Clinical Nursing Skills & Techniques
n n n n
Anne Griffin Perry, Patricia A. Potter & Wendy Ostendorf
n n n n n n n n
9th Edition
n
,Table of Contents
n n
Chaptern01nUsingnEvidenceninnPractice 2
Chaptern02nAdmitting,nTransfer,nandnDischarge 10
Chaptern03nCommunicationnandnCollaboration 20
Chaptern04nDocumentationnandnInformatics 27
Chaptern05nVitalnSigns 37
Chaptern06nHealthnAssessment 55
Chaptern07nSpecimennCollection 74
Chaptern08nDiagnosticnProcedures 91
Chaptern09nMedicalnAsepsis 103
Chaptern10nSterilenTechnique 115
Chaptern11nSafenPatientnHandling,nTransfer,nandnPositioning 122
Chaptern12nExercisen&nMobility 128
Chaptern13nSupportnSurfacesnandnSpecialnBeds 140
Chaptern14nPatientnSafety 151
Chaptern15nDisasternPreparedness 165
Chaptern16nPainnManagement 177
Chaptern17nPalliativenCare 193
Chaptern18nPersonalnHygienenandnBednMaking 202
Chaptern19nCarenofnthenEyenandnEar 217
Chaptern20nSafenMedicationnPreparation 224
Chaptern21nAdministrationnofnNonparenteralnMedications 242
Chaptern22nAdministrationnofnParenteralnMedications 259
Chaptern23nOxygennTherapy 275
Chaptern24nPerformingnChestnPhysiotherapy 287
Chaptern25nAirwaynManagement 295
Chaptern26nCardiacnCare 309
Chaptern27nClosednChestnDrainagenSystems 322
Chaptern28nEmergencynMeasurenfornLifenSupport 334
Chaptern29nIntravenousnandnVascularnAccessnTherapy 345
Chaptern30nBloodnTherapy 362
Chaptern31nOralnNutrition 374
Chaptern32nEnteralnNutrition 385
Chaptern33nParenteralnNutrition 395
Chaptern34nUrinarynElimination 401
Chaptern35nBowelnEliminationnandnGastricnIntubation 411
Chaptern36nOstomynCare 422
Chaptern37nPreoperativenandnPostoperativenCare 430
Chaptern38nIntraoperativenCare 441
,Chaptern39nPressurenInjurynPreventionnandnCare 448
Chaptern40nWoundnCarenandnIrrigations 456
Chaptern41nDressings,nBandages,nandnBinders 467
Chaptern42nTherapeuticnUsenofnHeatnandnCold 478
Chaptern43nHomenCarenSafety 486
Chaptern44nHomenCarenTeaching 495
, TestnBankn-
nClinicalnNursingnSkillsnandnTechniques,n9en(Perry,nPotternandnOstendorf,n2017)
Chaptern01:n Usingn Evidencen inn Practice
Perrynetnal.:nClinicalnNursingnSkillsn&nTechniques,n9thnEdition
MULTIPLEnCHOICE
1. Evidence-basedn practicen isn an problem-
solvingn approachn ton makingn decisionsn aboutn patientncarenthatnisngroundednin:
a. thenlatestninformationnfoundninntextbooks.
b. systematicallyn conductedn researchn studies.
c. traditionninnclinicalnpractice.
d. qualityn improvementn andn risk-managementn data.
ANS:n B
Thenbestnevidencencomesnfromnwell-
designed,nsystematicallynconductednresearchnstudiesndescribedninnscientificnjournals.nPortio
nsnofnantextbooknoftennbecomenoutdatednbynthentimenitnisnpublished.nManynhealthncarensetting
sndonnotnhavenanprocessntonhelpnstaffnadoptnnewnevidenceninnpractice,nandnnursesninnpractice
nsettingsn lackn easynaccessntonrisk-
managementndata,n relyingn insteadn onn traditionn orn convenience.n Somen sourcesn ofn evidencen do
n notn originaten
fromnresearch.nThesenincludenqualitynimprovementnandnrisk-
managementndata;ninfectionncontroln data;n retrospectiven orn concurrentn chartn reviews;n andn clin
icians’n expertise.n Althoughnnon–research-
basednevidencenisnoftennverynvaluable,nitnisnimportantnthatnyounlearnntonrelynmorenonnresear
ch-basednevidence.
DIF: Cognitiven Level:n Comprehension REF:
Textnreference:np.n2nOBJ:
Discussnthenbenefitsnofnevidence-basednpractice.
TOP: Evidence-BasednPractice
KEY:nNursingn ProcessnStep:nAssessmentnMSC:n NCLEX:nSafenandnEffectiven
CarenEnvironmentn(managementnofncare)
n
2. Whennevidence-basednpracticenisnused,npatientncarenwillnbe:
a. standardizednfornall.
b. unhamperedn bynpatientn culture.
c. variablenaccordingntonthensituation.
d. safenfromn then hazardsn ofn criticaln thinking.
ANS:n C
Usingn yourn clinicaln expertisen andn consideringn patients’ncultures,n values,n andn preferencesnensu
resn thatn youn willn applyn availablen evidencen inn practicen ethicallyn andn appropriately.n Evennwhenn
younusenthenbestnevidencenavailable,napplicationnandnoutcomesnwillndiffer;nasnannurse,nyounwil
lndevelopncriticalnthinkingnskillsntondeterminenwhethernevidencenisnrelevantnandnappropriat
e.
DIF: CognitivenLevel:nApplication REF:
Textnreference:np.n2nOBJ:
Discussnthenbenefitsnofnevidence-basednpractice.
TOP: Evidence-BasednPractice
KEY:nNursingn ProcessnStep:nAssessmentnMSC:n NCLEX:nSafenandnEffectiven
CarenEnvironmentn(managementnofncare)
3. Whenn an PICOTn questionn isn developed,n then lettern thatn correspondsn withn then usualn standardn ofnc
arenis:
a. P.
1n|nPnangne