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Clinical Nursing Skills and Techniques, 11th Edition

Nancy Laplante, Wendy R. Ostendorf, Anne G. Perry, Patricia A. Potter
SKU: 9780443107184
ISBN: 9780443107184
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Learn the clinical nursing skills you will use every day and prepare for success on the Next-Generation NCLEX® Examination! Clinical Nursing Skills & Techniques, 11th 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. Written by a respected team of experts, this trusted text is the bestselling nursing skills book on the market!

New to this edition

  • NEW! All-new Clinical Judgment in Nursing Practice chapter incorporates concepts of the NCSBN clinical judgment model.
  • Updated evidence-based literature is incorporated throughout the skills.
  • NEW! End-of-chapter questions and end-of-unit unfolding case studies provide optimal preparation for the Next-Generation NCLEX® (NGN).
Key Features
  • Comprehensive coverage includes more than 200 basic, intermediate, and advanced nursing skills and procedures.
  • Rationales for each step within skills explain the “why” as well as the “how” of each skill and include citations from the current literature.
  • Clinical Judgments alert you to key steps that affect patient outcomes and help you modify care as needed to meet individual patient needs.
  • UNIQUE! Unexpected Outcomes and Related Interventions sections highlight what might go wrong and how to appropriately intervene.
  • Clinical Review Questions at the end of each chapter provides case-based review questions that focus on issues such as managing conflict, care prioritization, patient safety, and decision-making.
  • More than 1,200 full-color photos and drawings help you visualize concepts and procedures.
  • Nursing process format provides a consistent presentation that helps you apply the process while learning each skill.

Περιεχόμενα

Cover image
Title page
Disclaimer
Table of Contents
Brief contents
Copyright
Dedication
About the authors
Contributors
Reviewers
Preface
    List of Illustrations
    List of Tables
UNIT 1. Supporting the Patient Through the Health Care System
   Introduction
1.  Clinical judgment in nursing practice
    Clinical judgment in nursing practice
    Critical thinking evolving case study
    Critical thinking competencies
    Levels of critical thinking
    Components of critical thinking in the clinical judgment model
    Evaluation of clinical judgments
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
2.  Communication and collaboration
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 2.1 Establishing the nurse-patient relationship
    ✦ SKILL 2.2 Communicating with patients who have difficulty coping
    ✦ SKILL 2.3 Communicating with a cognitively impaired patient
    ♦ SKILL 2.4 Communicating with colleagues
    ✦ SKILL 2.5 Workplace violence and safety
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
3.  Admitting, transfer, and discharge
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    Admitting process
    Transfer process
    Discharge process
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
4.  Documentation and informatics
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    Confidentiality
    Legal guidelines in documentation
    Guidelines for high-quality documentation
    Methods of documentation
    Common electronic health record data screens
    Documentation formats
    Verbal reporting
    Incident or adverse event occurrence reports
    Home care documentation
    Long-term health care documentation
    ✦ Clinical judgment and next-generation NCLEX® examination-style questions
    UNIT 1 Supporting the Patient Through the Health Care System: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 2. Vital Signs and Physical Assessment
   Introduction
5.  Vital signs
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 5.1 Measuring body temperature
    ✦ SKILL 5.2 Assessing radial pulse
    ✦ SKILL 5.3 Assessing apical pulse
    ✦ SKILL 5.4 Assessing respirations
    ✦ SKILL 5.5 Assessing arterial blood pressure
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
6.  Health assessment
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    Assessment techniques
    Preparation for assessment
    Physical assessment of various age-groups
    ✦ SKILL 6.1 General survey
    ✦ SKILL 6.2 Head and neck assessment
    ✦ SKILL 6.3 Thorax and lung assessment
    ✦ SKILL 6.4 Cardiovascular assessment
    ✦ SKILL 6.5 Abdominal assessment
    ✦ SKILL 6.6 Genitalia and rectum assessment
    ✦ SKILL 6.7 Musculoskeletal and neurological assessment
    ✦ Clinical judgment and next generation NCLEX® examination-style questions
    UNIT 2 Vital Signs and Physical Assessment: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 3. Special Procedures
   Introduction
7.  Specimen collection
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 7.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter
    ✦ SKILL 7.2 Measuring occult blood in stool
    ✦ SKILL 7.3 Measuring occult blood in gastric secretions (gastroccult)
    ✦ SKILL 7.4 Collecting nose and throat specimens for culture
    ✦ SKILL 7.5 Obtaining vaginal or urethral discharge specimens
    ✦ SKILL 7.6 Collecting a sputum specimen by suction
    ✦ SKILL 7.7 Obtaining wound drainage specimens
    ✦ SKILL 7.8 Collecting blood specimens and culture by venipuncture (syringe and vacutainer method)
    ✦ SKILL 7.9 Blood glucose monitoring
    ✦ SKILL 7.10 Obtaining an arterial specimen for blood gas measurement
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
8.  Diagnostic procedures
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 8.1 Intravenous moderate sedation
    ✦ SKILL 8.2 Contrast media studies: Arteriogram (angiogram), cardiac catheterization, and intravenous pyelogram
    ✦ SKILL 8.3 Care of patients undergoing aspirations: Bone marrow aspiration/biopsy, lumbar puncture, paracentesis, and thoracentesis
    ✦ SKILL 8.4 Care of a patient undergoing bronchoscopy
    ✦ SKILL 8.5 Care of a patient undergoing endoscopy
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    UNIT 3 Special Procedures: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 4. Infection Control
   Introduction
9.  Medical asepsis
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 9.1 Hand hygiene
    ✦ SKILL 9.2 Caring for patients under isolation precautions
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
10.  Sterile technique
    Purpose
    Practice standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 10.1 Applying and removing cap, mask, and protective eyewear
    ✦ SKILL 10.2 Preparing a sterile field
    ✦ SKILL 10.3 Sterile gloving
    ✦ Clinical judgment and next generation NCLEX® examination−style questions
    UNIT 4 Infection Control: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 5. Activity and Mobility
   Introduction
11.  Safe patient handling and mobility
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 11.1 Using safe and effective transfer techniques
    ✦ SKILL 11.2 Moving and positioning patients in bed
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
12.  Exercise, mobility, and immobilization devices
    Purpose
    Practice standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 12.1 Promoting early activity and exercise
    ✦ SKILL 12.2 Assisting with use of canes, walkers, and crutches
    ✦ SKILL 12.3 Care of a patient with an immobilization device
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
13.  Support surfaces and special beds
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 13.1 Care of the patient on a support surface
    ✦ SKILL 13.2 Care of the patient on a special bed
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    UNIT 5 Activity and Mobility: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 6. Safety and Comfort
   Introduction
14.  Patient safety
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 14.1 Fall prevention in health care settings
    ✦ SKILL 14.2 Designing a restraint-free environment
    ✦ SKILL 14.3 Applying physical restraints
    ✦ SKILL 14.4 Seizure precautions
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
15.  Disaster preparedness
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 15.1 Care of a patient after biological exposure
    ✦ SKILL 15.2 Care of a patient after chemical exposure
    ✦ SKILL 15.3 Care of a patient after radiation exposure
    ✦ SKILL 15.4 Care of a patient after a natural disaster
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
16.  Pain management
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 16.1 Pain assessment and basic comfort measures
    ✦ SKILL 16.2 Nonpharmacological pain management
    ✦ SKILL 16.3 Pharmacological pain management
    ✦ SKILL 16.4 Patient-controlled analgesia
    ✦ SKILL 16.5 Epidural analgesia
    ✦ SKILL 16.6 Local anesthetic infusion pump for analgesia
    ✦ SKILL 16.7 Moist and dry heat applications
    ✦ SKILL 16.8 Cold application
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
17.  End-of-life care
    Purpose
    Practice standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 17.1 Supporting patients and families in grief
    ✦ SKILL 17.2 Symptom management at the end of life
    ✦ SKILL 17.3 Care of the body after death
    ✦ Clinical judgment and next generation NCLEX® examination−style questions
    UNIT 6 Safety and Comfort: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 7. Hygiene
   Introduction
18.  Personal hygiene and bed making
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    The skin
    The oral cavity
    The hair
    The nails
    ✦ SKILL 18.1 Complete or partial bed bath
    ✦ SKILL 18.2 Oral hygiene
    ✦ SKILL 18.3 Performing mouth care for an unconscious or debilitated patient
    ✦ SKILL 18.4 Performing nail and foot care
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
19.  Care of the eye and ear
    Purpose
    Practice standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 19.1 Eye irrigation
    ✦ SKILL 19.2 Ear irrigation
    ✦ SKILL 19.3 Care of hearing aids
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    UNIT 7 Hygiene: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 8. Medications
   Introduction
20.  Safe medication preparation
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    Nursing process
    Reporting medication errors
    Patient and family caregiver teaching
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
21.  Nonparenteral medications
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 21.1 Administering oral medications
    ✦ SKILL 21.2 Administering medications through a feeding tube
    ✦ SKILL 21.3 Applying topical medications to the skin
    ✦ SKILL 21.4 Administering ophthalmic medications
    ✦ SKILL 21.5 Administering ear medications
    ✦ SKILL 21.6 Administering nasal instillations
    ✦ SKILL 21.7 Using metered-dose inhalers (MDIs)
    ✦ SKILL 21.8 Using small-volume nebulizers
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
22.  Parenteral medications
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 22.1 Preparing injections: Ampules and vials
    ✦ SKILL 22.2 Administering intradermal injections
    ✦ SKILL 22.3 Administering subcutaneous injections
    ✦ SKILL 22.4 Administering intramuscular injections
    ✦ SKILL 22.5 Administering medications by intravenous push
    ✦ SKILL 22.6 Administering intravenous medications by piggyback and syringe pumps
    ✦ SKILL 22.7 Administering medications by continuous subcutaneous infusion
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    UNIT 8 Medication Administration: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 9. Oxygenation
   Introduction
23.  Oxygen therapy
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 23.1 Applying an oxygen-delivery device
    ✦ SKILL 23.2 Administering oxygen therapy to a patient with an artificial airway
    ✦ SKILL 23.3 Using incentive spirometry
    ✦ SKILL 23.4 Care of a patient receiving noninvasive positive pressure ventilation
    ✦ SKILL 23.5 Care of a patient on a mechanical ventilator
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
24.  Airway management
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 24.1 Performing oropharyngeal suctioning
    ✦ SKILL 24.2 Suctioning: Open for nasotracheal/pharyngeal and artificial airways
    ✦ SKILL 24.3 Performing endotracheal tube care
    ✦ SKILL 24.4 Performing tracheostomy care
    ✦ Clinical judgment and next generation NCLEX® examination−style questions
    References
25.  Cardiac care
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 25.1 Obtaining a 12-lead electrocardiogram
    ✦ SKILL 25.2 Applying a cardiac monitor
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
26.  Closed chest drainage systems
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 26.1 Managing closed chest drainage systems
    ✦ SKILL 26.2 Assisting with removal of chest tubes
    ✦ SKILL 26.3 Autotransfusion of chest tube drainage
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
27.  Emergency measures for life support
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 27.1 Inserting an oropharyngeal airway
    ✦ SKILL 27.2 Using an automated external defibrillator
    ✦ SKILL 27.3 Resuscitation management
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    UNIT 9 Oxygenation: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 10. Fluid Balance
   Introduction
28.  Intravenous and vascular access therapy
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 28.1 Insertion of a peripheral intravenous device
    ✦ SKILL 28.2 Regulating intravenous flow rates
    ✦ SKILL 28.3 Changing intravenous solutions
    ✦ SKILL 28.4 Changing infusion tubing
    ✦ SKILL 28.5 Changing a peripheral intravenous dressing
    ✦ SKILL 28.6 Managing central vascular access devices
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
29.  Blood therapy
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 29.1 Initiating blood therapy
    ✦ SKILL 29.2 Monitoring for adverse transfusion reactions
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    UNIT 10 Fluid Balance: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 11. Nutrition
   Introduction
30.  Oral nutrition
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 30.1 Performing a nutrition screening
    ✦ SKILL 30.2 Assisting an adult patient with oral nutrition
    ✦ SKILL 30.3 Aspiration precautions
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
31.  Enteral nutrition
    Purpose
    Practice standards
    Supplemental standard
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 31.1 Insertion and removal of a small-bore feeding tube
    ✦ SKILL 31.2 Verifying placement of a feeding tube
    ✦ SKILL 31.3 Irrigating a feeding tube
    ✦ SKILL 31.4 Administering enteral nutrition: Nasogastric, nasointestinal, gastrostomy, or jejunostomy tube
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
32.  Parenteral nutrition
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 32.1 Administering central parenteral nutrition
    ✦ SKILL 32.2 Administering peripheral parenteral nutrition with lipid (fat) emulsion
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    UNIT 11 Nutrition: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 12. Elimination
   Introduction
33.  Urinary elimination
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 33.1 Insertion of a straight or an indwelling urinary catheter
    ✦ SKILL 33.2 Care and removal of an indwelling catheter
    ✦ SKILL 33.3 Performing catheter irrigation
    ✦ SKILL 33.4 Applying an incontinence device
    ✦ SKILL 33.5 Suprapubic catheter care
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
34.  Bowel elimination and gastric intubation
    Purpose
    Practice standards
    Principles of practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 34.1 Administering an enema
    ✦ SKILL 34.2 Insertion, maintenance, and removal of a nasogastric tube for gastric decompression
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
35.  Ostomy care
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 35.1 Pouching a colostomy or an ileostomy
    ✦ SKILL 35.2 Pouching a urostomy
    ✦ SKILL 35.3 Catheterizing a urinary diversion
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    UNIT 12 Elimination: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 13. Care of the Surgical Patient
   Introduction
36.  Preoperative and postoperative care
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 36.1 Preoperative assessment
    ✦ SKILL 36.2 Preoperative teaching
    ✦ SKILL 36.3 Patient preparation for surgery
    ✦ SKILL 36.4 Providing immediate anesthesia recovery in the postanesthesia care unit
    ✦ SKILL 36.5 Providing early postoperative (phase II) and convalescent phase (phase III) recovery
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
37.  Intraoperative care
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 37.1 Surgical hand antisepsis
    ✦ SKILL 37.2 Donning a sterile gown and closed gloving
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    UNIT 13 Care of the Surgical Patient: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 14. Dressings and Wound Care
   Introduction
38.  Wound care and irrigation
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 38.1 Performing a wound irrigation
    ✦ SKILL 38.2 Removing sutures and staples
    ✦ SKILL 38.3 Managing wound drainage evacuation
    ✦ SKILL 38.4 Negative-pressure wound therapy
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    References
39.  Pressure injury prevention and care
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 39.1 Risk assessment, skin assessment, and prevention strategies
    ✦ SKILL 39.2 Treatment of pressure injuries
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
40.  Dressings, bandages, and binders
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 40.1 Applying a dressing (dry and moist dressings)
    ✦ SKILL 40.2 Applying a pressure bandage
    ✦ SKILL 40.3 Applying a transparent dressing
    ✦ SKILL 40.4 Applying a hydrocolloid, hydrogel, foam, or alginate dressing
    ✦ Clinical judgment and next generation NCLEX® examination–style questions
    UNIT 14 Dressings and Wound Care: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
UNIT 15. Home Care
   Introduction
41.  Home care safety
    Purpose
    Practice standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 41.1 Home environment assessment and safety
    ✦ SKILL 41.2 Adapting the home setting for clients with cognitive deficits
    ✦ SKILL 41.3 Medication and medical device safety
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    References
42.  Home care teaching
    Purpose
    Practice standards
    Supplemental standards
    Principles for practice
    Person-centered care
    Evidence-based practice
    Safety guidelines
    ✦ SKILL 42.1 Teaching clients to measure body temperature
    ✦ SKILL 42.2 Teaching blood pressure and pulse measurement
    ✦ SKILL 42.3 Teaching intermittent self-catheterization
    ✦ SKILL 42.4 Using home oxygen equipment
    ✦ SKILL 42.5 Teaching home tracheostomy care and suctioning
    ✦ SKILL 42.6 Teaching medication self-administration
    ✦ SKILL 42.7 Managing feeding tubes in the home
    ✦ SKILL 42.8 Managing parenteral nutrition in the home
    ✦ Clinical judgment and next-generation NCLEX® examination–style questions
    UNIT 15 Home Care: Next-Generation NCLEX® (NGN)–Style Unfolding Case Study
    References
Appendix A
Answers to clinical judgment and next generation NCLEX® examination–style questions
Answers to next generation NCLEX® (NGN)–style unfolding case studies
Index
Index of skills and procedural guidelines

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