3Starting an Intravenous Infusion292
Skill 15-4Changing IV Solution Containers296
Skill 15-5Changing IV Tubing298
Skill 15-6Discontinuing an Intravenous Infusion299
Skill 15-7Inserting a Medication Lock301
Skill 15-8Administering a Blood Transfusion304
The Integumentary System307
Hygiene Practices309
Visual and Hearing Devices317
Nursing Implications319
Skill 16-1Providing a Tub Bath or Shower323
Skill 16-2Administering Perineal Care325
Skill 16-3Giving a Bed Bath329
Skill 16-4Giving Oral Care to Unconscious Clients332
Skill 16-5Shampooing Hair334
17Comfort, Rest, and Sleep336
The Client Environment336
Sleep and Rest339
Sleep Assessment344
Sleep Disorders345
Nursing Implications347
Skill 17-1Making an Unoccupied Bed352
Skill 17-2Making an Occupied Bed358
Skill 17-3Giving a Back Massage361
Age-Related Safety Factors364
Environmental Hazards365
Nursing Implications375
Skill 18-1Using Physical Restraints378
19Pain Management383
Pain Assessment Standards386
Pain Assessment Data387
Pain Intensity Assessment Tools388
Pain Management389
Nursing Implications395
Skill 19-1Preparing a Patient-Controlled Analgesia (PCA) Infuser400
Skill 19-2Operating a Transcutaneous Electrical Nerve Stimulation (TENS) Unit403
Anatomy and Physiology of Breathing406
Assessing Oxygenation407
Promoting Oxygenation410
Oxygen Therapy413
Related Oxygenation Techniques422
Nursing Implications423
Skill 20-1Using a Pulse Oximeter427
Skill 20-2Administering Oxygen429
Skill 20-3Maintaining a Water-Seal Chest Tube Drainage System432
Unit 6Preventing Infection437
Chain of Infection439
Nursing Implications450
Skill 21-1Handwashing454
Skill 21-2Creating a Sterile Field and Adding Sterile Items457
Skill 21-3Donning Sterile Gloves461
22Infection Control464
Infection Control Precautions465
Infection Control Measures468
Psychological Implications472
Nursing Implications472
Skill 22-1Removing Personal Protective Equipment477
Unit 7Assisting the Inactive Client479
23Body Mechanics, Positioning, and Moving479
Maintaining Good Posture479
Body Mechanics481
Positioning Clients482
Protective Devices486
Transferring Clients489
Nursing Implications490
Skill 23-1Turning and Moving a Client495
Skill 23-2Transferring Clients501
24Therapeutic Exercise506
Fitness Assessment506
Exercise Prescriptions509
Types of Exercise509
Nursing Implications512
Skill 24-1Performing Range-of-Motion (ROM) Exercises516
Skill 24-2Using a Continuous Passive Motion (CPM) Machine523
25Mechanical Immobilization525
Purposes of Mechanical Immobilization525
Mechanical Immobilizing Devices525
Nursing Implications533
Skill 25-1Applying an Arm Sling538
Skill 25-2Assisting With a Cast Application541
Skill 25-3Providing Pin Site Care543
26Ambulatory Aids545
Preparing For Ambulation545
Assistive Devices547
Ambulatory Aids547
Prosthetic Limbs551
Nursing Implications552
Skill 26-1Measuring for Crutches, Canes, and Walkers556
Skill 26-2Assisting With Crutch-Walking560
Skill 26-3Applying a Leg Prosthesis563
Unit 8The Surgical Client567
27Perioperative Care567
Preoperative Period567
Intraoperative Period575
Postoperative Period577
Nursing Implications580
Skill 27-1Applying Antiembolism Stockings584
Skill 27-2Performing Presurgical Skin Preparation586
Skill 27-3Applying a Pneumatic Compression Device588
28Wound Care591
Wound Repair591
Wound Healing593
Wound Management594
Pressure Ulcers602
Nursing Implications603
Skill 28-1Changing a Gauze Dressing608
Skill 28-2Irrigating a Wound612
Skill 28-3Providing a Sitz Bath614
29Gastrointestinal Intubation617
Types of Tubes618
Nasogastric Tube Management620
Nasointestinal Tube Management624
Transabdominal Tube Management624
Tube Feedings625
Intestinal Decompression629
Nursing Implications631
Skill 29-1Inserting a Nasogastric Tube635
Skill 29-2Irrigating a Nasogastric Tube639
Skill 29-3Removing a Nasogastric Tube641
Skill 29-4Administering Tube Feedings643
Unit 9Promoting Elimination649
30Urinary Elimination649
Overview of Urinary Elimination649
Characteristics of Urine650
Abnormal Urinary Elimination Patterns652
Assisting Clients with Urinary Elimination652
Managing Incontinence653
Urinary Diversions659
Nursing Implications659
Skill 30-1Placing and Removing a Bedpan663
Skill 30-2Applying a Condom Catheter665
Skill 30-3Inserting a Foley Catheter in a Female667
Skill 30-4Inserting a Foley Catheter in a Male672
Skill 30-5Irrigating a Foley Catheter677
31Bowel Elimination680
Assessment of Bowel Elimination680
Common Alterations in Bowel Elimination682
Measures to Promote Bowel Elimination684
Ostomy Care685
Nursing Implications687
Skill 31-1Inserting a Rectal Tube691
Skill 31-2Inserting a Rectal Suppository693
Skill 31-3Administering a Cleansing Enema695
Skill 31-4Changing an Ostomy Appliance698
Skill 31-5Irrigating a Colostomy701
Unit 10Medication Administration705
32Oral Medications705
Medication Orders705
Methods of Supplying Medications707
Medication Administration709
Nursing Implications

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