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					           WALLA WALLA COMMUNITY COLLEGE
                 NURSING EDUCATION




                 BEGINNING NURSING CONCEPTS II
                                     NURS 102

                                Spring Quarter 2008




 Every effort is made to ensure accuracy in the syllabus at the time of printing. However,
 the Walla Walla Community College Nursing Education Program reserves the right to
change any provision or requirement that is necessitated by circumstances arising during
                   the course. All changes will be provided in writing.




Nurs 102 Syllabus Spring 2008
                                        COURSE OUTLINE


Course Identifier:      NURS 102

Title:                  Beginning Nursing Concepts II

Credits:                6

Class Hrs Per Wk:       6

Catalog Description:    A continuation of NURS 101. The focus is on providing care to clients of all ages
                        experiencing normal life processes or common/chronic disease processes in
                        selected body systems.

Prerequisites:          NURS 101 and 111

Corequisites:           NURS 112 and 197

Teaching Format:
                        Lecture/Discussion
                        Critical Thinking Activities
                        Small Group Activities
                        Audio-visual
                        Computer-based Learning Activities

Location:               Walla Walla Campus        Room 1706
                        Clarkston Campus          Room 2107

Course Topics:          Normal Maternal-Newborn
                        Cardiac I
                        Peripheral Vascular
                        Gastrointestinal
                        Special Senses
                        Women's Health

Evaluation Devices:     Activities
                        Unit Tests
                        Comprehensive Final
                        ATI Tests




Nurs 102 Syllabus Spring 2008                                                                           2
Course Competencies:

                                            Critical Thinking

        1.      Demonstrate critical thinking in the use of the nursing process.
        2.      Demonstrate use of management/leadership principles in the delivery of client/patient care.

                                                  Caring

        3.      Perform interventions in a safe and effective manner.
        4.      Use therapeutic communication.

                                         Professional Behaviors

        5.      Demonstrate professional behaviors.




Nurs 102 Syllabus Spring 2008                                                                             3
                                          FACULTY CONTACT LIST




NOTE: Students are encouraged to contact the faculty member responsible for the content area or clinical
experience that they have a question about. Contact your faculty advisor for academic concerns and
advising. Faculty hours are posted on each instructor's office door in Clarkston or on the Level I bulletin
board in Walla Walla.




                         Walla Walla Campus:        Nursing Office: 509-527-4240
                         Clarkston Campus:          Nursing Office: 509-758-1702


                      Director of Nursing Education: Marilyn D. Galusha, RN, MS


        Walla Walla-based Instructors            Office           Email addresses
                                                 Number
        Carolyn Dinkmeier, RN, MN                527-4248         carolyn.dinkmeier@wwcc.edu
        ( 1st Year Lead Instructor)
        Patti McBride, RN, MN                    527-4242         patricia.mcbride@wwcc.edu

        Grace Hiner, RNC, MSN, NNP-BC            527-4421         grace.hiner@wwcc.edu

        Brenda Anderson, RN, BSN                 527-4246         brenda.anderson@wwcc.edu
        (Walla Walla Skills Practice Lab)
        Clarkston-based Instructors

        Carol McFadyen, RN, Ph.D.                758-1728         carol.mcfadyen@wwcc.edu
        (Clarkston Lead Instructor)
        Todd Carpenter, RN, BSN                  758-1787         todd.carpenter@wwcc.edu

        Barb Hays, RN, MSN                       758-1717         barb.hays@wwcc.edu
        (Evening Track Instructor)
        Stephanie Carpenter, RN                  758-1722         stephanie.carpenter@wwcc.edu
        (Clarkston Skills Practice Lab)




Nurs 102 Syllabus Spring 2008                                                                                 4
                                 BEGINNING NURSING CONCEPTS II
                                            NURS 102

Grading Criteria & Distribution of Points


          CONTENT                        POINT DISTRIBUTION                           INSTRUCTOR

   Normal Maternal-Newborn                            12                              Carol McFadyen
        Women's Health                                 3                              Todd Carpenter
         Special Senses                                6                        Sarah Jean Cooper & Todd
                                                                                        Carpenter
           Cardiac I                                  12                               Grace Hiner
      Peripheral Vascular                              3                              Todd Carpenter
        Gastrointestinal                              12                               Patti McBride
        Total Activities                              48
      ATI Pharmacology                                20
          ATI OB/NB                                   25
         ATI Nutrition                                15
          3 Unit Tests                               165
       Final Examination                              70
       Total Test Points                             295
     Total Points Available                          343


                     (Most classes will be taught via ITV see calendar for more detail.)


Note: You must achieve a cumulative minimum of 75% on tests before activity points count toward
your final grade.

Course Expectations:

        1. Attend all scheduled classes and activities
        2. If absent from class, no points shall be awarded for missed in class activities
        3. All assignments must be accounted for before progression regardless of score achieved.
        4. Follow all policies as outlined in Nursing Handbook
        5. Date stamp all papers as they are turned in. Late papers will receive a one-point deduction per
            school day, when turned in after class starts on the date due.




Nurs 102 Syllabus Spring 2008                                                                                5
Assessment Technologies Institute (ATI) Testing

           Three (3) computerized mastery examination will be administered this quarter (proctored):
            Maternal-Newborn; Pharmacology; & Nutrition

           Prior to taking each content mastery examination, each student must complete a non-proctored
            mastery test and achieve a score of 90%. This non-proctored exam can be taken more than once
            however, a 90% must be achieved.

           In order to be admitted to the proctored exam, you will need to submit a copy of your non-
            proctored individual score to Carolyn/Carol, front page only.

           On each Content Mastery exam, a Proficiency Level II must be achieved. This is considered
            minimum competency.

           Failure to achieve a Level II Proficiency on the first secured test shall require remediation prior
            to retesting.

           Failure to achieve a Level II Proficiency prior to the end of spring quarter will result in an “I”
            contract.

           Failure to clear the “I” contract by the end of the first two weeks of the next quarter will result
            in the conversion of the “I” grade to a C- and the student will not be allowed to progress.

           The points available on each ATI Content Mastery Test will be allocated on a curved scale
            basis. Points will be prorated with the highest percentage score earning 100% of the available
            points. The Level II Proficiency cut score will be considered a “ C” grade.

ATI scores shall be averaged with the quarter tests scores




Nurs 102 Syllabus Spring 2008                                                                                     6
           LEARNING GUIDES




Nurs 102 Syllabus Spring 2008   7
                                               Unit: Maternal-Newborn Nursing Class #1
Date: 4/1     ITV from Clarkston
        Topic                                           Objective                                                Assignments/Comments
Introduction             1. Identify the goals of maternal newborn care and the roles of the              Leifer, G. (2007) Introduction to
                                                                                                                                           th
                             providers of care                                                            maternity & pediatric nursing, 5 ed.
                                                                                                          Philadelphia: Saunders, chap. 1, p 6-7
Antepartum                      2. Calculate estimated date of delivery (EDD) using:                      Chapter 4, p. 44 – 77
       EDD                          Nagele’s Rule
                                    McDonald’s Rule

                                3. Differentiate between presumptive, probable, and positive signs of
        Signs of                pregnancy                                                                 Box 4-3, p. 48
        Pregnancy
                                4. Relate the physiologic and psychosocial changes during pregnancy to
                                variations in assessment of the pregnant   client                         Table 4-6, p. 73 - 76
        Assessment
                                     Reproductive system
                                     Breasts
                                     Systemic changes
                                     Management of common discomforts of pregnancy

                                5. Describe the development of the fetus during each month of Pregnancy
                                and factors that effect fetal development
                                    Organogenesis                                                        Chapter 3, p. 31 – 40
      Fetal
      Development                   Critical Period
                                    Teratogens

                                6. Identify the assessment measures completed during prenatal care
                                    Health Assessment
                                    Laboratory and diagnostic testing                                    Table 4-2, p. 53
                                    Physical Examination
                                    Risk Assessment




Nurs 102 Syllabus Spring 2008                                                                                                                  8
        Nutritional             7. Describe the nutritional needs of the pregnant mother and assessment
        Needs                   measures indicating adequate nutrition
                                    Weight gain pattern
                                    Assessment of nutrient intake




Nurs 102 Syllabus Spring 2008                                                                             9
                                                   Unit: Maternal-Newborn Nursing Class #2
Date: 4/2         ITV from Clarkston
      Topic                                            Objective                                              Assignments/Comments
                       1. Describe the physiologic changes that occur during the postpartum period   Liefer, Chapter 9, p. 199-214
Postpartum                 Involution
    Physiologic            Lochia
    needs                  Perineum/episiotomy
                           Systemic changes
                           Changes in vital signs
                           Breasts/lactation
    Assessment/        2. Complete an assessment of a postpartum client and document
    Documentation         assessment findings using correct terminology
                           Health History                                                           Box 9 – 1, p. 201
                           Laboratory data
                                                                                                     Box 9 – 2, p. 211
                           Physical assessment
                           Psychosocial assessment
     Nursing care
     plan              3. Develop a nursing care plan to meet the needs of the postpartum client
                           Pain                                                                     Nursing Care Plan 9 -1, p. 209 - 212
                           Risk for Infection
                           Sleep Pattern Disturbance
                           Alteration in Nutrition
                           Alteration in Elimination
                           Altered Tissue Perfusion (peripheral), Risk for
                           Altered Sexuality Patterns, Risk for
                           Altered Parenting, Risk for




Nurs 102 Syllabus Spring 2008                                                                                                               10
    Medications       4. Identify the actions, therapeutic effect, and nursing implications for
                         medications given in the postpartal period
                          Oxytoxics
                          Pain medications
                          Stool softeners/Laxatives
                          Rubella vaccine
                          RhoGam




Nurs 102 Syllabus Spring 2008                                                                     11
                                                  Unit: Maternal-Newborn Nursing Class #3
Date: 4/7       ITV from Walla Walla
           Topic                                           Objective                                              Assignments/Comments
Newborn                        1   Relate the changes in physiologic function that occur at birth to     Leifer, Chapter 9, p 215 – 234, Chap 12,
   Physiologic function            assessment and care of the newborn                                    279 – 303.
                                   Respiratory system
                                   Circulatory system
                                   Thermoregulation
                                   GI system
                                   Renal function
                                   Hepatic function
                                   Immunologic function
                                   Neurologic function


                                2   Complete an assessment of the newborn and document findings
Assessment/ Documentation
                                    using correct terminology
                                     Physical Assessment
                                     Gestational Age assessment
                                     Behavioral Assessment
Medications                                                                                              Liefer, p. 151
                                3. Identify the actions, therapeutic effects, and nursing implications
                                   of medications given to the newborn
                                    Vitamin K
                                    Erythromycin ointment




Nurs 102 Syllabus Spring 2008                                                                                                                  12
Teaching Plan                   4. Develop a teaching plan to meet the needs of parents of a
                                   newborn
                                    Daily care
                                    Sleeping
                                    Crying
                                    Circumcision care
                                    Continued Health Maintenance
                                    Car safety
                                    Meeting the nutritional needs of the newborn
                                               Breast feeding
                                               Bottle feeding




Nurs 102 Syllabus Spring 2008                                                                  13
                                                 Unit: Maternal-Newborn Nursing Class #4
Date: 4/9       Live - Walla Walla     4/14    Live - Clarkston
      Topic                                             Objective                                                 Assignments/Comments
Preparation for         1. Identify the components of childbirth education classes                         Liefer, Chapter 7, p. 154-156
Childbirth                   Expectations during labor & delivery
                             Managing discomfort during labor
                                    Conscious relaxation
                             Managing discomfort during labor
                                    Controlled breathing
                                    Cutaneous stimulation
                                    Focusing
                             Medications
                                                                                                           Liefer, Chap 6, p. 115-150
Intrapartum Care          2. Identify the signs of labor
     Signs of                 Preliminary
Labor                         True vs: False Labor

                          3. Discuss the effect on labor progress for the following components of labor:
    Labor                     Passage
Progress
                              Passenger
                              Powers
                              Psyche

      Maternal /          4. Describe the maternal and fetal response during each stage of labor           Table 6 – 3, p. 140-141
Fetal Response                First Stage
                                    Latent Phase
                                    Active Phase
                                    Transition
                              Second Stage
                              Third Stage
                              Fourth Stage




Nurs 102 Syllabus Spring 2008                                                                                                              14
                      5. Describe nursing interventions related to pain control measures during labor
                                 Epidural
                                                                                                        Complete VCE on pain management
    Danger Signs      6. Identify the fetal and maternal danger signs during labor and delivery         during labor and delivery




Nurs 102 Syllabus Spring 2008                                                                                                             15
                                                      Unit: Women’s Health
Date: 4/3     ITV from Clarkston
      Topic                                        Objective                                                           Assignments/Comments
Review of A&P      1. Review the anatomy and physiology of the female reproductive tract, including             Lewis, et al. (Med Surg) Chap. 51, p
                   the physiology of menstruation                                                               1325-1342
                                                                                                                               Esp figs 51-3, 51-4, 51-5
Contraception         2.   Describe the teaching needed for correct use of contraceptive Methods                Leifer, (Maternity nursing: An
                              Mechanical Barrier methods                                                       introductory text), Chap. 11, pp. 260-
                              Hormonal Contraceptives                                                          266
                              Vaginal Spermicides

Infertility          3.    Define infertility and describe the nurse’s role in working with infertile couples   Leifer, Chap. 11, p. 268-272
                                                                                                                Lewis, et al. Chap 54, p 1382-1383
                     4. Discuss the nursing care of the women undergoing diagnostic testing for
Diagnostic Testing   reproductive disorders
                              Pelvic exam/ Pap smear                                                           Lewis,et al. Chap 51,p 1338-1341,
                              Schiller’s Test                                                                  table 51-12
                              Colposcopy
                              Cervical/Endometrial Biopsy
                              Cervical Conization
                              Ultrasound
                                                                                                                Lewis, et al. Chap 51, p 1330-1331
                     5.    Describe health promotion activities for the women experiencing
Health Promotion
                     menopause
                                                                                                                Lewis, et al. Chap. 51, p 1340, table
                            Gerontological Considerations                                                      51-12
GYN Surgery
                     6.    Use the nursing process to provide care to a client undergoing GYN surgery
                               Laporoscopy                                                                     Lewis, et al. Chap 54, p 1404-1409
                               Dilatation & Curettage (D&C)
                               Hysterectomy, Vaginal, Abdominal
                               Anterior & Posterior Repair (A&P Repair)




Nurs 102 Syllabus Spring 2008                                                                                                                           16
Endometriosis             7. Compare and contrast the signs and symptoms, medical management and           Lewis, et al. Chap 54, p 1395-1398
                          nursing care of the client with Endometriosis VS: Pelvic Inflammatory Disease
                          (PID)

Sexually                  8. Identify the cause, treatment and prevention of the following sexually        Leifer, Chap. 11, p. 254-258
Transmitted               transmitted diseases (STD)
Disease                        Syphilis           Gonorrhea
                               Herpes              Chladmydia
                               Human Papilloma Virus
                               Trichimonas         Candidias
                               HIV/AIDS
Warning signs of           9. Identify warning signs of cervical, ovarian, endometrial cancer              Lewis, et al. Chap 54, p 1400-1404
cancer

Breast Self               10. Describe the method for teaching breast self examination (BSE) to a client
Examination                                                                                                Leifer Chap 11 p 250-251and skill 11-
                                                                                                           1
Diagnostic                11. Describe the nursing care of clients undergoing diagnostic procedures of
Procedures                the breast                                                                       Lewis, et al. Chap. 52, p 1344-1348
                               Mammography
                               Ultrasonography
                               Breast Biopsy
Benign Breast
                          12. Describe the nursing care of clients with benign breast disorders
Disorders
                                                                                                           Lewis, et al. Chap 52, p 1356-1360
                           13, Use the nursing process to develop a nursing care plan for a client
NCP for breast
                           with a malignant lesion in the breast
malignancy




Nurs 102 Syllabus Spring 2008                                                                                                                    17
                                                           Unit: Disorders of the Eye
Date: 4/16      ITV from Clarkston
      Topic                                             Objective                                                Assignments/Comments
                      1. Apply knowledge of the anatomy and physiology of the eye to care for the client   Lewis et al, Chapters 21 & 22 (eyes
                         with vision disorders                                                             only) pp 398-437
                          Structures
                          Vision
                          Age related considerations
                                                                                                                                   rd
                      2. Describe variations from normal assessment data indicating eye or visual          Saunders, NCLEX-PN 3 edition.
Assessment               disorders using correct terminology.                                              Chap. 54. pp 795-822.
                          History                                                                         (eyes only)
                          Clinical manifestations
                                     Blurred vision
                                     Diplopia
                                     Photopsia                                                             Nursing Diagnosis Doenges et al
                                     Floaters                                                              “Sensory perception disturbed
                                     Scotomata                                                             (specify)”
                                     Photophobia
                                     Pain
                                     Loss of Vision
                          Examination
                                     Outer structures
                                     Visual acuity
                                     Near vision
                                     Visual fields
                                     Eye movements
                                     Color vision
                                     PERRLA




Nurs 102 Syllabus Spring 2008                                                                                                                18
Diagnostic Tests      3. Describe the significance of findings from selected diagnostic tests to care of the
                         client with disorders of the eye
                          Visual examination
                          Intraocular pressure
                          Fluorescein staining
                          Slit lamp
                                                                                                                Nursing Diagnosis
Medications           4. Identify the actions, therapeutic effects, and nursing implications in the             “Risk for ineffective management of
                         administration of ophthalmic medications                                               therapeutic regimen, needs”
                          Topical Anesthetics                                                                                         rd
                          Topical Steroids                                                                     Saunders, NCLEX-PN 3 edition
                          Antiinfective Agents                                                                 Review Eye medications chapter 55
                                                                                                                pp 823-833.
                          Antibiotic-Steroid Combinations
                          Topical Antiviral
                          Adrenergics
                          Beta Blockers
                          Miotics
                          Mydriatics & cycloplegics
                          NSAIDs
                                                                                                                Nursing Diagnosis
Nursing Care and      5. Relate the clinical manifestations and care of the client to the following disorders   “Anxiety”
Interventions            of the eye
                          Infections/inflammation of the eye
Health Promotion          Strabismus
& Health                  Cataracts
Maintenance               Glaucoma
                          Retinal problems
                          Macular degeneration
                          Trauma & chemical burns
                                                                                                                Nursing Diagnosis
Teaching Plan         6. Develop an age appropriate teaching plan to meet the learning needs of a client        “Powerlessness”
                      undergoing ocular surgery.




Nurs 102 Syllabus Spring 2008                                                                                                                     19
Nursing Care Plan     7.    Develop a plan of care to meet the needs of a client with low or loss of vision
                            Learning needs & barriers to learning
                            Safety
                            Adaptive Devices
                            Community Resources

Health Promotion      8. Discuss health promotion activities to prevent the loss of vision




Nurs 102 Syllabus Spring 2008                                                                                 20
                                               Unit: Disorders of the Gastrointestinal System #1
Date: 4/22      ITV from Clarkston
       Topic                                               Objective                                          Assignments/Comments
Assessing Clients     1. Review anatomy and physiology of the gastrointestinal system                   ( overview only) Lewis, chpt. 39
with Complaints of
the GI System         2. Identify specific topics to consider during a health history assessment        (omit Liver, Biliary Tract & Pancreas)
                         interview
                                                                                                        Lewis, chpt. 39
                       3. Describe physical assessment techniques used to evaluate GI and nutritional
                          status
                                                                                                        VCE assignment due
                       4. Identify abnormal findings that may indicate impairment in the GI system

                       5. Identify specific diagnostic studies used to evaluate and/or diagnose
                          gastrointestinal dysfunction                                                  Lewis, chpt. 40 p 960-968

                       6. Describe nursing considerations related to a client receiving enteral or
                          parenteral nutritional support
                                                                                                        Bring calculator
                       7. Calculate enteral feeding formulas




Nurs 102 Syllabus Spring 2008                                                                                                                    21
                                              Unit: Disorders of the Gastrointestinal System #2
Date: 4/28      ITV from Clarkston
       Topic                                              Objective                                           Assignments/Comments
Nursing Care for      1. Discuss the etiology, pathophysiology, and clinical manifestations of common    Lewis chap. 42
Children and Adults      oral inflammations and infections
with Common
Conditions of the     2. Describe pathophysiology and nursing management for a child with cleft
Mouth and                lip/cleft pallet                                                                Leifer – Pediatric- pg 326-327
Esophagus
                      3. Describe clinical manifestations and nursing implications related to
                         oral/esophageal CA

                      4. Describe pathophysiology, clinical manifestations and nursing management of
                         clients experiencing gastroesophageal reflux disease

                      5.   Describe pathophysiology, clinical manifestations and nursing management of
                           clients with a hiatal hernia

Pharmacology          6.   Discuss drugs affecting gastrointestinal secretions
Related to GI
system                7.   Discuss emetic and antiemetic agents

                      8. Discuss laxatives and antidiarrheal agents




Nurs 102 Syllabus Spring 2008                                                                                                             22
                                             Unit: Disorders of ther Gastrointestinal System #3
Date: 4/29      ITV from Walla Walla
        Topic                                            Objective                                             Assignments/Comments
Care of the Client    1. Differentiate between acute and chronic gastritis – include pathophysiology      Lewis chap. 42;
with Problems of         and nursing management
the Stomach and
Upper Small           2. Compare and contrast gastric and duodenal ulcers (peptic ulcer disease)          Leifer chap 27- pediatrics
Intestine                including pathophysiology, nursing management and collaborative therapy

                       3. Explain etiology, clinical manifestations, and nursing management of an upper
                          gastrointestinal bleed, gastric perforation, and dumping syndrome

                       4. Describe clinical manifestations of gastric cancer

                       5. Compare and contrast various types of hernias

                       6. Describe pathophysiology, clinical manifestation and nursing management for
                          an adult/child with a gastric outlet obstruction

                       7. Discuss placement and management of various gastric/intestinal tubes (NG,
                          Salem Sump, Blakemore)




Nurs 102 Syllabus Spring 2008                                                                                                          23
                                                Unit: Disorders of the Gastrointestinal System #4
Date: 4/30       ITV from Walla Walla
        Topic                                              Objective                                            Assignments/Comments
Care of the Client     1. Explain common etiologies, collaborative care and nursing management of         Lewis, chap 43
(child/adult) Lower       diarrhea and constipations
Gastrointestinal                                                                                          Leifer- chap 27- pediatrics (limit to
Problems               2. Discuss common causes of acute abdominal pain and nursing management            topics identified)
                          of a client following abdominal surgery

                       3. Compare and contrast ulcerative colitis and Crohn’s disease including
                          pathophysiology, clinical manifestations, complications and nursing
                          management

                       4. Discuss causes of bowel obstructions – include collaborative care and nursing
                          management

                       5. Discuss the nursing implications and psychosocial response for a client
                          experiencing colorectal cancer – ostomies

                       6. Differentiate between diverticulosis and diverticulitis

                       7. Describe various types of malabsorption syndromes

                       8. Describe various anorectal conditions with related nursing management




Nurs 102 Syllabus Spring 2008                                                                                                                     24
                                                    Unit: Disorders of the Cardiac System I #1
Date: 5/12      ITV from Clarkston
      Topic                                               Objective                                                  Assignments/Comments
Function of the         1. Apply knowledge of the anatomy & physiology of the cardiac system to               Lewis Med-Surg Text, Chapter 32 (p.
Heart                       care of the client with cardiac disorders                                         739-760)
                             Blood flow
                             Regulation of impulses
                             Normal sinus rhythm
                             Age related changes
                        2. Identify significance of variations from normal assessment findings for both
                            the adult and child with cardiac disease
Assessment                   S1 and S2
                               S3 and S4
                             Murmurs

                          3. Describe nursing interventions to prepare a client for and/or in response to
                             findings from common laboratory and diagnostic studies:
Laboratory/
                              EKG/ Holter Monitoring
Diagnostic Studies
                              Echocardiogram
                              Cardiac catheterization

                          4. Identify the actions, side effects, and nursing implications for the following
                             classes of medications:                                                          Utilize your NCLEX-PN review book to
Medication                    Beta-Adrenergic Receptor Blockers (Beta Blockers)                              review all the cardiovascular
                                  atenolol (Tenormin)                                                        medications that we will be covering in
                                  propranolol (Inderal)                                                      the 4 cardiac lectures.
                              Calcium Channel Blockers                                                       Chapter 51 begins on page 729, and
                                  diltiazem (Cardizem)                                                       the practice questions begin on page
                                  verapamil (Calan)                                                          739.
                              digoxin (Lanoxin)                                                              Davis Drug Guide is also a good
                              Anticoagulants                                                                 resource.
                                      heparin & lovenox
                                      warfarin (Coumadin)




Nurs 102 Syllabus Spring 2008                                                                                                                       25
                                               Unit: Unit: Disorders of the Cardiac System I #2
Date: 5/13     ITV from ClarkstonWalla Walla
      Topic                                              Objective                                             Assignments/Comments
Hypertensive         1. Compare & contrast the etiology & pathophysiology of the various types of        Lewis Med-Surg Text, Chapter 33 (p.
Vascular Disease     hypertensive diseases:                                                              761-783)
                          Primary HTN
  Health                  Secondary HTN
  Promotion
  Teaching           2. Identify health promotion measures to reduce the risk of developing
                     hypertension.

                       3. Develop a teaching plan for a client with newly diagnosed hypertension.
                           Lifestyle Modifications
                           Medications
                                  Diuretics
                                           chlorothiazide (Diuril)
                                           furosemide (Lasix)
                                           spironolactone (Aldactone)
                                  Angiotensin Converting Enzyme (ACE) Inhibitors
                                  Angiotensin Receptor Blockers (ARBs)
                                  Calcium Channel Blockers
                                  Beta-Adrenergic Blockers
                                  Vasodilators
                                           hydralazine (Apresoline)
                                           sodium nitroprusside (Nipride)

                       4. Describe the pathophysiology and clinical manifestations of congestive heart
Congestive Heart       failure.                                                                          Lewis Med-Surg Text, Chapter 35 (p.
Failure (CHF)                Left sided failure                                                         821-837)
                             Right sided failure




Nurs 102 Syllabus Spring 2008                                                                                                              26
                       5. Differentiate the nursing & collaborative management of the patient with acute
                       congestive heart failure (CHF) & pulmonary edema versus chronic congestive
                       heart failure.

                       6. Identify the actions, side effects, & nursing implications of medications used for
                       a client with (CHF):
                             ACE Inhibitors; ARBs
                             Diuretics
                             digoxin (Lanoxin)
                             Vasodilators:
                                     sodium nitroprusside (Nipride)
                                     nitroglycerin
                             Beta-Adrenergic Blockers




Nurs 102 Syllabus Spring 2008                                                                                  27
                                           Unit: Disorders of the Cardiac System I #3
Date: 5/19     ITV from Walla Walla
    Topic                                             Objective                                               Assignments/Comments
Coronary Artery 1. Describe the pathophysiology and clinical manifestations of coronary artery disease       Lewis Med-Surg Text,
Disease (CAD)    and lipoprotein disorders                                                                   Chapter 34 (p. 784-819)

   Health         2. Discuss health promotion measures for the client at risk for coronary artery disease:
promotion                                                                                                    Assignment:
                  3. Develop a teaching plan for a client with coronary artery disease or lipoprotein        RISKO Paper: Due before
   Teaching       disorder(s)                                                                                cardiac class # 3.
                                                                                                             See handout given at
                  4. Differentiate between angina pectoris and myocardial infarction.                        beginning of quarter for
                                                                                                             RISKO Paper criteria and
                  5. Describe the nursing management of the patient following a myocardial infarction.       RISKO form.
                  Include psychosocial needs of the client.

                  6. Identify the actions, side effects, and nursing implications for the following
   Medications    medications:
                       Platelet Aggregation Inhibitors
                                aspirin
                                plavix
                       Lipid Lowering Agents
                                atorvastatin (Lipitor)
                                lovastatin (Mevacor)
                                simvastatin (Zocor)
                       Nitrates--Nitroglycerin
                       Angiotensin-Converting Enzyme Inhibitors
                                captopril (Capoten)
                                enalapril (Vasotec)
                       Morphine
                       Fibrinolytics
                                Activase
                                   Retavase




Nurs 102 Syllabus Spring 2008                                                                                                           28
                                                  Unit: Disorders of the Cardiac System I #4
Date: 5/29 ITV from Walla Walla
      Topic                                               Objective                                            Assignments/Comments
Congenital Cardiac  1. Describe risk factors associated with congenital cardiac defects                Leifer, Introduction to Maternity &
                                                                                                                                    th
Defects                                                                                                Pediatric Nursing          5 ed. p.
                    2. Differentiate between the pathophysiology and clinical manifestations for the   596-609. Skip section on Kawasaki
Pathophysiology     following congenital cardiac defects                                               Disease on page 606 & 607.
                          Increased pulmonary blood flow ("Acyanotic")
                                Atrial Septal Defect (ASD)
                                Ventral Septal Defect (VSD)                                            Saunders NCLEX-PN (3rd ed) p. 373 -
                                Patent Ductus Arteriosis (PDA)                                         383
                          Obstructive defect
                                  Coarctation of the aorta
                          Decreased pulmonary blood flow ("Cyanotic")
                                 Tetraology of Fallot
                          Mixed
                                Transposition of the great arteries

CHF in child           3. Compare and contrast the pathophysiology and clinical manifestation and
                          medical management of congestive heart failure in a child with an adult

                       4. Discuss the role of the nurse in assisting the family with a child with a
Family Coping             congenital cardiac defect to cope                                            Saunders NCLEX-PN (3rd ed) p. 321-
Strategies                 Meeting growth and developmental needs                                     323
                           Coping with a child with a life threatening condition




Nurs 102 Syllabus Spring 2008                                                                                                                29
                                                 Unit: Disorders of the Vascular System (PVD)
Date: 5/27      ITV from Walla Walla
     Topic                                                Objective                                            Assignments/Comments
                         1. Apply knowledge of the anatomy and physiology of the Peripheral Vascular         Lewis, et al. Chap. 38 p 892-924
                            System in providing care to clients with disorders of this system.
                             Arteries, capillaries, and veins                                            Saunders Comprehensive Review for
                             Factors affecting blood flow                                                NCLEX-PN, 3rd Ed pp, 711-728.
                                    o Diameter of the vessel
                                    o Elastic recoil
                                    o Viscosity of blood
                                    o Age related considerations

Assessment               2. Describe variations in assessment data for the client with disorders of the
                            Peripheral Vascular System, and Arterial Disorders
                             Clinical manifestations of vascular dysfunction
                                    o Pain
                                    o Intermittent claudication
                                    o Rest pain
                                    o Venous insufficiency
                                    o Ischemic neuropathy
                                    o Ulceration or gangrene
                                    o Changes in skin color, temperature, and integrity
                                    o Bruits
                                    o Abdominal pulsations
                                History
                                Risk factors
                                Physical examination
Pathophysiology          3. Review the pathophysiology and factors related to arteriosclerosis and        Lewis et al. Chap 38
                            atherosclerosis                                                               Review anatomy and physiology of
                                                                                                          peripheral vascular system.




Nurs 102 Syllabus Spring 2008                                                                                                                30
Diagnostic               4. Describe the nursing care of clients undergoing diagnostic testing and relate   Lewis et al. Chap 38
Testing                     findings to the care of clients with peripheral vascular disorders.
                             Common arterial diagnostic studies
                             Common venous diagnostic studies

                         5. Identify the actions, therapeutic effects and nursing implications of               Saunders Comprehensive Review for
Medications                 medications used to treat peripheral vascular diseases.                             NCLEX-PN, 3rd ed. Pp 729-747
                             Hypolipedemics
                             Anticoagulants
                             Vasodilators
                             Antiplatelet aggregation agents

                         6. Differentiate pathophysiology, assessment and medical management of
Arterial vs:                arterial vascular disease from venous vascular disease. Include:                    Nursing Diagnosis
venous disease               Aneurysms                                                                         “ Ineffective Tissue Perfusion,
                                                                                                                Peripheral”
                             Buerger's Disease
                             Raynaud's Penomenon
                             Venous Thrombosis
                             Varicose Veins
                                                                                                            Information located throughout
Health                   7. Describe the goals of medical management of peripheral arterial and venous
                            vascular disease and health maintenance activities to meet the goals.
                                                                                                            chapter
Maintenance
                             Diet
                             Lifestyle                                                                         Nursing Diagnosis
                             Medications                                                                       “ Knowledge Deficit”,
                             Safety
                             Prevention of complications

                         8. Develop a teaching plan for a client with peripheral vascular disease               Nursing Diagnosis
                             Readiness model for Smoking Cessation                                             “Ineffective Health Maintenance”
                             Nursing Diagnosis of patients with Peripheral Arterial Disease of the
                               Lower Extremities




Nurs 102 Syllabus Spring 2008                                                                                                                     31
                                                            Unit: Disorders of the Ear
Date: 5/21     Live - Clarkston          5/28    Live – Walla Walla
        Topic                                                 Objective                                      Assignments/Comments
Anatomy and Physiology 1. Apply knowledge of the anatomy and physiology of the ear to care for the      Lewis et al Chap 20 pp 430-438     Chap
                         client with hearing or balance disorders                                       21 pp 462-473
                               Outer ear
                               Middle ear
                               Inner ear
                               Age related considerations

Assessment/Diagnostic     2. Describe variations in assessment data for the client with disorders of
Testing                   hearing and/or balance.
                              Clinical manifestations
                                          Hearing loss - types
                                          Otalagia
                                          Otorrhea
                                          Tinnitus
                                          Vertigo
                              History and Diagnostic procedures
                                          Hearing
                                          Pneumatoscopy
                                          Tuning Fork tests
                                          Audiometry
                                          Vestibular
                                          Balance, gait & past pointing
                                          Electronystagmography
                                          Caloric test
Health Promotion          3. Identify the common causes of hearing loss. Develop a plan to prevent or
                          decrease the incidence of hearing loss in children and adults

                          4. Define ototoxicity and list common medications that are ototoxic           Silvestri NCLEX 3rd edition, pp 828-
                                                                                                        830 (ear only)




Nurs 102 Syllabus Spring 2008                                                                                                              32
                          5.        Discuss nursing interventions and the rationale for the interventions used in the
                          care of client with problems of the:                                                          Nursing Diagnosis
                                   Outer Ear.                                                                          “ Social Interaction, Impaired”,
                                              Infections/inflammations
                                              Cerumen impaction
                                              Foreign bodies
                                   Middle Ear                                                                                              rd
                                              Otitis media – acute, chronic, and serous                                 Silvestri. NCLEX, 3 edition, pp 358
                                              Tympanic membrane rupture                                                 (Otitis Media)
                                              Mastoiditis
                                              Otosclerosis
                                              Foreign bodies
                                   Inner Ear
                                              Tinnitus and hearing loss
                                              Labyrinthitis
                                              Meniere’s disease
                                              Acoustic Neuroma

                          6.    Develop a nursing care plan for the client undergoing surgery of the ear:
Nursing Care Plan                 Tympanoplasty & myringotomy                                                          Nursing Diagnosis
                                  Stapedectomy                                                                         “ Sensory-Perceptual Alteration
                                  Mastoidectomy                                                                        (Auditory)”,
                                 Cochlear implants

Communication with the    7. Describe the variations in communication for the hearing impaired client who is
hearing impaired          hospitalized.                                                                                 Guest speaker and Handouts
                          8. Compare and contrast the different types of hearing aids and the common problems
                          encountered with each type

Psychosocial Needs        9. Describe the psychosocial needs of the individual and family experiencing hearing
                          loss and the nurses role in providing assistance to these individuals




Nurs 102 Syllabus Spring 2008                                                                                                                              33

				
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