COURSE OUTLINE

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					                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION


           WALLA WALLA COMMUNITY COLLEGE
                  NURSING EDUCATION




                           SUMMER QUARTER
                                2005

                              Practical Nursing
                                 NURS 103

                           Advanced Placement
                               NURS 104


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




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                                                 COURSE OUTLINE


Course Identifier:           NURS 103

Title:                       Practical Nursing

Credits:                     5

Catalog Description:         The focus of this course is on preparation to complete the NCLEX-PN and enter
                             practice as a PN.

Prerequisites:               NURS 102/112

Corequisite:                 NURS 113

Class Hours per Week: 7

Teaching Format:             Lecture/Discussion
                             Critical Thinking Activities
                             Role Playing/Simulations
                             Small Group Activities
                             Videos
                             Computer Based Learning Activities

Locations:                   Walla Walla Campus – Room 404
                             Clarkston Campus – 144

Course Competencies:

Critical Thinking

1.         Demonstrate critical thinking in the use of the nursing process for clients from all age groups
           experiencing normal life processes or common/chronic illnesses

2.         Manages care for clients in stable and predictable situations
            delegates appropriately to other care providers

Caring

3.         Performs technical procedures in a safe and effective manner
            performs technical procedures in a safe and effective manner
            administers medications safely, including evaluating the need for and the response to
               prescribed medications

4.         Uses communication/interpersonal skills to meet client needs
            treats others with dignity and demonstrates respect for their perspective and experience




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                               WALLA WALLA COMMUNITY COLLEGE
                                     NURSING EDUCATION


Professional Behaviors

5.      Practices with ethical, legal, regulatory guidelines
         maintains confidentiality of information
         follows agency/school policies and procedures
         demonstrates accountability and responsibility for care given or delegated to others
         participates in the role of client advocate
         participates in life long learning
         seeks assistance when client needs exceed the graduate’s abilities/experiences
         engages in activities to promote the profession of nursing


Course Topics: Care of the client with
                                  Blood and Immune
                                  GI Accessory
                                  Endocrinology
                                  Neurology
                                  Nephro-Urinary System
                                  Mental Health/Psych
                                  Emergency
                                  Pediatrics
                                  Management
                                  Oncology

Evaluation Devices:      Written Assignments
                         Quizzes
                         In-Class Activities
                         Multiple Choice Tests


Required Text: Silvestri, L. (2003). Saunders Comprehensive Review for NCLEX-PN, 2nd ed. (hereafter
       referred to as Silvestri)




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                                   WALLA WALLA COMMUNITY COLLEGE
                                         NURSING EDUCATION

                                               COURSE OUTLINE


Course Identifier:           NURS 104

Title:                       Advanced Placement

Credits:                     5

Catalog Description:         The focus of this course is assisting LPN’s admitted to the second year of the
                             nursing program to meet program requirements. Use of the nursing process,
                             critical thinking, and completion of nursing skills is emphasized.

Prerequisites:               Practical Nurse License

Corequisite:                 NURS 114

Class Hours per Week: 7

Teaching Format:             Lecture/Discussion
                             Critical Thinking Activities
                             Role Playing/Simulations
                             Small Group Activities
                             Videos
                             Computer Based Learning Activities

Locations:                   Walla Walla Campus – Room 404
                             Clarkston Campus – 144

Course Competencies:

Critical Thinking

6.         Demonstrate critical thinking in the use of the nursing process for clients from all age groups
           experiencing normal life processes or common/chronic illnesses

7.         Manages care for clients in stable and predictable situations
            delegates appropriately to other care providers

Caring

8.         Performs technical procedures in a safe and effective manner
            performs technical procedures in a safe and effective manner
            administers medications safely, including evaluating the need for and the response to
               prescribed medications

9.         Uses communication/interpersonal skills to meet client needs
            treats others with dignity and demonstrates respect for their perspective and experience




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                               WALLA WALLA COMMUNITY COLLEGE
                                     NURSING EDUCATION


Professional Behaviors

10.     Practices with ethical, legal, regulatory guidelines
         maintains confidentiality of information
         follows agency/school policies and procedures
         demonstrates accountability and responsibility for care given or delegated to others
         participates in the role of client advocate
         participates in life long learning
         seeks assistance when client needs exceed the graduate’s abilities/experiences
         engages in activities to promote the profession of nursing


Course Topics: Care of the client with
                                  Blood and Immune
                                  GI Accessory
                                  Endocrinology
                                  Neurology
                                  Nephro-Urinary System
                                  Mental Health/Psych
                                  Emergency
                                  Pediatrics
                                  Management
                                  Oncology

Evaluation Devices:      Written Assignments
                         Quizzes
                         In-Class Activities
                         Multiple Choice Tests
                         Computerized Testing


Required Text: Silvestri, L. (2003). Saunders Comprehensive Review for NCLEX-PN, 2nd ed. (hereafter
       referred to as Silvestri)




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                                 WALLA WALLA COMMUNITY COLLEGE
                                       NURSING EDUCATION

                                          GRADING CRITERIA


Quizzes/assignments (11 @ 5 points each)                                                   55 points
Non-proctored Med-Surg Test                                                                10 points
ATI Comprehensive Predictor                                                                20 points
ATI Proctored Management Test (replaces a unit test)                                       25 points
Tests (4)                                                                                  225 points
Totals                                                                                     335 points

Students must achieve a cumulative minimum of 75% on tests and quizzes before points on other activities
will be added to the total score. All tests must be completed at the assigned time to avoid a 5% penalty.


ATI PN Comprehensive Predictor:                 Students must complete the PN Comprehensive Predictor as a
means of identifying areas requiring further study prior to completing the NCLEX-PN. No minimum score
is required. The results of the testing will be reviewed with the student at ICS conference.

ATI PN Management Test:             This test replaces the unit test for this content area. A 55 percentile
score must be achieved. Failure to achieve the designated percentile will require remediation. The ATI on-
line unsecured testing may be attempted up to 5 times. If more than one remediation try are required,
please submit summary of each try. Students must achieve a 90% on remediation.

Point allocation for ATI Proctored tests will be figured on a curve scale based on the highest percentile
achieved within the class.

Students must complete the non-proctored PN Medical - Surgical Nursing test prior to completing the
Comprehensive Predictor. Instructions for completing the non-proctored Medical - Surgical Test will be
provided during the first week of the quarter.

A learning packet will be provided for each student by the beginning of each content area. Students are
expected to review the learning packet, reading assignment and vocabulary prior to class. Discussions,
quizzes and activities will assume the student has prepared for the content. Quizzes and activities will be in
a variety of formats.

NURS 104 students must complete all activities including multiple-choice tests to achieve a passing grade.
All tests and quizzes will be graded for feedback only. A final grade of pass/fail is based solely on
participation and attendance.

NURS 104 students are required to complete (3) one 100 questions tests from NCLEX Review 2000
computer test bank. Test content is as follows: Fundamentals of Nursing - 100 questions,
Maternal/Newborn & Pediatrics - 100 questions, and Medical/Surgical Nursing - 100 questions.
A score of 50% or better is required on each test. A print-out showing completion of each test is due by
1630 hours on July 29th.

                                             Computer Lab Availability

   Walla Walla – Lab 221 as announced
   Clarkston Center – Lab 117A as announced




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                                WALLA WALLA COMMUNITY COLLEGE
                                      NURSING EDUCATION




                                     FACULTY CONTACT LIST

Note: Students are encouraged to contact the faculty member responsible for the content area or clinical
experience when they have questions.

                                               WALLA WALLA

                             Instructor                         Contact Phone
                         Sarah Jean Cooper            office 527-4243
                       Summer lead instructor         home: 522-1047
                         Carolyn Dinkmeier            office: 527-4248
                                                      cell: 301-1678
                           Sylvia Marion              home: 525-0144


                           Patty McBride              home: 525-6309
                                                      cell: 301-9680




                                                   CLARKSTON


                           Barb Hays                  office: 758-1717
                       Summer lead instructor         home: 751-9236
                                                      pager: 799-7598

                          Carol McFadyen              office: 758-1728
                                                      cell: (509) 520-3950
                                                      pager: 750-0879

                         Julie Marie Quillen          home: (208) 276-7709
                                                      pager: 799-7050




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                              WALLA WALLA COMMUNITY COLLEGE
                                    NURSING EDUCATION

                                         BLOOD & IMMUNE

Points: Quiz/Activity            05
        Test                     25
        Total                    30

        TOPIC                         OBJECTIVES                       ASSIGNMENT/COMMENTS
 Nursing Care of        Compare and contrast various types of          Silvestri p.395-398
 Clients with:          anemia. Include:
                         Symptomatology
Blood Dyscrasias         Nursing management
                         Teaching

                        Discuss nursing management of an individual
                        with sickle Cell Disease, including teaching

                        Discuss nursing management of a client with
                        Hemophilia, including teaching

                        Convey an understanding of the significance
Diagnostics             of lab values that relate to hemostasis and    Silvestri p. 88-89
                        anticoagulation therapy.
                         Activated Partial Thromboplastin Time
                             (aPTT)
                         Prothrombin Time/International
                             Normalized Ratio (PT/INR)
                         Platelet count

                        Explain the significance of the following      Silvestri p. 93 - Table 10-4
                        components of a complete blood count (CBC):
                         red blood count (RBC)
                         hemoglobin (Hgb)
                         hematocrit (Hct)
                                                                       Silvestri p. 94
                         white blood count (WBC)
                         WBC differential                             Silvestri ch 58-59

Immunologic Disorders   Compare and contrast active and passive
                        immunity

                        Review structure/function of lymphatic
                        system and state functions of:
                         Lymphatic vessels
                         Lymph nodes
                         Tonsils
                         Thymus gland
                         Spleen
                                                                       Silvestri p. 909-913
                        Differentiate between T lymphocytes and B                   920-922
                        lymphocytes and their function in the body

                        Discuss conditions of immunodeficiency and
                        related nursing management

                           Type I – atopic reactions
                           Type II – cytoxic reactions


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                                  WALLA WALLA COMMUNITY COLLEGE
                                        NURSING EDUCATION


                            Review basic nursing interventions related to
                            hypersensitivity immune reactions:

                            Review basic nursing interventions related to
                            hypersensitivity immune reactions:

                               Type III – immune complex reactions
                                 Type IV – cell-mediated
                                   hypersensitivity

                            Discuss the actions and side effects for
                            medications used in immunodeficiency
                                 antivirals
                                 antiretrovirals




VOCABULARY LIST – BLOOD & IMMUNE

sickle cell anemia                                       humoral response

pernicious anemia                                        immunogen (antigen)

hemolytic anemia                                         agranulocytosis

aplastic anemia                                          T and B lymphocytes

leukocyte (osis), (penia)                                immune deficiency

lymphocyte                                               cellular response

thrombocyte (osis), (penia)                              hemarthrosis

hemophilia                                               natural immunity

polycythemia                                             acquired immunity




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                                  WALLA WALLA COMMUNITY COLLEGE
                                        NURSING EDUCATION

                                                EMERGENCY

Points: Quiz/Activity               05
        Test                        25
        Total                       30

     TOPIC                       OBJECTIVES                             ASSIGNMENT/COMMENTS

Care of the Client    Describe potential/anticipated injury
Requiring an          based on reported mechanism of
Emergency Room        injury
Admission.

Common
emergencies           Identify assessment and interventions
                      related to common emergencies:
                            Poisoning                            Silvestri p 365-366 (poison)
                            Burns                                Silvestri p 382 (burns in child)
                            Head injuries                        Silvestri p. 433-437, p 455 (enzymes)
                            Musculo-skeletal injuries            & p. 456-7 (burn products)

                      Discuss the effect of head and /or
                      spinal injury on the following
                      systems:
                       Respiratory
                       Cardiovascular
                       Gastrointestinal
                       Genitourinary
                       Integumentary
                       Psychosocial

                      Compare and contrast types of shock         Silvestri p. 168, 665, 819
                      considering assessment and nursing
                      interventions for each


VOCABULARY LIST – EMERGENCY

triage                                                     autonomic dysreflexia

full-thickness burn                                        laceration

partial-thickness burn                                     Glasgow coma scale

superficial burn                                           hypovolemic shock

eschar                                                     pneumothorax

blunt trauma                                               contusion

mechanism of injury                                        concussion




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                                 WALLA WALLA COMMUNITY COLLEGE
                                       NURSING EDUCATION

                                             ENDOCRINOLOGY

Points: Quiz/Activity               05
        Test                        25
        Total                       30

     TOPIC                        OBJECTIVES                      ASSIGNMENT/COMMENTS
Nursing Care of      Briefly review the A&P of the endocrine    Silvestri chapter 42
Client with          system.
Endocrine
Disorders            Name the hormones and list the functions
                     of the following endocrine glands:
                      Posterior pituitary
                      Anterior pituitary
                      Thyroid
                      Parathyroid
                      Adrenal medulla
                      Adrenal cortex
 Diagnostic tests,   Discuss clinical manifestations ,
 nursing care        diagnostic tests and nursing care of
                     clients with of hypo and hyper secretion
                     of the endocrine glands

                     State action, adverse reaction and         Silvestri ch. 43
                     appropriate nursing actions for clients
                     receiving the following drugs:
                      Pitressin (vasopressin)
                      Thyroid (Synthroid)
                      Propthiourazil (PTU)
                      SSKI (saturated solution of
                          potassium iodine
                      Lugol’s solution
                      Tapazole
                      Cortisone, Decadron, Prednisone
                      Aldosterone

F&E imbalances       Describe the significance of common        Silvestri ch 8
related to           electrolyte imbalances.
endocrine             Sodium
disorders             Potassium
                      Chloride
                      CO2
                      Calcium

                     Identify indicators of positive and
                     negative fluid balance.




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                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION


VOCABULARY LIST – ENDOCRINOLOGY

acromegaly                                       Addison’s disease

antidiuretic hormone (ADH)                       cretinism

Cushing’s syndrome                               diabetes insipidus

Euthroid                                         exophthalmia

giantism                                         Grave’s disease

hirsutism                                        hormone

myxedema                                         pheochromocytoma

thyroid crisis/storm                             vasopressin

primary aldosteronism                            parathormone




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                               WALLA WALLA COMMUNITY COLLEGE
                                     NURSING EDUCATION

                                          GI ACCESSORY


Points: Quiz/Activity             05
        Test                      25
        Total                     30

       TOPIC                           OBJECTIVES                       ASSIGNMENT/COMMENTS


A & P of GI             Discuss A & P of the GI accessory organs        Silvestri p 87-95
Accessory Organs
                                                                        Silvestri p 363-364

Diagnostics             Interpret the relevance of various diagnostic   Silvestri p 561-569
                        tests related to function &/or dysfunction of
                        each GI accessory organ.

                           Serum bilirubin
                           Urine or fecal urobilinogen
                           Serum albumin
                           Alkaline phosphatase (ALP)
                           PT
                           Platelets
                           Alanine Aminotransferase (ALT)
                           Amylase

                        Describe common clinical manifestations
Cholecystitis
                        associated with GI accessory dysfunction.
Pancreatitis
Hepatitis
                        Discuss appropriate pharmacologic and
Cirrhosis
                        dietary needs for a client with GI accessory
                        dysfunction

                        Discuss changes in drug therapy related to
                        liver dysfunction




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                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION

VOCABULARY LIST – G I ACCESSORY

                                                 cirrhosis
asterixis
                                                 portal hypertension
ascites
                                                 bilirubin
gynecomastia
                                                 esophageal varices
jaundice
                                                 encephalopathy
abdominal paracentesis
                                                 pancreatitis
hepatitis (A-E)

cholelithiasis                                   cholecystitis

lithotripsy




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                                 WALLA WALLA COMMUNITY COLLEGE
                                       NURSING EDUCATION

                                              MANAGEMENT

Points: Quiz/Activity               05
        Test                        25       (ATI proctored Management Test)
        Total                       30

      TOPIC                              OBJECTIVES                    ASSIGNMENT/COMMENTS

 Management &           Review LPN role in health care in clinics,    Silvestri chpt. 6 & 7
 Role of the LPN        acute and extended care.

                        Discuss the concepts of leadership and
                        management
                         Identify the role of the LPN related to
                            management skills and as a member of
                            the health care team

                        Discuss the concept of Case Management

                        Discuss the regulation of Nursing Practice
                         Standards of care
                         Policies
                         Legal risk and safeguards
                                 Incident reports
                                 Physician orders
                                 Documentation
                                 Teaching
                         Reporting responsibilities

                        Discuss the concepts of:
                         Delegation
                         Accountability/responsibility
                         Liability
                         Conflict management /problem resolution

                        Discuss the concepts of organization:
                         Priority setting
                         Time management
                         Shift report




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                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION


VOCABULARY LIST – MANAGEMENT

accountability                                   leadership

advocacy                                         malpractice

advanced directive                               negligence

case management                                  nurse practice act

critical pathways                                patient’s bill of rights

delegation                                       prioritizing

ethics                                           responsibility

informed consent                                 variance




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                                WALLA WALLA COMMUNITY COLLEGE
                                      NURSING EDUCATION

                                        MENTAL HEALTH/PSYCH

Points: Quiz/Activity              05
        Test                       35
        Total                      40

        TOPIC                           OBJECTIVES                      ASSIGNMENT/COMMENTS

Introduction to           Briefly review commonly used defense
psychiatric disorders     mechanisms                                   Silvestri ch 60, 61, 62, 63, 64 as
                                                                       applicable
Defense Mechanisms        Briefly review communication techniques
                          and blocks                                   Further information on specific
                                                                       readings will be provided in class
 Communication            Compare/contrast the clinical
                          manifestations treatments, and nursing
                          interventions of the following psychiatric
                          disorders:
Mental health disorders   :
                          A. Thought disorders-- Schizophrenia

                          B. Affective disorders
                              Depression
                              Bipolar Disorder
                              Suicidal client

                          C. Personality disorders (borderline)
                          D. Eating disorders
                               Anorexia
                               Bulimia
                          E. Withdrawal related to chemical
                          dependency/substance abuse
                               Alcohol
                               Stimulants
                          Discuss commonly prescribed psycho
                          trophic medications. Identify related
Medications
                          nursing implications

                          A. Antidepressants
                           Selective Serotonin Reuptake Inhibitors
                           Tricyclic Antidepressants
                           MAO Inhibitors
                           Atypical Antidepressants

                          B. Mood stabilizers
                          Lithium carbonate

                          C. Antipsychotics




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                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION

VOCABULARY LIST – MENTAL HEALTH/PSYCH

affect                                           bipolar

denial                                           schizophrenia

paranoia                                         mania

delusions                                        autistic

hallucination                                    psychosis

dysthymia                                        dependency

anorexia nervosa                                 bulimia

depression                                       projection

crisis                                           illusions

anhedonia                                        addiction




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                                WALLA WALLA COMMUNITY COLLEGE
                                      NURSING EDUCATION

                                       NEPHRO-URINARY SYSTEM

Points: Quiz/Activity             05
        Test                      25
        Total                     30

     TOPIC                        OBJECTIVES                       ASSIGNMENT/COMMENTS
 A& P of Nephro-    Review briefly nephro-urinary A & P as it
 Urinary System     relates to normal renal function and urine   Silvestri ch 50
 Diagnostic Tests   formation.

                    Discuss the preparation of patients and
                    nursing care related to various diagnostic
                    tests related to function and/or
                    dysfunction of the nephro-urinary system.
                          Various UAA samples
                          BUN/Creatinine                        Silvestri p. 92
Incontinence              IVP
                          Cystoscopy

                    Review incontinence and apply the            Silvestri p.1009
                    nursing process in planning interventions
                    and evaluating response to treatment.
Infective
Disorders           Identify factors contributing to urinary
                    tract infection. Discuss pharmacologic       Silvestri ch 51
                    options to include teaching.

                    Use the nursing process to develop a plan
                    of care for a client with:
                     Pyelonephritis/glomerulonephritis          Silvestri pp. 372-375
                     Nephrosis/nephrotic syndrome               (glumerulonephritis/nephrosis)
                     UTI
Obstructive
Disorders
                    Discuss urolithiasis (clinical
                    manifestations, nursing care and
                                                                 Silvestri pp. 713-736
                    prevention)
 Renal Failure
                    Compare and contrast the two types of
                    renal failure. Consider pathophysiology,
                    nursing interventions, & client teaching.

                    Compare and contrast types of dialysis, to
 Dialysis
                    include potential complications, and
                    pharmacologic implications.
Transplantation
                    Discuss issues and the impact of long-
                    term immunotherapy and nursing
                    interventions for transplant clients.




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                              WALLA WALLA COMMUNITY COLLEGE
                                    NURSING EDUCATION


VOCABULARY LIST – NEPHRO-URINARY SYSTEM

azotemia                cystitis                 oligruria

pyelonephritis          uremia                   nocturia

cystoscopy              anuria                   erythropoietin

nephritis               enuresis                 nephrosis

hemodialysis            pyuria                   ileal conduit

nephrolithiasis         peritoneal dialysis      nephrotic syndrome




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                               WALLA WALLA COMMUNITY COLLEGE
                                     NURSING EDUCATION

                                              NEUROLOGY


Points: Quiz/Activity              5
        Test                      35
        Total                     40

       TOPIC                           OBJECTIVES                          ASSIGNMENT/COMMENTS
 A&P of Neurological    Briefly review neurological A&P as it relates
 system                 to normal neurological functions                  Silvestri chpt. 54 & 55

 Diagnostic tests       Discuss the preparation of clients and
                        nursing care related to various diagnostic
                        tests related to function or dysfunction of the
                        neurological system.
                              MRI, CT scan
                              Myelogram
                              Lumbar puncture
                              Angiography
                              EEG
 Assessment
                        Describe neurological assessment skills in
                        relation to common neurologic dysjunctions.
 Nursing Care of the    Describe common clinical manifestations of
 Client with a          neurologic dysfunction/disorders for a client
 Neurologic             with Parkinson’s disease, a seizure disorder,
 Dysfunction            Myasthenia Gravis and Multiple Sclerosis.
     Parkinson’s
     Seizures          Compare and contrast current treatment and
     Multiple          nursing care of clients with Parkinson’s
         Sclerosis      disease, a seizure disorder, Myasthenia
     CVA               Gravis and Multiple Sclerosis.

                        Apply the nursing process to a client with
                        Parkinson’s disease, seizure disorder, and
                        MS.

                        Describe the common clinical manifestations
                        and treatment for a client with a CVA.

                        Discuss nursing care and relate the nursing
                        process for a client during a CVA:
                             Acute phase
                             Rehabilitation phase

Pharmacology            Classify the following medications as
                             skeletal muscle relaxants
                             anti-convulsants,
                             anti-cholinergic
                             anti-Parkinson’s.
                             Cogentin (benztropine)
                             L-Dopa (levodopa)
                             Dilantin (phenytoin)
                             Robaxin (methocarbamol)


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                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION

                            Sinemet (carbidopa/levodopa)
                            Artane
                            Valium (diazepam)
                            Phenobarbital
                            Tegretol (carbamazepine)
                      State actions and side effects, effect on
                      clients level of consciousness and
                      appropriate nursing interventions for each



VOCABULARY LIST - NEUROLOGY

aphasia                                            nystagmus

ataxia                                             plegia

agnosia                                            paresthesia

apraxia                                            papilledema

comatose                                           paresis

convulsion                                         proprioception

dyskinesia                                         posturing

neuritis                                           rigidity

nuchal rigidity                                    status epilepticus

neuralgia




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                                 WALLA WALLA COMMUNITY COLLEGE
                                       NURSING EDUCATION

                                                ONCOLOGY

Points: Quiz/Activity               05
        Test                        25
        Total                       30

       TOPIC                              OBJECTIVES                         ASSIGNMENT/COMMEN
                                                                             TS

Nursing Care of Clients   Discuss the client’s initial response to their     Silvestri Ch 35 (pp 396-402-
with Various Cancers      diagnosis of cancer. Discuss alternative           Leukemia and Hodgkins
                          treatment modalities.                              Disease)
                                                                             Silvestri Ch 40 & 41
                          Describe the difference between benign &
                          malignant

                          Discuss melanoma, multiple myeloma

                          Explain what is meant by “staging”

                          Discuss the major treatment modalities for
                          cancer.

                          Explain why anticancer drugs cause alopecia
                          and stomatitis and describe nursing
                          interventions for each.

                          Discuss special nutritional needs of cancer
                          clients

                          Discuss learning needs of a client prior to:
                           Bone marrow biopsy
                           Needle biopsy

                          State risk factors for CA of the breast, cervix,
                          colon, lung and pancreas.

                          List nursing actions to prevent infection,
                          reduce bleeding and promote comfort in a
                          client with cancer

                          Compare the 2 major categories of leukemia,
                          identify type most common in children and
                          young adults. Include clinical findings, usual
                          treatment and nursing considerations

                          State the early warning signals of CA as stated
                          by the American Cancer Society.

                          Compare the care and treatment of common
                          types of cancer.




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                             WALLA WALLA COMMUNITY COLLEGE
                                   NURSING EDUCATION


VOCABULARY LIST - ONCOLOGY
benign                                           chemotherapy

leukopenia                                       multiple myeloma

Hodgkin’s disease                                oncology

papilloma                                        7 danger signs of cancer (CAUTION)

biopsy                                           lymphoma

melanoma                                         necrosis

palliative                                       sarcoma

myoma                                            adenocarcinoma

cachexia                                         leukemia

malignant                                        metastasis

neoplasm                                         neutropenia

stomatitis




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                                    WALLA WALLA COMMUNITY COLLEGE
                                          NURSING EDUCATION


                                                  PEDIATRICS

Points:           Quiz/activities            05
                  Test                       25
                  Total                      30

          TOPIC                           OBJECTIVES                         ASSIGNMENT/COMMENTS

Nursing Care for a        Review growth & development, assessment           Silvestri Ch 27
Pediatric Client          and safety considerations for each age group

                          Discuss care of the child in the clinic setting

                          Independently review the administration of        Silvestri Ch 37
                          medications to children

Common illnesses          Describe the most common illnesses and            Silvestri Ch 28, 29, 30, 33
                          causes of injuries in each childhood age group    Further information on readings
                          and the required teaching for parents and         will be provided prior to class
                          children.

Communicable              Describe the length of incubation, method of      Silvestri 381-382 pediculosis,
Diseases                  transfer, symptoms, nursing care and possible     scabies, ringworm
                          sequela of common communicable diseases           Silvestri Ch 36


Immunizations             Identify the recommended childhood
                          immunizations schedule and teaching required
                          for aftercare

Abuse
                          Describe the characteristics of abused children
                          and abusive caregivers


VOCABULARY LIST – PEDIATRICS

coryza                                                  failure to thrive
otitis media                                            bronchiolitis
gastroenteritis                                         pinworm (ascariasis)
tinea pedis                                             prodromal stage
opisthotonos                                            carrier
Koplik spots                                            pediculosis
pyloric stenosis                                        impetigo
aganglionic megacolon                                   tracheoesophageal fistula
celiac disease                                          amblyopia
muscular dystrophy                                      scoliosis
strabismus




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