PROCEDURES IN NURSING
Contents Section Two: MUSCULOSKELETAL PROCEDURES, 121 Diagnostic Testing 28 Bone Marrow Aspiration and Biopsy, 121 29 X-Ray Interpretation: Bones, 126 Procedures 30 Arthrocentesis, 130 31 Compartment Syndrome Assessment, 133 32 Clavicle Immobilization Techniques: Clavicle Strap, Figure Eight, Sling and Swath, 137 33 Crutch Walking, 140 34 Dislocation Reduction, 146 35 Ganglion Cyst Aspiration and Injection, 160 36 Intra-Articular and Bursa Corticosteroid Injection, 163 37 Sling Application, 173 38 Splinting and Taping, 177 39 Trigger Point Injection, 196 Section Three: GENITOURINARY AND BREAST PROCEDURES, 199 Diagnostic Testing 40 Breast Biopsy: Fine Needle Aspiration, 199 41 Breast Examination, 202 42 Colposcopy: Endocervical Curettage and Cervical Biopsy, 210 43 Endometrial Biopsy, 216 44 Specimen Collection: Gram Stain, Wet Mount (Saline and KOH), 220 45 Specimen Collection: Papanicolaou (Pap) Smear, 224 Procedures 46 Administration of Vaginal Medications and Condoms, 229 47 Bartholin Cyst Abscess: Incision and Drainage, 232 48 Cervical Cap Fitting, Insertion, and Removal, 235 49 Cervical Lesions: Cryotherapy, 238 50 Condyloma Acuminata Removal, 241 51 Diaphragm Fitting, Insertion, and Removal, 246 52 IUD Fitting, Insertion, and Removal, 249 53 Nexplanon Insertion, 257 54 Nexplanon Removal, 260 55 Paracervical Nerve Block, 262 56 Pessary Insertion, 264 57 Vaginal Examination, 268 Section Four: OBSTETRICAL PROCEDURES, 273 Diagnostic Testing 58 At-Risk Fetal Assessment: Third Trimester Testing, 273 59 Leopold ’ s Maneuver, 277 60 Fundal Assessment, 279 61 Obstetric Ultrasound, 281 Procedures 62 Emergency Delivery, 285 63 Teaching Breastfeeding, 288 Section Five: HEAD: EYES, EARS, NOSE, AND MOUTH, 293 Diagnostic Testing 64 Audiometry Testing , 293 65 Tympanometry , 297 66 Visual Function Evaluation: Snellen, Illiterate E, Pictorial , 305 Procedures—Eyes 67 Corneal Abrasion and Foreign Body Removal: Eye , 310 68 Eye Drop Insertion , 316 69 Eye Irrigation , 320 70 Eye Trauma Stabilization , 323 71 Eyebrow Laceration Repair , 329 72 Eyelid Eversion , 333 Procedures—Ears/Nose 73 Auricular Hematoma Evacuation , 335 74 Cerumen Impaction Removal: Irrigation of the Ear and Curette Technique , 338 75 Epistaxis Control , 341 76 Laryngoscopy: Indirect and Direct Flexible , 350 77 Nasal Lavage (Irrigation) , 353 78 Removal of Foreign Body: Ear and Nose , 357 Procedures—Mouth 79 Frenotomy for Ankyloglossia , 360 80 Lip Laceration Repair , 363 81 Tongue Laceration Repair , 366 82 Tooth Avulsion and Fracture , 369 Section Six: CARDIOVASCULAR PROCEDURES, 373 Diagnostic Testing 83 Doppler Technique , 373 84 Electrocardiogram (EKG) Interpretation , 376 85 Electrocardiogram (EKG) Lead Placement , 394 86 Holter Monitor Application: Continuous 24-Hour Ambulatory Cardiac Monitoring , 397 87 Stress Testing (Stress EKG) , 400 88 Types of Pacemakers , 405 Procedures 89 Arterial Puncture , 407 90 Blood Culture Specimen Collection , 411 91 Central Venous Catheter Access (Portacath) , 415 92 Defi brillation , 418 93 Unna ’ s Boot Application , 421 94 Venipuncture , 424 Section Seven: RESPIRATORY PROCEDURES, 429 95 Aerosol/Inhalation Administration (Nebulizer) , 429 96 Assessing Respiratory Distress , 432 97 Peak Flowmeter , 435 98 Pulmonary Function Testing (Spirometry) , 438 99 Pulmonary Stress Test , 443 100 X-Ray Interpretation: Chest , 447 Procedures 101 Chest Tubes for Emergency Transport , 454 102 Flail Chest Stabilization: With or Without Open Chest Wound , 458 103 Stab/Penetrating Wound Stabilization , 462 Section Eight: GASTROINTESTINAL PROCEDURES, 465 Diagnostic Testing 104 Anoscopy , 465 105 Hemoccult , 468 106 Flexible Sigmoidoscopy , 470 107 Urea Breath Test , 478 108 X-Ray Interpretation: Abdominal , 480 Procedures 109 Gastric Lavage , 487 110 Inguinal Hernia Reduction , 491 111 Percutaneous Endoscopic Gastrostomy (PEG) Tube Reinsertion , 494 112 Perianal Skin Tags/External Hemorrhoidal Skin Tags , 499 113 Pilonidal Cyst/Abscess Incision and Drainage (I&D) , 501 114 Prostate Massage , 504 115 Rectal Prolapse Reduction , 507 116 Thrombosed Hemorrhoid Removal , 509 GLOSSARY , 512