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Nursing Advanced Skills
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Overview

Gain advanced clinical skills like IV therapy, chest tube management, and ECG interpretation for professional nursing.

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Estimated Dates
Digital Textbook: Available Now
Print Textbook: Available Now
Audiobook: August 2025
Next Edition: 2026
Annual Student Impact

1,612 students | 0 high school students | $248,248 student savings

Nursing Advanced Skills is a practical textbook designed to prepare entry-level registered nurses for advanced clinical responsibilities. It builds on foundational nursing skills covered in the Open RN Nursing Skills textbook and focuses on advanced techniques such as intravenous infusion, blood product administration, central line and chest tube system management, basic electrocardiogram (ECG) interpretation, and nasogastric/feeding tube insertion. With step-by-step guidance and clear explanations, this resource equips nursing students with the knowledge and confidence to perform complex procedures safely and effectively. Ideal for those transitioning into professional practice, this textbook is an essential tool for developing the advanced skills required in modern healthcare settings.

Chapter 1: Initiate IV Therapy

  • Discuss methods for blood sampling
  • Compare/contrast management of peripheral venous access devices and central venous access devices
  • Review infection control principles associated with peripheral venous access devices
  • Explain the principles of peripheral intravenous site selection and contraindications
  • Discuss appropriate selection of IV catheter type and size
  • Explain nurse management of IV therapy and peripheral IV access devices
  • Identify modifications for performing IV therapy across the life span
  • Outline nursing management for patients with a patient-controlled analgesia (PCA) pump
  • Describe nursing implications for a patient with an epidural infusion for pain management

Chapter 2: Administer IV Push Medications

  • Explain the advantages, disadvantages, and precautions associated with IV medication administration
  • Identify information that must be checked before an IV push medication is administered
  • Define “speed shock” and measures to prevent it from occurring
  • Compare the procedure for administering an IV push medication through a primary IV line versus through a saline lock

Chapter 3: Administer Blood Products

  • Describe the types of blood products prescribed for common conditions
  • Explain how a person’s ABO blood type and Rh factor impact blood product compatibility
  • Describe transfusion reactions and their treatments
  • Apply evidence-based guidelines for the safe administration of blood products
  • Apply the nursing process to prevent, identify, and treat potential complications associated with blood administration
  • Describe autologous blood donation
  • Incorporate modifications in blood product administration to reflect variations across the life span and cultural beliefs

Chapter 4: Manage Central Lines

  • Outline indications for insertion of a central venous access device (CVAD)
  • Compare and contrast the various types of CVADs and where they are inserted
  • Describe the processes of verifying placement and securing a CVAD
  • Describe infection control techniques to prevent infections associated with CVADs
  • Identify potential complications associated with CVADs, prevention, and related nursing interventions
  • Discuss how to safely change CVAD dressings and needleless connectors
  • Outline the processes of safely accessing, flushing, and locking CVADs
  • Describe blood sampling techniques from CVADs
  • Discuss the components of routine documentation related to CVADs

Chapter 5: Insert Nasogastric and Feeding Tubes

  • Identify the indications for NG tube insertion
  • Identify contraindications for NG tube insertion
  • Outline essential safety principles related to the insertion of an NG tube, including evidence-based placement verification
  • Outline nursing assessments and interventions related to the insertion of an NG tube
  • Use clinical judgment to prevent, assess, manage, and document complications related to NG tubes
  • Demonstrate the procedures for insertion and discontinuation of an NG tube
  • Describe client care considerations prior to and following NG insertion

Chapter 6: Manage Chest Tube Drainage Systems

  • Describe the physiology of breathing and the importance of negative pressure
  • Identify indications for chest tube placement
  • Differentiate the basic compartments of a chest tube drainage system
  • Describe the safety principles essential for chest tube maintenance
  • Prioritize methods for troubleshooting chest tube drainage systems
  • Outline nursing assessments related to caring for a client with a chest tube
  • Prioritize the nursing interventions when caring for a client with a chest tube
  • Use clinical judgment to prevent, assess, manage, and document complications related to chest tubes

Chapter 7: Interpret Basic ECG

  • Describe cardiac anatomy and physiology
  • Apply leads for electrocardiograms (ECGs) and cardiac monitoring
  • Identify basic cardiac rhythms
  • Outline nursing interventions in response to the identified cardiac rhythm

This video walks you through our online textbook hosted on the Pressbooks website and not this website. To access this book online, click below.

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