Nursing: A Concept-based Approach To Learning Volume I, I, Iii Plus Mylab Nursing With Pearson Etext -- Acce by Pearson EducationNursing: A Concept-based Approach To Learning Volume I, I, Iii Plus Mylab Nursing With Pearson Etext -- Acce by Pearson Education

Nursing: A Concept-based Approach To Learning Volume I, I, Iii Plus Mylab Nursing With Pearson…

byPearson Education

Book & Toy | July 7, 2014

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For all nursing programs


The state-of-the-art three-volume, concept-based, student-centered introduction to nursing focuses on 51 indispensable biophysical professional and healthcare concepts; and more than 435 nursing skills.

Today, nurses must be able to transfer their knowledge to new situations, and stay current with new disorders, treatments, and evidence-based practice.  Nursing: A Concept-Based Approach to Learning, Volumes I-III, Second Edition with MyNursingLab for Concepts will help them achieve all these goals. Its concept-based approach requires students to participate actively, assume more responsibility for their knowledge, integrate concepts, apply information, and use clinical reasoning. Instead of memorizing thousands of alterations, students gain in-depth knowledge of selected alterations, and learn how to apply that knowledge as new challenges and client presentations come their way.


VOLUME I: The first of three volumes, the fully-updated Volume I focuses on 21 crucial biophysical concepts: acid-base balance; cellular regulation; comfort; digestion; elimination; fluids/electrolytes; health, wellness, and illness; immunity; infection; inflammation; intracranial regulation; metabolism; mobility; nutrition; oxygenation; perfusion; perioperative care; sensory perception; sexuality; thermoregulation, and tissue integrity. These concepts are illuminated with nearly 100 exemplars covering the entire lifespan.


VOLUME II: The second of two volumes, the fully-updated Volume II focuses on 30 crucial concepts every nurse needs to master. It begins with several Psychosocial Modules covering addiction, cognition, culture/diversity, development, family, grief/loss, mood/affect, self, spirituality, stress/coping, and violence. After focusing on reproduction, it turns to the nursing domain, covering assessment, caring interventions, clinical decision making, collaboration, communication, care management, professional behaviors, and client teaching/learning. Finally, it turns to the nurse's broader roles, focusing on accountability, advocacy, evidence-based practice, healthcare systems, health policy, informatics, legal issues, quality improvement, and safety. The 30 concepts included in Volume II are illuminated with more than 80 exemplars covering the entire lifespan.


CONSISTENT PEDAGOGY FOR IMPROVED KNOWLEDGE RETENTION: Volume I and II in the textbook series have an updated concept-level template that presents each concept and exemplar in the same manner:
Each CONCEPT follows the following template: 
Normal Presentation - Developmental Considerations - Alterations - Related Concepts - Physical Assessment - Diagnostic Tests - Interventions & Therapies
Each EXEMPLAR follows the following template: 
Overview - Pathophysiology and Etiology - Clinical Manifestations and Therapies - Nursing Process - Nursing Care Plan  - Relate and Reflect


VOLUME III: The only skills book of its kind, Clinical Nursing Skills: A Concept-Based Approach, Volume III, 2nd edition is designed to meet the specific needs and approach of concept-based nursing programs in teaching key nursing skills. Clinical Nursing Skills: A Concept-based Approach presents more than 435 of the most important skills performed by nurses including common variations. This second edition has been revised, restructured, and updated to reflect the most current nursing practices and standards.


Each skill is characterized by an overarching concept and is presented in exceptional step-by-step detail with beautiful, real-life illustrations, which help students visualize exactly how each skill is completed.


MyNursingLab for Concepts

MyNursingLab for Conceptsis an online homework, tutorial, and assessment program that truly engages students in learning, and is designed to support the concepts and exemplars included in Volumes I and II of Nursing: A Concept-based Approach to Learning, 2e. MyNursingLab for Concepts helps students review, remember, and apply key concepts–resulting in better performance in the course–and provides educators with a dynamic set of tools for gauging individual and class progress.

0133937364 / 9780133937367 Nursing: A Concept-Based Approach to Learning Volume I, I, III Plus MyNursingLab with Pearson eText -- Access Card Package

Package consists of:   

0132934264 / 9780132934268 Nursing: A Concept-Based Approach to Learning, Volume I

0132934272 / 9780132934275 Nursing: A Concept-Based Approach to Learning, Volume II

0133351793 / 9780133351798 Clinical Nursing Skills: A Concept-Based Approach Volume III

0133926842 / 9780133926842 MyNursingLab with Pearson eText -- Access Card -- for Nursing: A Concept-Based Approach to Learning

Michelle Byrne, PhD, RN, CNE, CNOR Dr. Byrne is a professor of nursing at University of West Georgia and teaches nursing education in both the Masters and Doctoral programs. She previously directed the Master of Science in Nursing Education Program at University of North Georgia. Dr. Byrne’s expertise is in the role development of n...
Title:Nursing: A Concept-based Approach To Learning Volume I, I, Iii Plus Mylab Nursing With Pearson…Format:Book & ToyDimensions:1680 pages, 11.26 × 9.06 × 4.72 inPublished:July 7, 2014Publisher:Pearson EducationLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0133937364

ISBN - 13:9780133937367


Table of Contents


PART I: Biophysical Modules

Module 1: Acid-Base Balance

The Concept of Acid-Base Balance

Exemplar 1.1 Metabolic Acidosis

Exemplar 1.2 Metabolic Alkalosis

Exemplar 1.3 Respiratory Acidosis

Exemplar 1.4 Respiratory Alkalosis 

Module 2: Cellular Regulation

The Concept of Cellular Regulation

Exemplar 2.1 Cancer

Exemplar 2.2 Anemia

Exemplar 2.3 Breast Cancer

Exemplar 2.4 Colorectal Cancer

Exemplar 2.5 Leukemia

Exemplar 2.6 Lung Cancer

Exemplar 2.7 Prostate Cancer

Exemplar 2.8 Sickle Cell Disease

Exemplar 2.9 Skin Cancer

Module 3: Comfort

The Concept of Comfort

Exemplar 3.1 Acute and Chronic Pain

Exemplar 3.2 End-of-Life Care

Exemplar 3.3 Fatigue

Exemplar 3.4 Fibromyalgia

Exemplar 3.5 Sleep-Rest Disorders 

Module 4: Digestion (NEW!)

The Concept of Digestion

Exemplar 4.1 Gastroesophageal Reflux Disease (NEW!)

Exemplar 4.2 Hepatitis (NEW!)

Exemplar 4.3 Malabsorption Disorders (NEW!)

Exemplar 4.4 Pancreatitis (NEW!)

Exemplar 4.5 Pyloric Stenosis (NEW!)

Module 5: Elimination

The Concept of Elimination

Exemplar 5.1 Benign Prostatic Hyperplasia

Exemplar 5.2 Bladder Incontinence and Retention

Exemplar 5.3 Bowel Incontinence, Constipation, and Impaction

Exemplar 5.4 Urinary Calculi

Module 6: Fluids and Electrolytes

The Concept of Fluids and Electrolytes

Exemplar 6.1Acute Renal Failure

Exemplar 6.2 Chronic Kidney Disease

Exemplar 6.3 Fluid and Electrolyte Imbalance

Module 7: Health, Wellness, and Illness

The Concept of Health, Wellness, and Illness

Exemplar 7.1 Physical Fitness and Exercise

Exemplar 7.2 Oral Health

Exemplar 7.3 Normal Sleep-Rest Patterns

Module 8: Immunity

The Concept of Immunity

Exemplar 8.1 HIV and AIDS

Exemplar 8.2 Hypersensitivity

Exemplar 8.3 Rheumatoid Arthritis

Exemplar 8.4 Systemic Lupus Erythematosus

Module 9: Infection

The Concept of Infection

Exemplar 9.1 Cellulitis

Exemplar 9.2 Conjunctivitis

Exemplar 9.3 Influenza

Exemplar 9.4 Otitis Media

Exemplar 9.5 Pneumonia

Exemplar 9.6 Sepsis

Exemplar 9.7Tuberculosis

Exemplar 9.8 Urinary Tract Infection

Module 10: Inflammation

The Concept of Inflammation

Exemplar 10.1 Appendicitis

Exemplar 10.2 Gallbladder Disease

Exemplar 10.3 Inflammatory Bowel Disease

Exemplar 10.4 Nephritis

Exemplar 10.5 Peptic Ulcer Disease

Module 11: Intracranial Regulation

The Concept of Intracranial Regulation

Exemplar 11.1 Increased Intracranial Pressure

Exemplar 11.2 Seizure Disorders

Module 12: Metabolism

The Concept of Metabolism

Exemplar 12.1 Diabetes

Exemplar 12.2 Diabetes in Children (NEW!)

Exemplar 12.3 Liver Disease

Exemplar 12.4 Obesity

Exemplar 12.5 Osteoporosis

Exemplar 12.6 Thyroid Disease

Module 13: Mobility

The Concept of Mobility

Exemplar 13.1 Back Problems

Exemplar 13.2 Fractures

Exemplar 13.3 Hip Fractures

Exemplar 13.4 Multiple Sclerosis

Exemplar 13.5 Osteoarthritis

Exemplar 13.6 Parkinson Disease

Exemplar 13.7 Spinal Cord Injury

Module 14: Nutrition (NEW!)

The Concept of Nutrition

Module 15: Oxygenation

The Concept of Oxygenation

Exemplar 15.1 Acute Respiratory Distress Syndrome

Exemplar 15.2 Asthma

Exemplar 15.3 Chronic Obstructive Pulmonary Disease

Exemplar 15.4 Respiratory Syncytial Virus/Bronchiolitis

Exemplar 15.5 Sudden Infant Death Syndrome

Module 16: Perfusion

The Concept of Perfusion

Exemplar 16.1 Cardiomyopathy

Exemplar 16.2 Congenital Heart Defects

Exemplar 16.3 Coronary Artery Disease

Exemplar 16.4 Deep Venous Thrombosis

Exemplar 16.5 Disseminated Intravascular Coagulation

Exemplar 16.6 Heart Failure

Exemplar 16.7 Hypertension

Exemplar 16.8 Life-Threatening Dysrhythmias

Exemplar 16.9 Peripheral Vascular Disease

Exemplar 16.10 Pregnancy-Induced Hypertension

Exemplar 16.11 Pulmonary Embolism

Exemplar 16.12 Shock

Exemplar 16.13 Stroke

Module 17: Perioperative Care (NEW!)

The Concept of Perioperative Care

Module 18: Sensory Perception

The Concept of Sensory Perception

Exemplar 18.1 Hearing Impairment

Exemplar 18.2 Cataracts

Exemplar 18.3 Eye Injuries

Exemplar 18.4 Glaucoma

Exemplar 18.5 Macular Degeneration

Exemplar 18.6 Peripheral Neuropathy

Module 19: Sexuality

The Concept of Sexuality

Exemplar 19.1 Erectile Dysfunction

Exemplar 19.2 Family Planning

Exemplar 19.3 Menopause

Exemplar 19.4 Menstrual Dysfunction

Exemplar 19.5 Responsible Sexual Behavior

Exemplar 19.6 Sexually Transmitted Infections

Module 20: Thermoregulation

The Concept of Thermoregulation

Exemplar 20.1 Hyperthermia

Exemplar 20.2 Hypothermia

Module 21: Tissue Integrity

The Concept of Tissue Integrity

Exemplar 21.1 Burns

Exemplar 21.2 Contact Dermatitis

Exemplar 21.3 Pressure Ulcers

Exemplar 21.4 Wound Healing



PART II: Psychosocial Modules

Module 22: Addiction

The Concept of Addiction

Exemplar 22.1 Alcohol Abuse

Exemplar 22.2 Nicotine Use

Exemplar 22.3 Prenatal Substance Exposure

Exemplar 22.4 Substance Abuse

Module 23: Cognition

The Concept of Cognition

Exemplar 23.1 Alzheimer Disease

Exemplar 23.2 Confusion

Exemplar 23.3 Schizophrenia

Module 24: Culture and Diversity

The Concept of Culture and Diversity

Module 25: Development

The Concept of Development

Exemplar 25.1 Attention-Deficit/Hyperactivity Disorder

Exemplar 25.2 Autism Spectrum Disorders

Exemplar 25.3 Cerebral Palsy

Exemplar 25.4 Failure to Thrive

Module 26: Family

The Concept of Family

Exemplar 26.1 Family Health Promotion

Exemplar 26.2 Family Response to Health Alterations

Module 27: Grief and Loss

The Concept of Grief and Loss

Exemplar 27.1 Children’s Response to Loss

Exemplar 27.2 Death and Dying

Exemplar 27.3 Older Adult’s Response to Loss

Exemplar 27.4 Perinatal Loss

Module 28: Mood and Affect (UPDATED for DSM-5!)

The Concept of Mood and Affect

Exemplar 28.1 Depression

Exemplar 28.2 Adjustment Disorder with Depressed Mood

Exemplar 28.3 Bipolar Disorders

Exemplar 28.4 Postpartum Depression

Module 29: Self

The Concept of Self

Exemplar 29.1 Feeding and Eating Disorders

Exemplar 29.2 Personality Disorders

Module 30: Spirituality

The Concept of Spirituality

Exemplar 30.1 Morality

Exemplar 30.2 Religion

Exemplar 30.3 Spiritual Distress

Module 31: Stress and Coping

The Concept of Stress and Coping

Exemplar 31.1 Anxiety Disorders

Exemplar 31.2 Crisis

Exemplar 31.3 Obsessive-Compulsive Disorder

Exemplar 31.4 Phobias

Exemplar 31.5 Posttraumatic Stress Disorder

Module 32: Violence

The Concept of Violence

Exemplar 32.1 Abuse

Exemplar 32.2 Assault and Homicide

Exemplar 32.3 Rape and Rape-Trauma Syndrome

Exemplar 32.4 Suicide

Exemplar 32.5 Unintentional Injury: MVCs


PART III: Reproduction Module

Module 33: Reproduction

The Concept of Reproduction

Exemplar 33.1 Antepartum Care

Exemplar 33.2 Intrapartum Care

Exemplar 33.3 Postpartum Care

Exemplar 33.4 Newborn Care

Exemplar 33.5 Prematurity


PART IV: Nursing Domain

Module 34: Assessment

The Concept of Assessment

Module 35: Caring Interventions

The Concept of Caring Interventions

Module 36: Clinical Decision Making

The Concept of Clinical Decision Making

Exemplar36.1The Nursing Process

Exemplar 36.2 The Nursing Plan of Care (NEW!)

Exemplar 36.3 Prioritizing Care

Module 37: Collaboration

The Concept of Collaboration

Exemplar 37.1 Case Management

Exemplar 37.2 Conflict Resolution

Exemplar 37.3 Interdisciplinary Teams

Module 38: Communication

The Concept of Communication

Exemplar 38.1 Groups and Group Communication (NEW!)

Exemplar 38.2 Therapeutic Communication

Exemplar 38.3 Documentation

Exemplar 38.4 Reporting

Module 39: Managing Care

The Concept of Managing Care

Exemplar 39.1Care Coordination

Exemplar 39.2 Cost-Effective Care

Exemplar 39.3 Delegation

Exemplar 39.4 Management Principles

Module 40: Professional Behaviors

The Concept of Professional Behaviors

Exemplar 40.1 Commitment to Profession

Exemplar 40.2 Leadership Principles

Exemplar 40.3 Work Ethic

Module 41: Teaching and Learning

The Concept of Teaching and Learning

Exemplar 41.1 Client/Consumer Education

Exemplar 41.2 Mentoring

Exemplar 41.3 Professional Development


PART V: Healthcare Domain

Module 42: Accountability

The Concept of Accountability

Exemplar 42.1 Competence

Exemplar 42.2 Professional Development

Module 43: Advocacy

The Concept of Advocacy

Module 44: Ethics

The Concept of Ethics

Exemplar 44.1 Ethical Dilemmas

Exemplar 44.2 Patient Rights

Module 45: Evidence-Based Practice

The Concept of Evidence-Based Practice

Module 46: Healthcare Systems

The Concept of Healthcare Systems

Exemplar 46.1 Access to Health Care

Exemplar 46.2 Allocation of Resources

Exemplar 46.3 Emergency Preparedness

Module 47: Health Policy

The Concept of Health Policy

Exemplar 47.1 Accrediting Bodies

Exemplar 47.2 Professional Organizations

Exemplar 47.3 Regulatory Agencies

Exemplar 47.4 Types of Reimbursement

Module 48: Informatics

The Concept of Informatics

Exemplar 48.1 Clinical Decision Support Systems

Exemplar 48.2 Individual Information at Point of Care

Module 49: Legal Issues

The Concept of Legal Issues

Exemplar 49.1 Nurse Practice Acts

Exemplar 49.2 Advance Directives

Exemplar 49.3 HIPAA

Exemplar 49.4 Just Culture (NEW!)

Exemplar 49.5 Mandatory Reporting

Exemplar 49.6 Risk Management

Module 50: Quality Improvement

The Concept of Quality Improvement

Module 51: Safety

The Concept of Safety

Exemplar 51.1 Safety Considerations Across the Life Span (NEW!)

Exemplar 51.2 Workplace Safety (NEW!)




Chapter 1   Assessments                              

(General Assessment)

SKILL 1.1   Assessing Appearance and Mental Status

SKILL 1.2   Measuring Height for Child and Adult

SKILL 1.3   Measuring Weight

SKILL 1.4   Measuring Body Mass Index

SKILL 1.5   Measuring the Newborn’s Head, Chest, and Abdomen

SKILL 1.6   Measuring Length on an Infant and Small Child

(Vital Signs)

SKILL 1.7   Assessing Body Temperature

SKILL 1.8   Assessing an Apical Pulse

SKILL 1.9   Assessing Peripheral Pulses

SKILL 1.10 Assessing Respirations

SKILL 1.11 Assessing the Respiratory Rate of an Infant and Child

SKILL 1.12 Assessing Blood Pressure

SKILL 1.13 Assessing Blood Pressure of Infant and Child

SKILL 1.14 Using a Pulse Oximeter

(Complete Assessment)

SKILL 1.15   Assessing the Skin

SKILL 1.16   Assessing the Hair

SKILL 1.17   Assessing the Nails

SKILL 1.18   Assessing the Musculoskeletal System

SKILL 1.19   Assessing the Neurologic System

SKILL 1.20   Assessing the Skull and Face

SKILL 1.21   Assessing the Eyes and Vision

SKILL 1.22   Assessing Visual Acuity

SKILL 1.23   Assessing the Ears and Hearing

SKILL 1.24   Positioning a Child for an Otoscopic Examination

VARIATION   Supine Position

VARIATION   Sitting Position

SKILL 1.25   Assessing Hearing Acuity

SKILL 1.26   Assessing the Nose and Sinuses

SKILL 1.27   Assessing the Mouth and Oropharynx

SKILL 1.28   Assessing the Neck

SKILL 1.29   Assessing the Thorax and Lungs

SKILL 1.30   Assessing the Heart and Central Vessels

SKILL 1.31   Assessing the Peripheral Vascular System

SKILL 1.32   Neurovascular Assessment

SKILL 1.33   Assessing the Breasts and Axillae

SKILL 1.34   Assessing the Abdomen

SKILL 1.35   Assessing the Female Genitals and Inguinal Area

SKILL 1.36   Assessing the Male Genitalia and Inguinal Area

SKILL 1.37   Assessing the Anus

Chapter 2   Caring Interventions

(Beds and Activities of Daily Living (ADLs))

SKILL 2.1     Changing an Unoccupied Bed

SKILL 2.2     Changing an Occupied Bed

SKILL 2.3     Providing Oral Care

SKILL 2.4     Providing Special Oral Care for the Unconscious or Debilitated Client

SKILL 2.5     Bathing an Adult or Pediatric Client

SKILL 2.6     Changing Gown for Client with IV

SKILL 2.7     Providing Perineal-Genital Care

SKILL 2.8     Providing Hair Care

SKILL 2.9     Shaving a Male Client

SKILL 2.10   Shampooing Hair

SKILL 2.11   Identifying and Removing the Presence of Lice and Nits (Lice Eggs)

SKILL 2.12   Providing Nail Care

SKILL 2.13   Providing Foot Care

SKILL 2.14   Providing Routine Eye Care

SKILL 2.15   Removing and Cleaning an Artificial Eye (Ocular Prosthesis)

SKILL 2.16   Removing and Cleaning Contact Lenses

SKILL 2.17   Removing, Cleaning, and Inserting a Hearing Aid

(Home Care)

SKILL 2.18   HOME SETTING: Bathing Client in the Home

SKILL 2.19   HOME SETTING: Transferring Client to Tub or Shower

SKILL 2.20   HOME SETTING: Adapting Bedmaking to the Home

SKILL 2.21   HOME SETTING: Providing Wound Care

SKILL 2.22   HOME SETTING: Removing Lice

SKILL 2.23   HOME SETTING: Administering Medications

SKILL 2.24   HOME SETTING: Sterilizing Nondisposable Medication Equipment

(Medication Administration)

SKILL 2.25   Preparing for Medication Administration

SKILL 2.26   Administering Medical Protocol

SKILL 2.27   Using the Narcotic Control System

SKILL 2.28   Using an Automated Dispensing System

SKILL 2.29   Administering Medication Protocol

(Medication Preparation)

SKILL 2.30   Calculating Dosages

SKILL 2.31   Preparing Medications from Ampules

SKILL 2.32   Preparing Medications from Vials

SKILL 2.33  Mixing Medications Using One Syringe

SKILL 2.34   Preparing Injections

SKILL 2.35  Positioning a Child for Injections or Intravenous Access

(Enteral, Eye, Ear, Nose, Inhalation, Topical, Transdermal, Vaginal, and Rectal Routes)

SKILL 2.36   Administering Oral Medications  

SKILL 2.37   Administering Medications by Enteral Tube

SKILL 2.38   Administering Sublingual Medications

SKILL 2.39   Administering Ophthalmic Medications

SKILL 2.40   Administering Otic Medications

SKILL 2.41   Administering Nasal Medications

SKILL 2.42   Administering Metered-Dose Inhaler Medications

SKILL 2.43   Administering Dry Powder Inhaled (DPI) Medications

SKILL 2.44  Administering Medication by Nonpressurized (Nebulized) Aerosol (NPA)

SKILL 2.45   Administering Topical Medications

SKILL 2.46   Applying a Transdermal Medication Patch

SKILL 2.47   Administering Vaginal Medications

SKILL 2.48   Administering Rectal Medications

(Parenteral Routes)

SKILL 2.49   Administering Intradermal Injections

SKILL 2.50    Administering Subcutaneous Injections

SKILL 2.51   Administering Subcutaneous Anticoagulates (Heparin, LMWH, Arixtra)

SKILL 2.52    Administering Intramuscular (IM) Injections

SKILL 2.53    Using Z-Track Method

SKILL 2.54    Adding Medications to Intravenous Fluid Containers

SKILL 2.55    Administering Intermittent Intravenous Medication Using a Secondary Set

SKILL 2.56    Administering Intravenous Medications Using IV Push

SKILL 2.57    Administering Intraosseous (IO) Medications

Chapter 3   Cellular Regulation

SKILL 3.1     Assisting with Bone Marrow Aspiration

SKILL 3.2     Administering Blood Transfusions

SKILL 3.3     Administering Blood Components

Chapter 4   Comfort

Acute/Chronic Pain Management

SKILL 4.1     Assessing the Client in Pain

SKILL 4.2     Teaching Controlled Breathing

SKILL 4.3     Teaching Progressive Muscle Relaxation

SKILL 4.4     Providing a Back Massage

SKILL 4.5     Assisting with Guided Imagery

SKILL 4.6     Teaching bedtime strategies to promote and regulate sleep

SKILL 4.7    Managing a TENS Unit

SKILL 4.8    Managing Pain with a PCA Pump

(Heat and Cold Application)

SKILL 4.9    Applying Dry Heat Measures: Hot Water Bottle, Electric Heating Pad, Aquathermia Pad, Disposable Hot Pack

SKILL 4.10  Applying Compresses and Moist Packs

SKILL 4.11  Assisting with a Sitz Bath

SKILL 4.12  Providing Tepid Sponges

SKILL 4.13  Monitoring an Infant Radiant Warmer

SKILL 4.14  Applying Dry Cold Measures: Ice Bag, Ice Collar, Ice Glove, Disposable Cold Pack

SKILL 4.15   Using a Cooling Blanket

SKILL 4.16   Meeting the Physiologic Needs of the Dying Client

Skill 4.17  Performing Postmortem Care

Chapter 5  Digestion

SKILL 5.1    Teaching Stress Reduction Strategies

SKILL 5.2    Teaching Relaxation Strategies

SKILL 5.3    Teaching the Client Lifestyle and Behavioral Modifications

SKILL 5.4    Teaching the Client Dietary Management

VARIATION  Teaching the Parents Dietary Management

SKILL 5.5    Using Enteric Contact Precautions

Chapter 6  Elimination

(Assessment – Collecting Specimens)

SKILL 6.1   Collecting a Routine Urine Specimen  

SKILL 6.2   Collecting a 24-Hour Urine Specimen

SKILL 6.3   Collecting a Urine Specimen for Culture and Sensitivity by the Clean-Catch Method

VARIATION   Obtaining a Urine Specimen from a Closed Drainage System

SKILL 6.4   Obtaining Urine Specimen from an Ileal Conduit

SKILL 6.5   Performing Urine Tests

SKILL 6.6   Using a Bladder Scanner

SKILL 6.7   Obtaining & Testing Stool Specimen

SKILL 6.8   Collecting Stool for Bacterial Culture

SKILL 6.9   Teaching Parents to Test for Pinworms

SKILL 6.10 Collecting Stool for Ova and Parasites

(Bladder Interventions)

SKILL 6.11 Assisting with a Bedpan

SKILL 6.12 Assisting with a Urinal

SKILL 6.13 Assisting Client to the Commode

SKILL 6.14 Applying an External Urinary Device

SKILL 6.15 Performing Urinary Catheterization

SKILL 6.16 Performing Catheter Care and Removal

SKILL 6.17 Performing Bladder Irrigation

VARIATION   Open Irrigation Using a Two-Day In-Dwelling Catheter

SKILL 6.18 Maintaining Continuous Bladder Irrigation

SKILL 6.19 Providing Subrapubic Catheter Care

SKILL 6.20 Performing Urinary Ostomy Care

SKILL 6.21 Applying a Urinary Diversion Pouch

(Bowel Interventions)

SKILL 6.22   Developing a Regular Bowel Routine

SKILL 6.23   Inserting a Rectal Tube

SKILL 6.24   Removing Fecal Impaction

SKILL 6.25   Administering an Enema

VARIATION  Administering an Enema to an Incontinent Client

VARIATION  Administering a Return-Flow Enema

SKILL 6.26   Administering a Retention Enema

SKILL 6.27   Applying a Fecal Ostomy Pouch

SKILL 6.28   Changing a Bowel Diversion Ostomy Appliance

VARIATION   Emptying a Drainage Pouch


SKILL 6.29   Assisting with Peritoneal Dialysis Catheter Insertion

SKILL 6.30   Conducting Peritoneal Dialysis Procedures

SKILL 6.31   Providing Hemodialysis

SKILL 6.32   Providing Ongoing Care of Hemodialysis Client

SKILL 6.33   Terminating Hemodialysis

SKILL 6.34   Maintaining Central Venous Dual-Lumen Dialysis Catheter (DLC)

(Home Care)

SKILL 6.35   HOME SETTING: Using Clean Technique for Intermittent Self-Catheterization

SKILL 6.36   HOME SETTING: Providing Suprapubic Catheter Care

SKILL 6.37   HOME SETTING: Administering Continuous Ambulatory Peritoneal Dialysis (CAPD)

SKILL 6.38   HOME SETTING: Changing Dressing for a CAPD Client

SKILL 6.39   HOME SETTING: Instructing Client in Colostomy Irrigation

Chapter 7  Fluids and Electrolytes

SKILL 7.1   Monitoring Intake and Output

(Intravenous Therapy)

SKILL 7.2   Establishing Intravenous Infusions

SKILL 7.3   Performing Venipuncture with All Variations

VARIATION   Inserting a Butterfly (Winged-Tip) Needle

SKILL 7.4   Regulating Infusion Flow Rate

SKILL 7.5   Using an Infusion Pump or Controller

SKILL 7.6   Using a “Smart” Pump

SKILL 7.7   Using a Syringe Pump (mini-infuser pump)

SKILL 7.8   Maintaining Infusions

SKILL 7.9   Maintaining Intermittent Infusion Devices

SKILL 7.10 Discontinuing Infusion Devices

SKILL 7.11 Maintaining Intraosseous Infusion Adult

VARIATION  Maintaining Intraosseous Infusion Child

SKILL: 7.12 Infusing IV Fluids through a Central Line

SKILL 7.13 Assisting with Percutaneous Central Vascular Catheterization

SKILL 7.14 Managing Central Lines

VARIATION  Managing the Triple Lumen Catheter

SKILL 7.15 Changing a Central Line Dressing

SKILL 7.16 Working with Implanted Vascular Access Devices

SKILL 7.17 Changing a PICC Line Dressing

Chapter 8  Infection

SKILL 8.1  Hand Hygiene (Medical Asepsis)

VARIATION   Using Waterless Antiseptic Agents (Foams or Gels)

VARIATION Hand Hygiene before Sterile Skills

(Personal Protective Equipment (PPE) and Isolation Precautions)

SKILL 8.2   Latex Precautions

SKILL 8.3   Donning & Removing Clean Gloves

SKILL 8.4   Donning and Removing Isolation Attire

SKILL 8.5   Using a Mask

SKILL 8.6  Assessing Vital Signs

SKILL 8.7  Removing Items from Isolation Room

SKILL 8.8  Utilizing Double-Bagging for Isolation

SKILL 8.9  Removing Specimen from Isolation Room

SKILL 8.10 Transporting Isolation Client Outside Room

SKILL 8.11 Removing Soiled Large Equipment from Isolation Room

(Personal Protective Equipment at Home)

SKILL 8.12   Preparing for Client Care

SKILL 8.13   HOME SETTING: Disposing of Waste Material

SKILL 8.14   HOME SETTING: Caring for an AIDS or HIV Client

SKILL 8.15   HOME SETTING: Teaching Preventative Measures

SKILL 8.16   Teaching Safer Practices to IV Drug Users

Chapter 9  Intracranial Regulation

SKILL 9.1    Glasgow Coma Scale

SKILL 9.2    Assisting with Lumbar Puncture

SKILL 9.3     Intracranial Pressure Monitoring and Daily Care

SKILL 9.4     Implementing Seizure Precautions

SKILL 9.5    Management of Seizure Activity

Chapter 10  Metabolism

SKILL 10.1   Assessment for Endocrine Variances

SKILL 10.2   Teaching the Client with Endocrine Variances Dietary Management

SKILL 10.3   Teaching the Client with Endocrine Variances Lifestyle and Behavioral Modification Strategies

SKILL 10.4   Assisting with Paracentesis


SKILL 10.5   Teaching the Diabetic Self-Assessment and Care of Feet

SKILL 10.6   Teaching the Diabetic Client Dietary Management

SKILL 10.7   Obtaining a Capillary Blood Specimen and Measuring Blood Glucose

SKILL 10.8   Preparing Insulin Injections

SKILL 10.9   Teaching Blood Glucose Monitoring and Self Administration of Insulin Adult


SKILL 10.10 Teaching Client to Use Insulin Delivery System – Insulin Pen

SKILL 10.11 Teaching Use of Insulin Pump

Chapter 11  Mobility

SKILL 11.1   Applying Body Mechanics

SKILL 11.2   Performing Passive Range of Motion Exercises

(Positioning a Client)

SKILL 11.3   Supporting the Client’s Position in Bed

VARIATION   Supporting a Client in Fowler’s Position

VARIATION   Supporting a Client in the Dorsal Recumbent Position

VARIATION   Supporting a Client in the Prone Position

VARIATION   Supporting a Client in the Lateral Position

VARIATION   Supporting a Client in the Sims’ Position

VARIATION   Supine Position

VARIATION   Sitting Position

SKILL 11.4   Positioning Nonhospital Bed for Client Care

(Moving and Transferring a Client)

SKILL 11.5   Moving a Client Up in Bed

VARIATION A Client with Limited Strength of the Upper Extremities

SKILL 11.6   Turning a Client to the Lateral or Prone Position in Bed

VARIATION   Turning the Client to a Prone Position

SKILL 11.7   Logrolling a Client

VARIATION   Using a Turn or Lift Sheet

SKILL 11.8  Assisting the Client to Sit on Side of Bed (Dangle)

VARIATION   Teaching a Client How to Sit on the Side of Bed Independently

SKILL 11.9   Transferring Between Bed and Chair

VARIATION   Angling the Wheelchair

VARIATION   Transferring without a Belt

VARIATION   Transferring with a Belt and Two Nurses

VARIATION   Transferring a Client with an Injured Lower Extremity

VARIATION   Using a Sliding Board or sheet

SKILL 11.10    Transferring between Bed and Stretcher

VARIATION   Using a Transfer Board

SKILL 11.11   Using a Hydraulic Lift

SKILL 11.12 Assisting the Client to Ambulate

VARIATION   Two Nurses

SKILL 11.13   Transporting the Infant

SKILL 11.14   Transport of the Toddler

(Client Using Assistive Devices)

Assessing for Fall Prevention

SKILL 11.15   Assisting the Client to Use a Cane

SKILL 11.16   Assisting the Client to Use Crutches

VARIATION Four-Point Alternate Gait

VARIATION Three-Point Gait

VARIATION Two-Point Alternate Gait

VARIATION Swing-to Gait

VARIATION Swing-through Gait

VARIATION Getting into a Chair

VARIATION Getting out of a Chair

VARIATION Going up Stairs

VARIATION Going down Stairs

SKILL 11.17   Assisting the Client to Use a Walker

(Traction and Cast Care)

SKILL 11.18 Caring for Clients in Traction

VARIATION Caring for the Client in Skin Traction

VARIATION Skeletal Traction

SKILL 11.19 Applying and Monitoring Skin Traction for a Child

SKILL 11.20 Performing Initial Cast Care

SKILL 11.21 Performing Ongoing Cast Care

VARIATION: Plaster Cast

VARIATION: Synthetic Cast

SKILL 11.22 Performing Care for a Child with a Cast

Chapter 12  Nutrition

Kozier: Nutritional Variations Throughout the Life Cycle p 1257-1260; Lifespan Considerations Nutrition p. 1263-1264;

SKILL 12.1   Taking a Nutritional Assessment

SKILL 12.2   Assisting an Adult to Eat

SKILL 12.3   Assisting the Dysphagic Client to Eat

(Nutrition via Tube)

SKILL 12.4   Inserting a Nasogastric Tube

SKILL 12.5   Flushing/Maintaining a Nasogastric NG (Tube)

SKILL 12.6   Performing Gastric Lavage

SKILL 12.7   Removing a Nasogastric Tube

SKILL 12.8   Administering a Tube Feeding

VARIATION   Feeding Bag (Open System)

VARIATION Syringe (Open System)

VARIATION Prefilled Bottle with Drip Chamber (Closed System)

VARIATION   Continuous-Drip Feeding

SKILL 12.9   Administering a Gastrostomy or Jejunostomy Feeding

SKILL 12.10 Providing Continuous Feeding via Small-Bore Nasointestinal/Jejunostomy Tube

(Nutrition via IV Infusion)

SKILL 12.11   Providing Total Parental Nutrition

SKILL 12.12   Infusing IV Lipids

SKILL 12.13   Administering Total Nutrient Admixture (TNA) in the Home

SKILL 12.14   Monitoring Client on TNA

SKILL 12.15   Discontinuing TNA Infusion

Chapter 13  Oxygenation


SKILL 13.1   Collecting a Sputum Specimen

SKILL 13.2   Obtaining Nose & Throat Specimens

VARIATION   For a Throat Specimen

VARIATION For a Nasal Specimen

VARIATION   Obtaining a Nasopharyngeal Culture

SKILL 13.3   Measuring Peak Expiratory Flow Rate


SKILL 13.4   Using an Incentive Spirometer

VARIATION   For a Flow-Oriented SMI
VARIATION   For All Devices

SKILL 13.5 Pursed-Lip Breathing

SKILL 13.6 Preparing Client for Chest Physiotherapy (CPT)

SKILL 13.7   Assisting with Thoracentesis

(Supplemental Oxygen Therapy)

SKILL 13.8   Using a Portable Oxygen Cylinder

SKILL 13.9   Administering Oxygen by Nasal Cannula, Face Masks, or Face Tent

VARIATION   Using a low flow oxygen Nasal Cannula

VARIATION   Using a high flow oxygen Nasal Cannula

VARIATION   Face Masks

VARIATION  Simple Face Mask

VARIATION  Venturi Face Mask

VARIATION  Partial Rebreathing Mask

VARIATION  Non-Rebreathing Mask


VARIATION  T-Bar (Briggs Adapter) for Tracheostomy Tube

VARIATION  Continuous Positive Airway Pressure (CPAP)

VARIATION  Biphasic Positive Airway Pressure (BiPAP)

SKILL 13.10   Caring for the Client on a Mechanical Ventilator

(Maintaining a Patent Airway)

SKILL 13.11   Inserting an Oropharyngeal Airway

SKILL 13.12   Inserting a Nasopharyngeal Airway (Nasal Trumpet)

SKILL 13.13   Assisting with Endotracheal Intubation

SKILL 13.14   Inflating a Tracheal Tube Cuff

SKILL 13.15   Providing Care for Client with Endotracheal Tube

SKILL 13.16   Extubating an Endotracheal Tube

SKILL 13.17   Oropharyngeal, Nasopharyngeal and Nasotracheal Suctioning

VARIATION Performing Nasal Pharyngeal Suctioning on an Infant

VARIATION Suctioning an Infant with a Bulb Syringe

SKILL 13.18   Suctioning a Tracheostomy or Endrotracheal Tube

VARIATION   Closed Suction System (In-line Catheter)

SKILL 13.19   Providing Tracheostomy Care

VARIATION   Using a Disposal Inner Cannula

(Maintaining Lung Expansion)

SKILL 13.20 Assisting with Chest Tube Insertion

Concept Map  Assessing Chest Tube Functioning

SKILL 13.21     Maintaining Chest Tube Drainage

SKILL 13.22  Assisting with Chest Tube  Removal

(Life Threatening Respiratory Actions)

SKILL 13.23  Clearing an Obstructed Airway

VARIATION   Chest Thrusts

SKILL 13.24   Performing Rescue Breathing

SKILL 13.25   Administering External Cardiac Compressions

VARIATION   CPR Performed by One Rescuer

VARIATION   CPR Performed by Two Rescuers 

Chapter 14  Perfusion

SKILL 14.1   Using Digital (direct) Pressure

SKILL 14.2   Using Pressure Dressing

(Anti-Embolic Devices)

SKILL 14.3   Applying Antiemboli Stockings (Graduated Compression Stocking and Elastic Stockings)

SKILL 14.4   Applying Pneumatic Compression Devices

SKILL 14.5   Applying Sequential Compression Devices (SCDs)

(Electrical Conduction in the Heart)

SKILL 14.6   Monitoring Clients on Telemetry (applying ECG Leads)

SKILL 14.7   Interpreting an ECG Strip

SKILL 14.8   Recording a 12-Lead ECG

SKILL 14.9   Monitoring Temporary Cardiac Pacing (Transvenous, Epicardial)

SKILL 14.10   Assisting with Pacemaker Insertion

SKILL 14.11   Maintaining Temporary Pacemaker Function

SKILL 14.12   Providing Permanent Pacemaker Client Teaching

SKILL 14.13   Administering Automated External Defibrillation Adult

(Arterial Line Care)

SKILL 14.14   Performing the Allen Test

SKILL 14.15   Assisting with Arterial Line Insertion

SKILL 14.16   Monitoring Arterial Blood Pressure

SKILL 14.17   Withdrawing Arterial Blood Samples

SKILL 14.18   Removing Arterial Catheter

Chapter 15  Perioperative Care

SKILL 15.1   Teaching Client Deep Breathing Exercises, Turning, Effective Coughing, Splinting Surgical Site, and Leg Exercises for Postoperative Health Maintenance Care

SKILL 15.2   Providing appropriate skin preparation or intestinal preparation for surgery

SKILL 15.3. Performing Surgical Hand Antisepsis/Scrubs

VARIATION   Surgical Hand Antisepsis/Hand Scrub Using Alcohol-Based Surgical Hand Rub

(Using Sterile Technique)

SKILL 15.4.  Donning Sterile Gown & Gloves (Closed Method)

SKILL 15.5.  Preparing the Surgical Site

SKILL 15.6   Preparing the Client for Surgery

SKILL 15.7   Pouring from a Sterile Container

SKILL 15.8   Preparing a Sterile Field Using Pre-Packaged Supplies

SKILL 15.9   Preparing for Dressing Change Using Individual Supplies

SKILL 15.10 Changing a Sterile Dressing

SKILL 15.11 Removing Sutures

SKILL 15.12  Removing Staples

Chapter 16  Reproduction

(Antepartum Care)

SKILL 16.1   Maternal and Newborn Assessments

SKILL 16.2   Assisting with a Pelvic Examination

SKILL 16.3   Assessing Deep Tendon Reflexes and Clonus

SKILL 16.4   Assessment of Fetal Well-Being: Nonstress Test (NST)

SKILL 16.5   Assessment of Fetal Well-Being: Contraction Stress Test (CST)

SKILL 16.6   Assessment of Fetal Well-Being: Biophysical Profile (BPP)

SKILL 16.7   Performing an Intrapartal Vaginal Examination

SKILL 16.8   Administration of Rh Immune Globulin (RhoGAM, HypRho-D)

SKILL 16.9   Assisting during Amniocentesis

(Intrapartum Care)

SKILL 16.10   Assisting with Amniotomy (AROM: Artificial Rupture of Membranes)

SKILL 16.11  Auscultating Fetal Heart Rate

SKILL 16.12   External Electronic Fetal Monitoring

SKILL 16.13   Internal Electronic Fetal Monitoring: Application of Fetal Scale Electrode

SKILL 16.14   Assisting with and Monitoring of Woman Undergoing Induction of Labor with Pitocin

and Cervical Ripening Agents

SKILL 16.15   Assisting with and Caring for the Woman with an Epidural during Labor

SKILL 16.16   Care of the Woman with Prolapsed Cord

(Postpartum Care)

SKILL 16.17   Assessing Postpartum Perineal

SKILL 16.18   Assessing the Uterine Fundus Following Vaginal Birth

SKILL 16.19   Evaluating the Lochia

SKILL 16.20   Assisting with Breastfeeding after Childbirth

(Newborn Care)

SKILL 16.21   Assessing Newborn APGAR Scores

SKILL 16.22   Thermoregulation of the Newborn

SKILL 16.23   Umbilical Cord Clamp: Application, Care, and Removal

SKILL 16.24   Assisting with Circumcision and Providing Circumcision Care

SKILL 16.25   Initial Newborn Bath

SKILL 16.26  The Infant Receiving Phototherapy

Chapter 17  Safety


SKILL 17.1   Maintaining Nurses’ Safety

SKILL 17.2   Evaluating Client’s Safety

SKILL 17.3   Assessing for Elder Abuse

VARIATION Assessing for Infant/Child Abuse

Assessing Injury Prevention 

SKILL 17.4   Assessing Caregiver’s Safety


SKILL 17.5   Providing Safety for Clients During a Fire

SKILL 17.6   Preventing Thermal/Electrical Injuries

Assessing Environmental Safety

SKILL 17.7   Evaluating the Home Environment

(Immobilizers and Restraints)

SKILL 17.8   Applying a Papoose Board Immobilizer

SKILL 17.9   Applying a Mummy Immobilizer

SKILL 17.10 Applying Wrist or Ankle Restraint

SKILL 17.11 Applying Torso/Belt Restraints

SKILL 17.12 Managing Clients in Restraints

VARIATION Using Alternatives to Restraints

SKILL 17.13 Using a Bed or Chair Exit Safety Monitoring Device

Chapter 18  Tissue Integrity


SKILL 18.1   Obtaining a Wound Drainage Specimen

VARIATION Obtaining a Specimen for Anaerobic Culture Using a Sterile Syringe and Needle

(Dressings and Binders)

SKILL 18.2   Performing a Dry Dressing Change

SKILL 18.3  Cleaning a Sutured Wound and Changing a Dressing on a Wound with a Drain

SKILL 18.4  Applying Wet-to-Moist Dressings

SKILL 18.5  Applying an Abdominal Binder

SKILL 18.6  Applying Bandages and Binders (Elastic Bandages)

SKILL 18.7  Changing a Dressing – Venous Ulcer

SKILL 18.8  Applying an Unna Boot Dressing

SKILL 18.9  Maintaining Closed Wound Drainage (Jackson-Pratt drain)

(Wound Care)

SKILL 18.10   Preventing Pressure Ulcers

SKILL 18.11   Providing Care with Clients with Pressure Ulcers

SKILL 18.12   Applying Transparent Film Dressing

SKILL 18.13   Irrigating a Wound

SKILL 18.14   Using Alginates on Wounds

SKILL 18.15   Using Hydrocolloid Dressing

SKILL 18.16   Using Electrical Stimulation

SKILL 18.17   Using Noncontact Normothermic Wound Therapy

SKILL 18.18   Using Negative Pressure Wound Therapy (wound VAC)

SKILL 18.19   Applying a Transparent Wound Barrier

SKILL 18.20   Positioning and Exercising the Stump

SKILL 18.21   Shrinking/Molding the Stump