Test bank For Advanced Practice
Nursing Procedures By Margaret R.
Colyar
,Advanced
Practice
Nursing Procedures
Margaret R. Colyar, DSN, APRN, C-FNP
Family Nurse Practitioner
Hannibal Clinic
Hannibal, Missouri
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2015 by F. A. Davis Company
Copyright © 2015 by F. A. Davis Company. All rights reserved. This book is protected by copyright.
No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from
the publisher. Proudly sourced and uploaded by [StormRG]
Kickass Torrents | TPB | ET | h33t
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher, Nursing: Joanne Patzek DaCunha, RN, MSN
Senior Acquisitions Editor: Susan R. Rhyner
Content Development Manager: Darlene Pedersen
Content Project Manager: Christina L. Snyder
Design and Illustration Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended
treatments and drug therapies undergo changes. The author(s) and publisher have done everything
possible to make this book accurate, up to date, and in accord with accepted standards at the time of
publication. The author(s), editors, and publisher are not responsible for errors or omissions or for
consequences from application of the book, and make no warranty, expressed or implied, in regard to
the contents of the book. Any practice described in this book should be applied by the reader in
accordance with professional standards of care used in regard to the unique circumstances that may
apply in each situation. The reader is advised always to check product information (package inserts) for
changes and new information regarding dose and contraindications before administering any drug.
Caution is especially urged when using new or infrequently ordered drugs.
Library of Congress Control Number 2014959076
Authorization to photocopy items for internal or personal use, or the internal or personal use of
specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance
Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly
to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a
photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of
the Transactional Reporting Service is: 978-0-8036-4206-5/15 0 + $.25.
,This book is lovingly dedicated to Stephen Colyar, Andrea Brown,
Michelle Bailey, and Courtney Kaul.
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
GREAT NURSING CARE BEGINS WITH
GREAT RESOURCES
now and throughout your career!
Fitzgerald
Nurse Practitioner Certification
Examination and Practice Preparation
Winland-Brown & Dunphy
Adult-Gerontology and Family Nurse
Practitioner Certification Examination
Review Questions and Strategies
Goolsby
Advanced Assessment
Interpreting Findings and
Formulating Differential Diagnoses
Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults
Perese
Psychiatric Advanced Practice Nursing
A Biopsychosocial Foundation for Practice
McCaffrey & Youngkin
NP Notes
Nurse Practitioner’s Clinical Pocket Guide
,BUY YOURS TODAY!
www.FADavis.com
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
Preface
The new nurse practitioner and the practicing nurse practitioner in the ambulatory
care setting must be prepared to perform an increasing array of skills competently
to meet patient care needs. The inspiration for this book came when, on graduating
from a nurse practitioner program, I found no procedural resources directed toward
the needs of the nurse practitioner in ambulatory care. The need to perform many
procedures—those not taught in my nurse practitioner program—was apparent. The
physician I practiced with required a knowledge base in procedural skills greater than
the one I possessed. Fortunately, this physician was willing to teach me the necessary
procedures. This improved care to our patients and decreased the necessity to refer
many patients for procedures easily performed in the ambulatory care (outpatient)
setting.
This text was developed to assist in the many demands on the newly graduated
nurse practitioner and the nurse practitioner currently in practice. We believe the
procedures outlined will improve the marketability of the nurse practitioner and
serve as a good reference tool for family and/or adult nurse practitioners in an
ambulatory care setting. Prerequisites for this book are basic anatomy and physiology,
microbiology, pharmacology, principles of aseptic technique, and basic nursing skills.
This book would be an appropriate text for incorporation of procedural techniques
throughout a family or an adult nurse practitioner curriculum. It also would be
appropriate for an elective on minor surgery and diagnostic procedures and inter-
pretation. Another potential use for this book would be as part of the protocol/
guidelines in the nurse practitioner’s practice.
Many procedures performed by primary care physicians are not currently appro-
priate for the nurse practitioner to perform. The procedures in this book were chosen
based on a comprehensive study of types of procedures currently used in the nurse
practitioner’s practice. Many of the procedures can be used in any ambulatory
setting. Twenty-eight new procedures have been added to this edition: Suture selec-
tion, ulcer debridement, compartment syndrome and pressure testing, bladder cath-
eterization, breast examination, administration of vaginal medications and condoms,
Nexplanon insertion and removal, vaginal examination, fetal assessment, Leopold’s
maneuver, fundal assessment, obstetric ultrasound, emergency delivery, teaching
breast feeding, eye drop insertion, laryngoscopy, nasal lavage, cardiac stress testing,
type of pacemakers, defibrillation, assessing for respiratory distress, pulmonary stress
test, hemoccult, urea breath test, perianal skin tags and external hemorrhoidal skin
tabs, pilonidal cyst, prostate massage, and rectal prolapsed reduction.
Some of the procedures need specialized equipment, and some use equip-
,ment commonly found in any office. A few of the procedures—flexible chest tube
insertion, circumcision, colposcopy, endometrial biopsy, IUD insertion and re-
moval, lumbar puncture, occipital nerve block, paracentesis, sigmoidoscopy, and
v
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
vi Preface
thrombosed hemorrhoid removal—require additional training. They are included
for reference only. Check with your State Board of Nursing if you are unsure whether
or not a certain procedure may be performed by nurse practitioners in the state in
which you practice.
The major theme of this book is clinical application of knowledge and clinical
skills. There are seven sections in the book. These sections are based on body systems
for ease of classification. Each major section begins with diagnostic procedures the
nurse practitioner performs with the basis for their interpretation. Next in each
section, listed in alphabetical order, are procedures performed in an ambulatory care
setting.
Each procedure contains seven parts. First, an Overview is presented, outlining
causes, incidence, and other specific information intrinsic to each procedure. The
Health Promotion/Prevention section gives tips to the nurse practitioner to pass on to
the client to help promote health or prevent the need for the procedure in the future.
Options lists one to four methods of performing the procedure and gives a choice of
how to perform the procedure. The Rationale section gives reasons to perform the
procedure. Indications tell the nurse practitioner when the procedure should be
performed, and Contraindications tells the nurse practitioner when not to perform
the procedure. The Procedure section lists the necessary equipment and gives step-
by-step instructions for performing each procedure listed under Options. Client
Instructions assist the nurse practitioner with postprocedure instructions, listing what
the client must and must not do to have an optimal recovery period. At the end of
each is the Bibliography for further information gathering.
We hope you will find this text to be a good learning tool and a great resource
in your practice.
, Acknowledgments
We acknowledge the following people for their contributions, assistance, and patience
while compiling this book: Joanne DaCunha, RN, MSN, Nursing Acquisitions
Editor at F.A. Davis, for believing in the merits of this book, and Denise Melomo,
artist, for her expertise in sketching the line drawings from which the illustrations
in this book were made.
Many colleagues at Tri County Family Health Care in Madison, Florida, and
Family Health Service in Ocala, Florida, were instrumental in this book. Colleagues
at Rapides Regional Medical Center, Alexandria, Louisiana; Jackson Parish Hospital,
Jonesboro, Louisiana; and Stansbury Medical Center, Stansbury Park, Utah, posed
for the photographs in the book. These models include Linda Alby, Steve Colyar,
Hugh Gentry, Cindy Grappe, Aleene Hale, Lane Helm, Debra Lefler, Anne Martin,
and Shaneal Wright.
vii
Nursing Procedures By Margaret R.
Colyar
,Advanced
Practice
Nursing Procedures
Margaret R. Colyar, DSN, APRN, C-FNP
Family Nurse Practitioner
Hannibal Clinic
Hannibal, Missouri
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2015 by F. A. Davis Company
Copyright © 2015 by F. A. Davis Company. All rights reserved. This book is protected by copyright.
No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from
the publisher. Proudly sourced and uploaded by [StormRG]
Kickass Torrents | TPB | ET | h33t
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher, Nursing: Joanne Patzek DaCunha, RN, MSN
Senior Acquisitions Editor: Susan R. Rhyner
Content Development Manager: Darlene Pedersen
Content Project Manager: Christina L. Snyder
Design and Illustration Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended
treatments and drug therapies undergo changes. The author(s) and publisher have done everything
possible to make this book accurate, up to date, and in accord with accepted standards at the time of
publication. The author(s), editors, and publisher are not responsible for errors or omissions or for
consequences from application of the book, and make no warranty, expressed or implied, in regard to
the contents of the book. Any practice described in this book should be applied by the reader in
accordance with professional standards of care used in regard to the unique circumstances that may
apply in each situation. The reader is advised always to check product information (package inserts) for
changes and new information regarding dose and contraindications before administering any drug.
Caution is especially urged when using new or infrequently ordered drugs.
Library of Congress Control Number 2014959076
Authorization to photocopy items for internal or personal use, or the internal or personal use of
specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance
Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly
to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a
photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of
the Transactional Reporting Service is: 978-0-8036-4206-5/15 0 + $.25.
,This book is lovingly dedicated to Stephen Colyar, Andrea Brown,
Michelle Bailey, and Courtney Kaul.
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
GREAT NURSING CARE BEGINS WITH
GREAT RESOURCES
now and throughout your career!
Fitzgerald
Nurse Practitioner Certification
Examination and Practice Preparation
Winland-Brown & Dunphy
Adult-Gerontology and Family Nurse
Practitioner Certification Examination
Review Questions and Strategies
Goolsby
Advanced Assessment
Interpreting Findings and
Formulating Differential Diagnoses
Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults
Perese
Psychiatric Advanced Practice Nursing
A Biopsychosocial Foundation for Practice
McCaffrey & Youngkin
NP Notes
Nurse Practitioner’s Clinical Pocket Guide
,BUY YOURS TODAY!
www.FADavis.com
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
Preface
The new nurse practitioner and the practicing nurse practitioner in the ambulatory
care setting must be prepared to perform an increasing array of skills competently
to meet patient care needs. The inspiration for this book came when, on graduating
from a nurse practitioner program, I found no procedural resources directed toward
the needs of the nurse practitioner in ambulatory care. The need to perform many
procedures—those not taught in my nurse practitioner program—was apparent. The
physician I practiced with required a knowledge base in procedural skills greater than
the one I possessed. Fortunately, this physician was willing to teach me the necessary
procedures. This improved care to our patients and decreased the necessity to refer
many patients for procedures easily performed in the ambulatory care (outpatient)
setting.
This text was developed to assist in the many demands on the newly graduated
nurse practitioner and the nurse practitioner currently in practice. We believe the
procedures outlined will improve the marketability of the nurse practitioner and
serve as a good reference tool for family and/or adult nurse practitioners in an
ambulatory care setting. Prerequisites for this book are basic anatomy and physiology,
microbiology, pharmacology, principles of aseptic technique, and basic nursing skills.
This book would be an appropriate text for incorporation of procedural techniques
throughout a family or an adult nurse practitioner curriculum. It also would be
appropriate for an elective on minor surgery and diagnostic procedures and inter-
pretation. Another potential use for this book would be as part of the protocol/
guidelines in the nurse practitioner’s practice.
Many procedures performed by primary care physicians are not currently appro-
priate for the nurse practitioner to perform. The procedures in this book were chosen
based on a comprehensive study of types of procedures currently used in the nurse
practitioner’s practice. Many of the procedures can be used in any ambulatory
setting. Twenty-eight new procedures have been added to this edition: Suture selec-
tion, ulcer debridement, compartment syndrome and pressure testing, bladder cath-
eterization, breast examination, administration of vaginal medications and condoms,
Nexplanon insertion and removal, vaginal examination, fetal assessment, Leopold’s
maneuver, fundal assessment, obstetric ultrasound, emergency delivery, teaching
breast feeding, eye drop insertion, laryngoscopy, nasal lavage, cardiac stress testing,
type of pacemakers, defibrillation, assessing for respiratory distress, pulmonary stress
test, hemoccult, urea breath test, perianal skin tags and external hemorrhoidal skin
tabs, pilonidal cyst, prostate massage, and rectal prolapsed reduction.
Some of the procedures need specialized equipment, and some use equip-
,ment commonly found in any office. A few of the procedures—flexible chest tube
insertion, circumcision, colposcopy, endometrial biopsy, IUD insertion and re-
moval, lumbar puncture, occipital nerve block, paracentesis, sigmoidoscopy, and
v
,Test bank For Advanced Practice Nursing Procedures By
Margaret R. Colyar
vi Preface
thrombosed hemorrhoid removal—require additional training. They are included
for reference only. Check with your State Board of Nursing if you are unsure whether
or not a certain procedure may be performed by nurse practitioners in the state in
which you practice.
The major theme of this book is clinical application of knowledge and clinical
skills. There are seven sections in the book. These sections are based on body systems
for ease of classification. Each major section begins with diagnostic procedures the
nurse practitioner performs with the basis for their interpretation. Next in each
section, listed in alphabetical order, are procedures performed in an ambulatory care
setting.
Each procedure contains seven parts. First, an Overview is presented, outlining
causes, incidence, and other specific information intrinsic to each procedure. The
Health Promotion/Prevention section gives tips to the nurse practitioner to pass on to
the client to help promote health or prevent the need for the procedure in the future.
Options lists one to four methods of performing the procedure and gives a choice of
how to perform the procedure. The Rationale section gives reasons to perform the
procedure. Indications tell the nurse practitioner when the procedure should be
performed, and Contraindications tells the nurse practitioner when not to perform
the procedure. The Procedure section lists the necessary equipment and gives step-
by-step instructions for performing each procedure listed under Options. Client
Instructions assist the nurse practitioner with postprocedure instructions, listing what
the client must and must not do to have an optimal recovery period. At the end of
each is the Bibliography for further information gathering.
We hope you will find this text to be a good learning tool and a great resource
in your practice.
, Acknowledgments
We acknowledge the following people for their contributions, assistance, and patience
while compiling this book: Joanne DaCunha, RN, MSN, Nursing Acquisitions
Editor at F.A. Davis, for believing in the merits of this book, and Denise Melomo,
artist, for her expertise in sketching the line drawings from which the illustrations
in this book were made.
Many colleagues at Tri County Family Health Care in Madison, Florida, and
Family Health Service in Ocala, Florida, were instrumental in this book. Colleagues
at Rapides Regional Medical Center, Alexandria, Louisiana; Jackson Parish Hospital,
Jonesboro, Louisiana; and Stansbury Medical Center, Stansbury Park, Utah, posed
for the photographs in the book. These models include Linda Alby, Steve Colyar,
Hugh Gentry, Cindy Grappe, Aleene Hale, Lane Helm, Debra Lefler, Anne Martin,
and Shaneal Wright.
vii
