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Nursing Skills

This Nursing Skills textbook is an open educational resource developed for entry-level undergraduate nursing students. It is aligned with the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Skills course (543-102) that describes techniques for obtaining a health history and performing a basic physical assessment using a body systems approach. It also includes evidence-based clinical skills with related mathematical calculations and conversions.

Nursing Medicine

Author: Ernstmeyer & Christman (Eds.)
Publisher: OpenRN
Source: LibreTexts
License: CC BY-SA
Language: EN

Read online Download PDF (open licence)

Contents· 284 sections

01: General Survey
1.01: General Survey Introduction
1.02: Initiating Patient Interaction
1.03: Vital Signs
1.04: Basic Concepts
1.05: Expected Versus Unexpected Findings
1.06: Sample Documentation
1.07: Checklist for General Survey
1.08: Learning Activities
1.09: I Glossary
02: Health History
2.01: Health History Introduction
2.02: Health History Basic Concepts
2.03: Components of a Health History
2.04: Demographic and Biological Data
2.05: Reason for Seeking Health Care
2.06: Current and Past Medical History
2.07: Family Health History
2.08: Functional Health and Activities of Daily Living
2.09: Review of Body Systems
2.10: Sample Documentation
2.11: Checklist for Obtaining a Health History
2.12: Learning Activities
2.13: II Glossary
2.14: Chapter Resources A - Sample Health History Form
03: Blood Pressure
3.01: Blood Pressure Introduction
3.02: Blood Pressure Basics
3.03: Blood Pressure Assessment
3.04: Sample Documentation
3.05: Checklist for Manual Blood Pressure
3.06: Supplementary Video of Blood Pressure Assessment
3.07: Learning Activities
3.08: III Glossary
04: Aseptic Technique
4.01: Aseptic Technique Introduction
4.02: Aseptic Technique Basic Concepts
4.03: Aseptic Technique
4.04: Sterile Fields
4.05: Checklist for Hand Hygiene with Soap and Water
4.06: Checklist for Hand Hygiene with Alcohol-Based Hand Sanitizer
4.07: Checklist for Personal Protective Equipment (PPE)
4.08: Checklist for Applying and Removing Sterile Gloves
4.09: Asepsis Learning Activities
4.10: IV Glossary
05: Math Calculations
5.01: Math Calculations Introduction
5.02: Math Basic Concepts
5.03: Military Time
5.04: Equivalencies
5.05: Rounding
5.06: Using Dimensional Analysis
5.07: Conversions
5.08: Tablet Dosage
5.09: Liquid Concentrations
5.10: Reconstituted Medication
5.11: Weight-Based Calculations
5.12: Safe Dosage Range
5.13: Intravenous Infusions
5.14: IV Infusion by Gravity
5.15: IV Infusion by Pump
5.16: IV Completion Time
5.17: Multi-Step Calculations
5.18: Learning Activities
5.19: V Glossary
06: Neurological Assessment
6.01: Neurological Assessment Introduction
6.02: Basic Neurological Concepts
6.03: Neurological Exam
6.04: Assessing Mental Status
6.05: Assessing Cranial Nerves
6.06: Assessing Sensory Function
6.07: Assessing Motor Strength
6.08: Assessing Cerebellar Function
6.09: Assessing Reflexes
6.10: Neurological Assessment
6.11: Sample Documentation
6.12: Checklist for Neurological Assessment
6.13: Learning Activities
6.14: VI Glossary
07: Head and Neck Assessment
7.01: Head and Neck Assessment Introduction
7.02: Head and Neck Basic Concepts
7.03: Common Conditions of the Head and Neck
7.04: Head and Neck Assessment
7.05: Sample Documentation
7.06: Checklist for Head and Neck Assessment
7.07: Supplementary Video on Head and Neck Assessment
7.08: Learning Activities
7.09: VII Glossary
08: Eye and Ear Assessment
8.01: Eye and Ear Assessment Introduction
8.02: Eye and Ear Basic Concepts
8.03: Eye and Ear Assessment
8.04: Sample Documentation
8.05: Checklist for Eye and Ear Assessment
8.06: Supplementary Video on Eye Assessment
8.07: Learning Activities
8.08: VIII Glossary
09: Cardiovascular Assessment
9.01: Cardiovascular Assessment Introduction
9.02: Cardiovascular Basic Concepts
9.03: Cardiovascular Assessment
9.04: Sample Documentation
9.05: Checklist for Cardiovascular Assessment
9.06: Supplementary Videos on Cardiovascular Assessment
9.07: Learning Activities
9.08: IX Glossary
10: Respiratory Assessment
10.01: Respiratory Assessment Introduction
10.02: Respiratory Basic Concepts
10.03: Respiratory Assessment
10.04: Sample Documentation
10.05: Checklist for Respiratory Assessment
10.06: Supplementary Videos on Respiratory Assessment
10.07: Learning Activities
10.08: X Glossary
11: Oxygen Therapy
11.01: Oxygen Therapy Introduction
11.02: Basic Concepts of Oxygenation
11.03: Oxygenation Equipment
11.04: Nursing Process Related to Oxygen Therapy
11.05: Sample Documentation
11.06: Checklist for Oxygen Therapy
11.07: Supplementary Videos on Oxygen Therapy
11.08: Learning Activities
11.09: XI Glossary
12: Abdominal Assessment
12.01: Abdominal Assessment Introduction
12.02: Gastrointestinal Basics
12.03: Gastrointestinal and Genitourinary Assessment
12.04: Sample Documentation
12.05: Checklist for Abdominal Assessment
12.06: Supplementary Video on Abdominal Assessment
12.07: Learning Activities
12.08: XII Glossary
13: Musculoskeletal Assessment
13.01: Musculoskeletal Assessment Introduction
13.02: Musculoskeletal Basic Concepts
13.03: Common Musculoskeletal Conditions
13.04: Musculoskeletal Assessment
13.05: Sample Documentation
13.06: Checklist for Musculoskeletal Assessment
13.07: Learning Activities
13.08: XIII Glossary
14: Integumentary Assessment
14.01: Integumentary Assessment Introduction
14.02: Basic Integumentary Concepts
14.03: Common Integumentary Conditions
14.04: Integumentary Assessment
14.05: Sample Documentation
14.06: Checklist for Integumentary Assessment
14.07: Learning Activities
14.08: XIV Glossary
15: Administration of Enteral Medications
15.01: Administration of Enteral Medications Introduction
15.02: Basic Concepts of Administering Medications
15.03: Assessments Related to Medication Administration
15.04: Checklist for Oral Medication Administration
15.05: Checklist for Rectal Medication Administration
15.06: Checklist for Enteral Tube Medication Administration
15.07: Supplementary Videos
15.08: Learning Activities
15.09: XV Glossary
16: Administration of Medications Via Other Routes
16.01: Administration of Medications Via Other Routes Introduction
16.02: Basic Concepts
16.03: Checklist for Transdermal Eye Ear Inhalation and Vaginal Routes Medication Administration
16.04: Learning Activities
16.05: XVI Glossary
17: Enteral Tube Management
17.01: Enteral Tube Management Introduction
17.02: Basic Concepts of Enteral Tubes
17.03: Assessments Related to Enteral Tubes
17.04: Sample Documentation
17.05: Checklist for NG Tube Enteral Feeding By Gravity with Irrigation
17.06: Checklist for NG Suction
17.07: Learning Activities
17.08: XVII Glossary
18: Administration of Parenteral Medications
18.01: Administration of Parenteral Medications Introduction
18.02: Basic Concepts
18.03: Evidence-Based Practices for Injections
18.04: Administering Intradermal Medications
18.05: Administering Subcutaneous Medications
18.06: Administering Intramuscular Medications
18.07: Applying the Nursing Process
18.08: Checklists for Parenteral Medication Administration
18.09: Sample Documentation
18.10: Learning Activities
18.11: XVIII Glossary
19: Specimen Collection
19.01: Specimen Collection Introduction
19.02: Blood Glucose Monitoring
19.03: Nasal Specimen Collection
19.04: Oropharyngeal Specimen Collection
19.05: Sputum Specimen Collection
19.06: Stool Specimen Collection
19.07: Sample Documentation
19.08: Checklist for Blood Glucose Monitoring
19.09: Checklist for Obtaining a Nasal Swab
19.10: Checklist for Oropharyngeal Testing
19.11: Learning Activities
19.12: XIX Glossary
20: Wound Care
20.01: Wound Care Introduction
20.02: Basic Concepts Related to Wounds
20.03: Assessing Wounds
20.04: Wound Therapy
20.05: Wound Dressings
20.06: Sample Documentation
20.07: Checklist for Wound Assessment
20.08: Checklist for Simple Dressing Change
20.09: Checklist for Wound Culture
20.10: Checklist for Intermittent Suture Removal
20.11: Checklist for Staple Removal
20.12: Checklist for Wound Cleansing Irrigation and Packing
20.13: Checklist for Drain Management
20.14: Learning Activities
20.15: XX Glossary
21: Facilitation of Elimination
21.01: Facilitation of Elimination Introduction
21.02: Basic Concepts
21.03: Preventing CAUTI
21.04: Inserting and Managing Indwelling Urinary Catheters
21.05: Obtaining Urine Specimen for Culture
21.06: Removing an Indwelling Urinary Catheter
21.07: Managing Ostomies
21.08: Applying the Nursing Process to Catheterization
21.09: Sample Documentation
21.10: Checklist for Foley Catheter Insertion (Male)
21.11: Checklist for Foley Catheter Insertion (Female)
21.12: Checklist for Obtaining a Urine Specimen from a Foley Catheter
21.13: Checklist for Foley Removal
21.14: Checklist for Straight Catheterization Female Male
21.15: Checklist for Ostomy Appliance Change
21.16: Learning Activities
21.17: XXI Glossary
22: Tracheostomy Care and Suctioning
22.01: Tracheostomy Care and Suctioning Introduction
22.02: Basic Concepts Related to Suctioning
22.03: Assessments Related to Airway Suctioning
22.04: Oropharyngeal and Nasopharyngeal Suctioning Checklist and Sample Documentation
22.05: Checklist for Tracheostomy Suctioning and Sample Documentation
22.06: Checklist for Tracheostomy Care and Sample Documentation
22.07: Supplementary Videos
22.08: Learning Activities
22.09: XXII Glossary
23: IV Therapy Management
23.01: IV Therapy Management Introduction
23.02: IV Therapy Basics
23.03: Intravenous Therapy Assessment
23.04: Sample Documentation
23.05: Checklist for Primary IV Solution Administration
23.06: Checklist for Secondary IV Solution Administration
23.07: Sample Documentation
23.08: Checklist for Discontinuing an IV
23.09: Supplementary Videos Related to IV Therapy
23.10: Learning Activities
23.11: XXIII Glossary
24: Answer Keys
24.01: Chapter 1 (General Survey)
24.02: Chapter 2 (Health History)
24.03: Chapter 3 (Blood Pressure)
24.04: Chapter 4 (Aseptic Technique)
24.05: Chapter 5 (Math Calculations)
24.06: Chapter 6 (Neurological Assessment)
24.07: Chapter 7 (Head and Neck Assessment)
24.08: Chapter 8 (Eye and Ear Assessment)
24.09: Chapter 9 (Cardiovascular Assessment)
24.10: Chapter 10 (Respiratory Assessment)
24.11: Chapter 11 (Oxygen Therapy)
24.12: Chapter 12 (Abdominal Assessment)
24.13: Chapter 13 (Musculoskeletal Assessment)
24.14: Chapter 14 (Integumentary Assessment)
24.15: Chapter 15 (Administration of Enteral Medications)
24.16: Chapter 16 (Administration of Medications via Other Routes)
24.17: Chapter 17 (Enteral Tube Management)
24.18: Chapter 18 (Administration of Parenteral Medications)
24.19: Chapter 19 (Specimen Collection)
24.20: Chapter 20 (Wound Care)
24.21: Chapter 21 (Facilitation of Elimination)
24.22: Chapter 22 (Tracheostomy Care and Suctioning)
24.23: Chapter 23 (IV Therapy Management)