TAILIEUCHUNG - Fundamental & Advanced Nursing Skills_2

The face of our nation’s client population is changing and will continue to do so more dramatically in the future. The cumulative effects of sophisticated technology, an aging population of clients with chronic disease and long-term sequelae, and an increasingly diverse cultural population challenge nurses today. Fundamental & Advanced Nursing Skills has been developed as a text and guideline to perform the skills used in daily nursing practice. It is intended for nursing students, registered nurses, licensed practical nurses, physician assistants, nurse practitioners, certified aids, medical assistants, and any health care worker performing the skills encompassed in this book. Practice parameters for the advanced nursing skills may vary between states and among institutions, as. | CHAPTER 6 Nutrition and Elimination Skill 6-1 Inserting and Maintaining a Nasogastric Tube Skill 6-2 Assessing Placement of a Large-Bore Feeding Tube Skill 6-3 Assessing Placement of a Small-Bore Feeding Tube Skill 6-4 Removing a Nasogastric Tube Skill 6-5 Feeding and Medicating Via a Gastrostomy Tube Skill 6-6 Maintaining Gastrointestinal Suction Devices Skill 6-7 Applying a Condom Catheter Skill 6-8 Inserting an Indwelling Catheter Male Skill 6-9 Inserting an Indwelling Catheter Female Skill 6-10 Routine Catheter Care Skill 6-11 Obtaining a Residual Urine Specimen from an Indwelling Catheter Skill 6-12 Irrigating a Urinary Catheter Skill 6-13 Irrigating the Bladder Using a Closed-System Catheter Skill 6-14 Removing an Indwelling Catheter Skill 6-15 Catheterizing a Noncontinent Urinary Diversion Skill 6-16 Maintaining a Continent Urinary Diversion Skill 6-17 Pouching a Noncontinent Urinary Diversion Skill 6-18 Administering Peritoneal Dialysis Skill 6-19 Administering an Enema Skill 6-20 Digital Removal of Fecal Impaction Skill 6-21 Inserting a Rectal Tube Skill 6-22 Irrigating and Cleaning a Stoma Skill 6-23 Changing a Bowel Diversion Ostomy Appliance Pouching a Stoma 645 SKILL 6-1 Inserting and Maintaining a Nasogastric Tube Hsin-Yi Tang RN MS and Jung-Chen Chang RN MN KEY TERMS Decompression Double lumen Gastric content Gastrointestinal surgery Levin s tube Nasogastric tube Peptic ulcer Salem sump tube Single lumen Tube feeding OVERVIEW OF THE SKILL Nasogastric NG tubes are used for several purposes including feeding for nutrition when the client is comatose semiconscious or unable to consume sufficient nutrition orally. Nasogastric suction tubes are used for decompression of gastric content after gastrointestinal surgery and to obtain gastric specimens for diagnosis of peptic ulcer. Tubes are used for irrigation to clean and flush the stomach after oral ingestion of poisonous substances. Finally NG tubes are used to document the presence of blood in the .

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