Primary Navigation
Book Contents Navigation
Introduction
Preface
Standards & Conceptual Approach
1.1 General Survey Introduction
1.2 Initiating Patient Interaction
1.3 Vital Signs
1.4 Basic Concepts
1.5 Expected Versus Unexpected Findings
1.6 Sample Documentation
1.7 Checklist for General Survey
1.8 Learning Activities
I Glossary
2.1 Health History Introduction
2.2 Health History Basic Concepts
2.3 Components of a Health History
2.4 Demographic and Biological Data
2.5 Reason for Seeking Health Care
2.6 Current and Past Medical History
2.7 Family Health History
2.8 Functional Health and Activities of Daily Living
2.9 Review of Body Systems
2.10 Sample Documentation
2.11 Checklist for Obtaining a Health History
2.12 Learning Activities
II Glossary
Chapter Resources A: Sample Health History Form
3.1 Blood Pressure Introduction
3.3 Blood Pressure Assessment
3.2 Blood Pressure Basics
3.4 Sample Documentation
3.5 Checklist for Manual Blood Pressure
3.6 Supplementary Video of Blood Pressure Assessment
3.7 Learning Activities
III Glossary
4.1 Aseptic Technique Introduction
4.2 Aseptic Technique Basic Concepts
4.3 Aseptic Technique
4.4 Sterile Fields
4.5 Checklist for Hand Hygiene With Soap and Water
4.6 Checklist for Hand Hygiene With Alcohol-Based Hand Sanitizer
4.7 Checklist for Personal Protective Equipment (PPE)
4.8 Checklist for Applying and Removing Sterile Gloves
4.9 Learning Activities
IV Glossary
5.1 Math Calculations Introduction
5.2 Math Basic Concepts
5.3 Military Time
5.4 Equivalencies
5.5 Rounding
5.6 Using Dimensional Analysis
5.7 Conversions
5.8 Tablet Dosage
5.9 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
V Glossary
6.1 Neurological Assessment Introduction
6.2 Basic Neurological Concepts
6.3 Neurological Exam
6.4 Assessing Mental Status
6.5 Assessing Cranial Nerves
6.6 Assessing Sensory Function
6.7 Assessing Motor Strength
6.8 Assessing Cerebellar Function
6.9 Assessing Reflexes
6.10 Neurological Assessment
6.11 Sample Documentation
6.12 Checklist for Neurological Assessment
6.13 Learning Activities
VI Glossary
7.1 Head and Neck Assessment Introduction
7.2 Head and Neck Basic Concepts
7.3 Common Conditions of the Head and Neck
7.4 Head and Neck Assessment
7.5 Sample Documentation
7.6 Checklist for Head and Neck Assessment
7.7 Supplementary Video on Head and Neck Assessment
7.8 Learning Activities
VII Glossary
8.1 Eye and Ear Assessment Introduction
8.2 Eye and Ear Basic Concepts
8.3 Eye and Ear Assessment
8.4 Sample Documentation
8.5 Checklist for Eye and Ear Assessment
8.6 Supplementary Video on Eye Assessment
8.7 Learning Activities
VIII Glossary
9.1 Cardiovascular Assessment Introduction
9.2 Cardiovascular Basic Concepts
9.3 Cardiovascular Assessment
9.4 Sample Documentation
9.5 Checklist for Cardiovascular Assessment
9.6 Supplementary Videos on Cardiovascular Assessment
9.7 Learning Activities
IX Glossary
10.1 Respiratory Assessment Introduction
10.2 Respiratory Basic Concepts
10.3 Respiratory Assessment
10.4 Sample Documentation
10.5 Checklist for Respiratory Assessment
10.6 Supplementary Video on Respiratory Assessment
10.7 Learning Activities
X Glossary
11.1 Oxygen Therapy Introduction
11.2 Basic Concepts of Oxygenation
11.3 Oxygenation Equipment
11.4 Nursing Process Related to Oxygen Therapy
11.5 Sample Documentation
11.6 Checklist for Oxygen Therapy
11.7 Supplementary Videos on Oxygen Therapy
11.8 Learning Activities
XI Glossary
12.1 Abdominal Assessment Introduction
12.2 Gastrointestinal Basics
12.3 Gastrointestinal and Genitourinary Assessment
12.4 Sample Documentation
12.5 Checklist for Abdominal Assessment
12.6 Supplementary Video on Abdominal Assessment
12.7 Learning Activities
XII Glossary
13.1 Musculoskeletal Assessment Introduction
13.2 Musculoskeletal Basic Concepts
13.3 Common Musculoskeletal Conditions
13.4 Musculoskeletal Assessment
13.5 Sample Documentation
13.6 Checklist for Musculoskeletal Assessment
13.7 Learning Activities
XIII Glossary
14.1 Integumentary Assessment Introduction
14.2 Basic Integumentary Concepts
14.3 Common Integumentary Conditions
14.4 Integumentary Assessment
14.5 Sample Documentation
14.6 Checklist for Integumentary Assessment
14.7 Learning Activities
XIV Glossary
15.1 Administration of Enteral Medications Introduction
15.2 Basic Concepts of Administering Medications
15.3 Assessments Related to Medication Administration
15.4 Checklist for Oral Medication Administration
15.5 Checklist for Rectal Medication Administration
15.6 Checklist for Enteral Tube Medication Administration
15.7 Supplementary Videos on Administering Enteral Medications
15.8 Learning Activities
XV Glossary
16.1 Administration of Medications Via Other Routes Introduction
16.2 Basic Concepts
16.3 Checklist for Transdermal, Eye, Ear, Inhalation, and Vaginal Routes Medication Administration
16.4 Learning Activities
XVI Glossary
17.1 Enteral Tube Management Introduction
17.2 Basic Concepts of Enteral Tubes
17.3 Assessments Related to Enteral Tubes
17.4 Sample Documentation
17.5 Checklist for NG Tube Enteral Feeding By Gravity With Irrigation
17.6 Checklist for NG Suction
17.7 Learning Activities
XVII Glossary
18.1 Administration of Parenteral Medications Introduction
18.2 Basic Concepts
18.3 Evidence-Based Practices for Injections
18.4 Administering Intradermal Medications
18.5 Administering Subcutaneous Medications
18.6 Administering Intramuscular Medications
18.7 Applying the Nursing Process
18.8 Checklists for Parenteral Medication Administration
18.9 Sample Documentation
18.10 Learning Activities
XVIII Glossary
19.1 Specimen Collection Introduction
19.2 Blood Glucose Monitoring
19.3 Nasal Specimen Collection
19.4 Oropharyngeal Specimen Collection
19.5 Sputum Specimen Collection
19.6 Stool Specimen Collection
19.7 Sample Documentation
19.8 Checklist for Blood Glucose Monitoring
19.9 Checklist for Obtaining a Nasal Swab
19.10 Checklist for Oropharyngeal Testing
19.11 Learning Activities
XIX Glossary
20.1 Wound Care Introduction
20.2 Basic Concepts Related to Wounds
20.3 Assessing Wounds
20.4 Wound Therapy
20.5 Wound Dressings
20.6 Sample Documentation
20.7 Checklist for Wound Assessment
20.8 Checklist for Simple Dressing Change
20.9 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
XX Glossary
21.1 Facilitation of Elimination Introduction
21.2 Basic Concepts
21.3 Preventing CAUTI
21.4 Inserting and Managing Indwelling Urinary Catheters
21.5 Obtaining Urine Specimen for Culture
21.6 Removing an Indwelling Urinary Catheter
21.7 Managing Ostomies
21.8 Applying the Nursing Process to Catheterization
21.9 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 (with Urine Specimen Collection)
21.15 Checklist for Ostomy Appliance Change
21.16 Learning Activities
XXI Glossary
22.1 Tracheostomy Care & Suctioning Introduction
22.2 Basic Concepts Related to Suctioning
22.3 Assessments Related to Airway Suctioning
22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation
22.5 Checklist for Tracheostomy Suctioning and Sample Documentation
22.6 Checklist for Tracheostomy Care and Sample Documentation
22.7 Supplementary Videos on Tracheostomy Care and Suctioning
22.8 Learning Activities
XXII Glossary
23.1 IV Therapy Management Introduction
23.2 Blood Collection & IV Therapy Basics
23.3 Intravenous Therapy Assessment
23.4 IV Therapy Site Assessment & Complications
23.5 Sample Documentation
23.6 Checklist for Primary IV Solution Administration
23.7 Checklist for Secondary IV Solution Administration
23.8 Sample Documentation
23.9 Checklist for Discontinuing an IV
23.10 Supplementary Video Related to IV Therapy
23.11 Learning Activities
XXIII Glossary
Chapter 1 (General Survey)
Chapter 2 (Health History)
Chapter 3 (Blood Pressure)
Chapter 4 (Aseptic Technique)
Chapter 5 (Math Calculations)
Chapter 6 (Neurological Assessment)
Chapter 7 (Head and Neck Assessment)
Chapter 8 (Eye & Ear Assessment)
Chapter 9 (Cardiovascular Assessment)
Chapter 10 (Respiratory Assessment)
Chapter 11 (Oxygen Therapy)
Chapter 12 (Abdominal Assessment)
Chapter 13 (Musculoskeletal Assessment)
Chapter 14 (Integumentary Assessment)
Chapter 15 (Administration of Enteral Medications)
Chapter 16 (Administration of Medications Via Other Routes)
Chapter 17 (Enteral Tube Management)
Chapter 18 (Administration of Parenteral Medications)
Chapter 19 (Specimen Collection)
Chapter 20 (Wound Care)
Chapter 21 (Facilitation of Elimination)
Chapter 22 (Tracheostomy Care & Suctioning)
Chapter 23 (IV Therapy Management)
Appendix A - Hand Hygiene and Vital Signs Checklists
Appendix B - Wound Dressings
Appendix C - Head-to-Toe Assessment Checklist
Appendix D: Information Related to Other Skills Referenced on the NCLEX-PN Test Plan
Appendix E - Master Glossary
Versioning History
Test your clinical judgment with an NCLEX Next Generation-style question: Chapter 5, Assignment 1.
Previous/next navigation
Nursing Skills - 2e Copyright © 2023 by WisTech Open is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.