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Taylor’s Clinical Nursing Skills: A Nursing Process Approach PDF

3318 Pages·2018·220.84 MB·English
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Taylor’s Clinical Nursing Skills A Nursing Process Approach Fifth Edition Pamela Lynn, EdD, MSN, RN Assistant Professor Gwynedd Mercy University Frances M. Maguire School of Nursing and Health Professions Gwynedd Valley, Pennsylvania 2 Vice President and Publisher: Julie K. Stegman Digital Product Manager: Betsy Gentzler Director of Product Development: Jennifer K. Forestieri Senior Development Editor: Michael Kerns Editorial Coordinators: Emily Buccieri and Lindsay Ries Marketing Manager: Brittany Clements Editorial Assistant: Leo Gray Design Coordinator: Holly Reid McLaughlin Art Director, Illustration: Jennifer Clements Production Project Manager: Bridgett Dougherty Manufacturing Coordinator: Karin Duffield Prepress Vendor: Aptara, Inc. 5th Edition Copyright © 2019 Wolters Kluwer Copyright © 2015 Wolters Kluwer. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright © 2008, 2005 by Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via our website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Names: Lynn, Pamela (Pamela Barbara), 1961- , author. Title: Taylor’s clinical nursing skills : a nursing process approach / Pamela Lynn. Other titles: Clinical nursing skills Description: Fifth edition. | Philadelphia, PA : Wolters Kluwer Health, [2019] | Includes bibliographical references and index. Identifiers: LCCN 2018027966 | ISBN 9781496384881 Subjects: | MESH: Nursing Process | Nursing Care–methods Classification: LCC RT51 | NLM WY 100.1 | DDC 610.73–dc23 LC record available at https://lccn.loc.gov/2018027966 https://lccn.loc.gov/2018027966 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. LWW.com 3 In remembrance of Carol Lillis and Priscilla Koeplin who offered unlimited and genuine support, encouragement, and guidance from the beginning of this adventure. I could not have asked for better mentors or friends. 4 CONTRIBUTORS AND REVIEWERS Contributor to This Edition Patricia Brown-O’Hara, PhD, RN Assistant Professor Gwynedd Mercy University Frances M. Maguire School of Nursing and Health Professions Gwynedd Valley, Pennsylvania Chapter 9: Activity For a list of the contributors to the Student and Instructor Resources accompanying this book, please visit . 5 Reviewers Elizabeth Hammond-Ritschard, MSN Associate Clinical Professor Drexel University Philadelphia, Pennsylvania Susan M. Randol, MSN, RN, CNE Master Instructor/Semester Coordinator University of Louisiana Lafayette, Louisiana Faith Richardson, DNP, MSN (FNP), MA, BSc, BA Assistant Professor of Nursing Trinity Western University Langley, British Columbia Judy Sabel, MSN Nursing Instructor Waukesha County Technical College Pewaukee, Wisconsin Sally Saites, MSN/Ed, RN Lecturer California State University San Marcos San Marcos, California Alnisa Shabazz, MS, RN Assistant Professor Bronx Community College Bronx, New York Nicole Smith, MS, BSN Instructor, Clinical Simulation Laboratory Coordinator University of Maryland School of Nursing Rockville, Maryland Diane Spoljoric, PhD, RNC, FNP Associate Professor of Nursing Purdue University Northwest Westville, Indiana Ruth Swart, EdD, MHS, BSc, BN, RN Instructor University of Calgary Calgary, Alberta Lori Theodore, EdD, MSN Professor of Nursing Seminole State College of Florida Altamonte Springs, Florida Alice Tobin, MSN, BSN, AAS/RN Professor of Nursing Suffolk County Community College Brentwood, New York Susan Tucker, DNP, MSN, RN, CNE Program Director Gadsden State Community College Gadsden, Alabama 6 Kimberly Valich, MSN Professor of Nursing University of St. Francis Lowell, Indiana Amy Wall, MSN, BSN Instructor Wharton County Junior College Sugar Land, Texas Sherylyn Watson, PhD, MSN, RN, CNE Assistant Dean Sacred Heart University Fairfield, Connecticut Anne Wilkinson, MSN, RN Instructor, Divisional Program Chair Gateway Technical College Kenosha, Wisconsin Liza Willis, MSN Associate Professor St. Charles Community College Cottleville, Missouri Kelly Winters, MSN Director Workforce Development College of Southern Maryland La Plata, Maryland Jean Yockey, PhD Assistant Professor University of South Dakota Vermillion, South Dakota For a list of the reviewers of the Test Generator accompanying this book, please visit . 7 PREFACE Taylor’s Clinical Nursing Skills: A Nursing Process Approach aims to help nursing students or graduate nurses incorporate cognitive, technical, interpersonal, and ethical/legal skills into safe and effective person-centered care. This book is written to meet the needs of novice to advanced nurses. Many of the skills shown in this book may not be encountered by the student while in school, but may be encountered once the graduate nurse has entered the workforce. Because it emphasizes the basic principles of patient care, we believe this book can easily be used with any Fundamentals text. However, this Skills book was specifically designed to accompany Fundamentals of Nursing: The Art and Science of Person-Centered Nursing Care, Ninth Edition, by Taylor, Lynn, and Bartlett, to provide a seamless learning experience. Some of the Skills and Guidelines for Nursing Care from the Taylor Fundamentals book may also be found in this book, but its content has been embellished here to: Highlight the nursing process Emphasize unexpected situations that the nurse may encounter, along with related interventions for how to respond to these unexpected situations Draw attention to critical actions within skills Illustrate specific actions within a skill through the use of nearly 1,000 four-color photographs and illustrations Highlight available best practice guidelines and/or research-based evidence to support the skills Reference appropriate case study or studies included at the end of the book, emphasizing which case studies utilize and enhance the content of each chapter. In addition, this book contains numerous higher-level skills that are not addressed in the Taylor Fundamentals book. 8 Learning Experience This text and the entire Taylor Suite have been created with the student’s experience in mind. Care has been taken to appeal to all learning styles. The student-friendly writing style ensures that students will comprehend and retain information. The extensive art program enhances understanding of important actions. Free video clips clearly demonstrate and reinforce important skill steps; as students watch and listen to the videos, comprehension increases. In addition, each element of the Taylor Suite, which is described later in the preface, coordinates to provide a consistent and cohesive learning experience. 9 Organization Taylor’s Clinical Nursing Skills is organized into three units. Ideally, the text will be followed sequentially, but every effort has been made to respect the differing needs of diverse curricula and students. Thus, each chapter stands on its own merit and may be read independently of others. 10

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