Docstoc

NURS Hydrocele

Document Sample
NURS Hydrocele Powered By Docstoc
					           WALLA WALLA COMMUNITY COLLEGE
                 NURSING EDUCATION




                 BEGINNING NURSING CONCEPTS I
                                     NURS 101

                                Winter 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 101 Syllabus Winter 2008                                                            1
                                        COURSE OUTLINE


Course Identifier:     NURS 101

Title:                 Beginning Nursing Concepts I

Credits:               6

Class Hrs Per Wk:      6

Catalog Description:   A continuation of the principles of nursing care introduced in NURS 100. The
                       focus is on providing care for clients of all ages who are experiencing normal life
                       processes or common/chronic disease processes in selected systems.

Prerequisites:         NURS 100 and 110

Corequisite:           NURS 111

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:         Introduction to Care of the Child
                       Perioperative Nursing
                       Fluid, Electrolytes, Acid-Base Balance I
                       Cancer I
                       Men's Health
                       Integumentary
                       Musculoskeletal
                       Diabetes
                       Respiratory I

Evaluation Devices:    Activities
                       Unit Tests
                       Comprehensive Final
                       ATI Tests




NURS 101 Syllabus Winter 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 101 Syllabus Winter 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 101 Syllabus Winter 2008                                                                                 4
                                  BEGINNING NURSING CONCEPTS I
                                            NURS 101


Grading Criteria & Distribution of Points:

                  CONTENT                                  POINTS on                      INSTRUCTOR
                                                      assignments/activities
                Musculoskeletal                                6                          Carol McFadyen
             Perioperative Nursing                             2                         Carolyn Dinkmeier
                    Diabetes                                   10                          Patti McBride
                  Respiratory I                                15                           Grace Hiner
   Fluids, Electrolytes, Acid-Base Balance I                   6                          Todd Carpenter
       Introduction to Care of the Child                       5                           Patti McBride
                    Cancer I                                   2                         Carolyn Dinkmeier
                 Integumentary                                 2                          Todd Carpenter
                  Men's Health                                 2                          Todd Carpenter
                   4 unit tests                               180
                   Final Test                                  80
        ATI Fundamentals of Nursing                            30
              comprehensive test
            Total Points available                              340 points

         (All content will be taught via ITV. Faculty will travel part of the time weather permitting.)



**Students must attain 75% or greater cumulative score on tests to achieve a passing grade in NURS 101.
  Activity points will accumulate as achieved, however, they will not be added to the grade until the end of
  the quarter and will be added only if the test score is a minimum of 75%.

Group testing - following each of the four (4) unit tests, a small-group test will be given. If a 90% is
achieved on this group test, the members of the group shall receive 2 additional points. If the group receives
a score of 81-89% each member shall receive 1 additional point. Any group scoring 80% or below shall
receive no points. All points achieved through group testing shall be documented as activity points


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 the Nursing Student 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 101 Syllabus Winter 2008                                                                                  5
Assessment Technologies Institute (ATI) Testing

       One (1) computerized mastery examination will be administered this quarter (proctored):
        ―Fundamentals of Nursing Practice‖

       Prior to taking this 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 you non-proctored
        individual score to Carolyn/Carol, front page only.

       In order to demonstrate mastery of content, a score of 60% (36 questions answered correctly)
        must be achieved on the secured (proctored) test.

       The 30 points available will be allocated on the following basis.

            o    Students with 49 (81.7%) or more questions answered correctly will receive 30 points
                 added to their test totals.

            o    Students with 41(68.3%) or more questions answered correctly; but less than 49, will have
                 20 points added to their test totals

            o    Students with 36 (60%) or more questions answered correctly; but less than 41, will have
                 10 points added to their test totals

            o    Students with less than 36 questions answered correctly will receive 0 points added to
                 their test totals.

       Failure to achieve the designated percentage on the first secured test shall require remediation.

       All remediation must be completed prior to the end of winter quarter. If a student is unable to
        complete required remediation prior to the end of winter quarter he/she may request an ―I‖ grade.

       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.



                                                Grading Scale

                                             A        = 94 – 100%
                                             A-       = 90 -- 93%
                                             B+       = 87 -- 89%
                                             B        = 84 -- 86%
                                             B-       = 81 -- 83%
                                             C+       = 78 -- 80%
                                             C        = 75 -- 77%
                                             C-       = 70 -- 74%




NURS 101 Syllabus Winter 2008                                                                                    6
                     Learning Guides




NURS 101 Syllabus Winter 2008          7
                                                                   Unit: Care of the Child
         Topic                                                     Objectives                                                Assignment/Comments
Nurse’s Role                1. Discuss the nurse’s role in health maintenance and health promotion for children      Potter & Perry (2005) Chapter 11 pp.
                                                                                                                     189-213
                            2. Discuss the use of the nursing process in health maintenance and health promotion
Health Maintenance &            activities for children of each age group                                            Holman, H.M. (2001) Providing age
Health Promotion                           Assessment of normal growth & development                                appropriate care in healthcare
                                           Erikson and Piaget                                                       organizations: Infancy to adolescence.
                                           Play, toys or activities                                                 NELPN (May) 8-11. On Reserve in
                                                                                                                     Library. Read Before Class
                            3. Discuss common learning needs for parents in regards to health promotion and
Learning Needs                   maintenance for children of each age group                                          Silvestri (2005), Chapter 27 pp.313-318.
                                                                                                                     (review); Chapter 28 pp. 321-300
                            4. Describe variations in techniques of physical assessment based on the child’s age     (review)
Assessment                       and level of development

                            5. Describe nursing interventions to provide age appropriate care to the ill child and
Care of Child in Hospital       family in the hospital




NURS 101 Syllabus Winter 2008                                                                                                                                 1
                                                                        UNIT: Perioperative Nursing Management
                           Topic                                                  Objectives                                                 Assignments/Comments
                 Perioperative Nursing     1.     Explain the concept of perioperative nursing
                                                                                                                                      ATI - Adult Med-Surg RN 7.1 ed 7.1,
                                           2.     Describe essential components of preoperative nursing.                              Unit13
tive Nursing C                                    (relevant diagnostic tests, informed consent, etc.)
                                                                                                                                      Lewis. Pp 360-375; 377-391 (overview);
                                           3.     Develop a preoperative teaching plan for a client undergoing open abdominal         393-413
                                                  surgery.

                                           4.    Describe the action, therapeutic effect, and nursing implications of medications
                                                 administered during the perioperative period.                                        Scan Lewis Pp.47-55

                 Intraoperative Nursing    5.    **Identify the surgical team and describe their role in client safety.
                 Care
                                           6.    Compare and contrast types of anesthesia (handout).

                                           7.    Describe the role of the nurse related to conscious sedation and explain potential   **Objectives covered in Intra-op Journal
                                                 risk factors.

                                           8.    **Discuss measures used to maintain client safety during the intraoperative phase.

                                           9.    Explain the role of the PACU nurse related to patient safety immediately after
                 Postoperative Nursing           surgery (assessment/interventions).
                 Care
                                           10. Describe the role of the nurse caring for hospitalized surgical clients include:
                                               (assessment, potential complications, interventions, evaluation)

                                           11. Differentiate acute from chronic pain.
ute
                                           12. Review methods of assessing acute pain and describe common responses to pain.          Review Lewis 131-157

                                           13. Explain the mechanisms whereby non-narcotic, and narcotic analgesic relieve pain.
                                               Discuss rationale and teaching requirements for the use of a PCA .




                 NURS 101 Syllabus Winter 2008                                                                                                                               2
                                                              Unit :Fluid and Electrolytes #1
          Topic                                                  Objectives                                              Assignment/Comments
Fluid and Electrolyte           1.   Describe the normal physiology of fluid balance
Imbalances                             Fluid compartments                                                        Potter, P. & Perry, A. (2005)
                                                                                                                                               th
                                       Functions of body fluids                                                  Fundamentals of Nursing. 6 edition.
                                       Types of electrolytes                                                     Chapter 40, pp. 1135 – 1146.
                                       Role of proteins
                                                                                                                  Silvestri (2006), Chapter 11, pp 108-
Laboratory & Diagnostic         2. Identify the significance of abnormal laboratory values related to fluid       113 (Electrolytes- Elements)
Testing                            imbalances:
                                       Serum electrolytes
                                       Serum albumin
                                       Hematocrit
                                       Blood Urea Nitrogen (BUN)
                                      
                                                                                                                  Silvestri, Chapter 10, pp 98 - 103.
                                3. Describe the etiology, clinical manifestations and nursing management of
                                    clients at risk for or with:
                                     Fluid volume deficit/shock
                                     Fluid volume excess
                                     Fluid volume shifts

IV Fluid Therapy                4.   Compare the actions of IV solutions in the body
                                      Hypotonic
                                      Isotonic
                                      Hypertonic

                                5.   Identify legal/ethical principles that guide the practice of IV therapy in
                                     providing care for children and adults.
                                       Assessments
                                               o Site
                                               o Rate
                                               o Solution
                                       Documentation




NURS 101 Syllabus Winter 2008                                                                                                                           3
                                                   Unit: Fluid and Electrolyte Imbalance; Intro to Acid-Base #2
          Topic                                                         Objective                                              Assignment/Comments
Assessment and                  1.       Describe the etiology, clinical manifestations, medical management and        Potter, P. & Perry, A. (2005)
                                                                                                                                                    th
Management of the Client                 nursing interventions for the following imbalances:                           Fundamentals of Nursing. 6 ed.,
with Electrolyte                          Sodium (Na)                                                                 Chapter 40, pp. 1135 – 1139, 1146 –
Imbalances                                Chloride (Cl)                                                               1161, 1173 – 1181, 1189 – 1190.
                                          Potassium (K)
                                          Calcium (Ca)
                                          Phosphorus (P)
                                                                                                                       Silvestri (2006) Chap. 11
                                2.       Describe the role of the chemical buffers in the lungs and kidneys in the          Albumin, p 111 protein, p
                                         maintenance of acid-base balance.                                                      112
                                                                                                                            Electrolytes, p 108,
                                3.       Describe laboratory test results indicating acid base imbalance.                   Renal function Studies, p
                                              Arterial Blood Gases (ABG’s)                                                     113
                                              Serum CO 2                                                                   Hemoglobin and hematocrit
                                                                                                                                p. 109-110
                                4.       Identify the four types of acid-base imbalances by ABG analysis.
                                               Metabolic acidosis and alkalosis
Assessment and
                                               Respiratory acidosis and alkalosis
Management of the Client
with Acid-Base
                                5.       Describe the etiology, risk factors, clinical manifestations, medical
Imbalances
                                         management and nursing interventions for the client with metabolic acidosis
                                         /alkalosis




NURS 101 Syllabus Winter 2008                                                                                                                            4
                                          Unit: Care of the Client with Disorders of the Respiratory System #1
       Topics                                                  Objectives                                              Assignment/Comments
Anatomy & Physiology            1. Discuss the anatomy and physiology of the respiratory system in            Pre-class study guide to be given about
                                   relation to care of the client with respiratory disorders.                 1 week prior to lecture.
                                    ventilation
                                    neural control of respiration                                            Assigned Reading: Lewis, Heitkemper,
                                    differences between the child and adult respiratory systems              & Dirksen (Med-Surg Nursing): Chapter
                                    effects of aging on the respiratory system.                              26: p. 509-532

                                2. Describe the nursing assessment for a client with a respiratory
                                   problem.
                                    history
                                    examination of the respiratory system
Assessment                      3. Describe the clinical manifestations of a client with respiratory
                                   dysfunction
                                    normal vs: abnormal breath sounds
                                                                                                            Respiratory Assessment Video on
                                    assessment abnormalities and chest examination findings in
                                                                                                            reserve in library:
                                       common pulmonary problems
                                                                                                            Performing Respiratory Assessment
                                4. Describe the nursing responsibilities for preparing and caring for the   by Springhouse: Written assignment
Laboratory &                                                                                                due one week from date of Respiratory
                                   client receiving the following laboratory and diagnostic studies. Also
diagnostic studies
                                   describe the significance of the results of the following laboratory     Lecture # 1: Briefly (1-2 paragraphs)
                                   and diagnostic studies:                                                  describe one main point you learned
                                    CBC (Complete blood count: Includes Hgb & Hct)
                                                                                                            from watching this video. Assignment
                                    ABGs (arterial blood gases)
                                                                                                            is worth 5 points.
Nursing Interventions               Pulse oximetry
                                    Sputum studies
                                    Skin test for tuberculosis
                                    Radiographic studies
                                    Endoscopic examination
                                    Pulmonary Function Tests
                                    Exercise Testing




NURS 101 Syllabus Winter 2008                                                                                                                       5
                                                         Unit: Care of the Client with Disorders of the Respiratory System #2
                         Topics                                                Objectives                                              Assignment/Comments
                 Disorders of the Upper          1. Review the structures of the upper respiratory system                       Pre-class study guide to be given
                 Respiratory system                  differences between child and adult                                       about 1 week prior to lecture.
                                                     effects of aging on the upper respiratory tract
the Pediatric client with disorders of the                                                                                      Lewis, Heitkemper, & Dirksen (Med-
                  Upper Respiratory              2. Discuss considerations in the care of the pediatric client with disorders   Surg Nursing):
                  System                            of the upper respiratory system                                             Chapter 27: p.533-551

                 Assessment and                  3. Describe the etiology and pathophysiology, clinical manifestations,
                 Management of the                  nursing interventions, and client learning needs of upper airway
                 client with disorders of           inflammatory, infectious, or structural disorders.
                 the Upper Respiratory               Nasal Fracture
                 System                              Expistaxis                                                                Silvestri, p. 359 & p. 676-677
                                                     Sinusitis
                                                     Allergic Rhinitis
                                                     Acute Viral Rhinitis
                                                     Influenza
                                                     Acute Pharyngitis                                                         Nursing Diagnosis:
                                                     Peritonsillar Abscess                                                     Nurses’s Pocket Guide:
                                                     Obstructive Sleep Apnea (OSA)                                             1. Ineffective Airway Clearance: p.
                                                     Epiglotitis                                                               74-77
                                                     LTB (laryngotracheo-bronchitis)—Croup                                     2. Ineffective Breathing Pattern : p.
                                                                                                                                123-126
                 Pharmacology                    4. Identify the action, therapeutic effects, drug interactions and nursing
                                                    implications of medications used to treat upper respiratory problems.
                                                     nose drops/nasal steroids
                                                     antihistamines
                                                     decongestants
                                                     expectorants & mucolytic agents
                                                     antitussives
                                                     echinacea




                 NURS 101 Syllabus Winter 2008                                                                                                                       6
                                           Unit: Care of the Client with Disorders of the Respiratory System #3
         Topics                                                 Objectives                                                 Assignment/Comments
Care of the client with a       1. Describe nursing interventions to maintain or restore health for the client    Pre-class study guide to be given out
tracheostomy:                   with a tracheotomy                                                                about 1 week prior to lecture.
Nursing Interventions                Assessment
                                     Suctioning: Complications:
                                          Hypoxia, Trauma, Infection, Vagal Stimulation
                                     Swallowing
                                     Communication                                                               Lewis, Tracheostomy p. 543-550
                                     Nutrition
                                     Psychosocial considerations                                                 Lewis: Acute Bronchitis & Pnuemonia p.
                                                                                                                  561-569
Disorders of the Lower          2. Describe the etiology, pathophysiology, clinical manifestations, and
Respiratory System              nursing management of the client with:                                            Lewis, Isolation Precautions p.561-569
                                     Acute Bronchitis
                                     Pneumonia
                                                                                                                  Lewis O2 therapy p 640-642
                                     Atelectasis
                                                                                                                  **Bring Davis Drug Guide to class
                                3. Describe nursing precautions and interventions in caring for the client
                                with a respiratory infection
                                     Transmission based guidelines & best practices for drug resistant
Nursing Interventions                    infections. (Isolation Precautions)
                                     Laboratory assessment: CBC; C & S

                                4. Describe the action, therapeutic effect and nursing implications of
                                medications used for the treatment of infections.
                                     Antipyretics
                                     Antimicrobial therapy

                                5. Develop a plan for providing information about continuing with antibiotic
                                   therapy after discharge

     Teaching                   6. Describe the nursing responsibilities in relation to the use of oxygen
                                   therapy including the assessment for complications.
                                    Goals of oxygen therapy
                                    Hazards & complications of oxygen therapy



NURS 101 Syllabus Winter 2008                                                                                                                         7
                                   Types of oxygen delivery Systems




NURS 101 Syllabus Winter 2008                                          8
                                                        Unit: Care of the Client with Disorders of the Respiratory System #4
                           Topic                                              Objectives                                                  Assignment/Comments
                  Obstructive Pulmonary     1. Discuss the etiology, pathophysiology, clinical manifestations, and nursing        Supplemental Reading Assignment
                  Diseases:                    management of the client with asthma.                                              on Peak Flow Meter—to be given
                  Asthma                        Triggers                                                                         with pre-class study guide about 1
                                                Peak flow monitoring                                                             week prior to lecture.


                  Pharmacology              2. Describe the actions, therapeutic effect and nursing implications of
                                               pharmacological therapies used to treat and prevent asthma attacks.                Lewis, Heitkemper, Dirksen (Med-
                                                Bronchodilators (short & long acting)                                            Surg Nursing):
                                                Corticosteroids                                                                  Chapter 29: p. 607-634 & 646-659
                                                Methylxanthines
                                                Mast Cell Stabilizers (Cromolyn Sodium)
                                                Leukotrienne Modifiers


                                            3. Discuss risk factors for, etiology, pathophysiology, clinical manifestations
                  COPD                         and nursing management for the client with COPD (chronic obstructive
                    Assessment                 pulmonary diseases).
 th Maintenance                                                                                                                   Nursing Diagnosis:
                                                Chronic Bronchitis
estoration                                                                                                                        ― Impaired Gas Exchange‖
                                                Emphysema
                                                                                                                                  Nurse’s Pocket guide: pp 266-270



                                            4. Discuss risk factors for, etiology, pathophysiology, clinical manifestations and
                                               nursing management for the client with Cystic Fibrosis
                  Cystic Fibrosis




                  NURS 101 Syllabus Winter 2008                                                                                                                        9
                                                         Unit : Care of the Client with Diabetes #1
         Topic                                                     Objectives                                                  Assignment/Comments
Pathophysiology and             1.   Differentiate between the etiology and pathophysiology of Type I and Type II      Lewis
Etiology                             Diabetes                                                                                 chpt 49 pp 1253-1258
                                          Criteria for Diagnosis                                                             chpt 49 pp 1258
                                                                                                                              chpt 47 pp 1266-1274
                                2.   Describe the significance of findings from laboratory and diagnostic testing in
Laboratory & diagnostic              caring for the client with diabetes                                               Silvestri pp 566-577; 571 box 44-18; 571
testing                                    Blood glucose monitoring                                                   Box 44-18
                                           Urine testing for ketones
                                           Glycosylated hemoglobin
                                                                                                                       Potter & Perry
                                3.   Discuss the medical/nursing management of the client with diabetes                     chpt 43 pp 1316-1317
Management                                Nutrition                                                                        chpt 36 pp 954
                                          Exercise                                                                         chpt 38 pp 1038-1039
                                          Medications                                                                      chpt 49 pp 1599
                                          Care during illness and surgery




NURS 101 Syllabus Winter 2008                                                                                                                               10
                                                           Unit : Care of the Client with Diabetes #2
         Topic                                                      Objectives                                                  Assignment/Comments
Medications                     4.   Identify the action, therapeutic effect, and nursing implications for the use of:   Lewis chpt 45 pp 1259-1266; table 49-3,
                                          Insulin                                                                       49-4
                                          Oral hypoglycemic agents
                                                                                                                         Silvestri pp. 590-592; Box 45-2
                                5.   Describe the pathophysiology, health maintenance and health promotion
Acute Complications                  activities in regard to the acute complication os metabolic acidosis and            Lewis chpt 17 p. 335; chpt 49 pp. 1278-
                                     diabetes                                                                            1282

                                6.     Discuss assessment and nursing interventions for a client with diabetes in an     Silvestri pp 568-570, Box 44-2
                                       acute care facility
Collaborative Care                                                                                                       Nursing Packet Guide
Nursing Management                                                                                                       Doenges pp 214-217 ―Fluid Volume
                                                                                                                         Deficit‖

                                                                                                                         Lewis chpt 45 pp 1271-1278

                                                                                                                         Nursing Pocket Guide, Doenges pp 334-
                                                                                                                         338 ―Knowledge Deficit regarding
                                                                                                                         disease process/treatment and individual
                                                                                                                         care needs.‖




NURS 101 Syllabus Winter 2008                                                                                                                                  11
                                                      Unit: Care of the Client with Diabetes #3
         Topic                                                  Objectives                                                   Assignment/Comments
Long Term Complications   7. Discuss health promotion activities to prevent the long term complication of diabetes   Lewis, Chap, 49 pp 1282-1288; Table
        Health                 Macrovascular                                                                        49-4
Promotion                      Microvascular
                               Neuropathy
                                                                                                                     Nursing Pocket Guide pp 42-248 ―Fluid
Teaching Plan             8. Develop an age appropriate teaching plan for management of diabetes include             Volume Deficit‖
                          learning needs, readiness to learn & documentation.
                                                                                                                     Nurses Pocket Guide pp 537-544
                          9. Describe the psychosocial needs of a client newly diagnosed with Diabetes Millitus      ―Tissue Perfusion, Ineffective‖
Management                     Adjustment to life with a chronic disease
                               Developmental needs of children with diabetes                                        Lewis Chap 49 pp 1291-1294; Table 47-
                                                                                                                     1
                          10. Identify community resources available to meet the needs of clients with diabetes




NURS 101 Syllabus Winter 2008                                                                                                                              12
                                                           Disorders of the Integumentary System
         Topic                                                    Objectives                                                    Assignment/Comments
Anatomy & Physiology      1.    Discuss the anatomy and physiology of the skin in relation to care of the client with   Lewis et al, Chapters 23 and 24, pp 449-
                                integumentary disorders.                                                                482

Assessment/               2.    Describe assessments to identify integumentary dysfunction and documentation of
Documentation                   assessment findings:
                               history & physical examination
                               clinical manifestations & types of lesions
                               diagnostic procedures

                          3.    Describe the risk factors, etiology, and clinical manifestations of the major skin
                                disorders:
                               Infections (Bacterial, fungal, viral)
                               Inflammations (Dermatitis)
                               Eruptions/Allergic reactions
                               Structural Disorders
                               Infestations, bites, stings

                          4.    Describe the actions, therapeutic effect and nursing implications for medications
Pharmacology
                                used to treat integumentary problems
                               oral and parental medications
                               topical medications
                               baths

                          5.    Discuss the nursing responsibility in care of the client undergoing:                    Nursing Diagnosis
                               Ultraviolet radiation                                                                   ―Body Image Disturbance‖
                               Dermatologic surgical procedures                                                        ― Impaired skin integrity‖

Learning needs            6.    Discuss nursing interventions and common learning needs for the client and family
                                with skin disorders.
                                                      MATERIALS/ASSIGNMENTS

Health promotion
                          Discuss health promotion measures to prevent integumentary system disorders in
                          children, adults, and older adults.




NURS 101 Syllabus Winter 2008                                                                                                                                 13
                                                              Unit: Men’s Health
        Topic                                              Objectives                                               Assignment/Comments
A & P Male                      1. Describe anatomy & physiology of the male reproductive system            Lewis, pp. 1154-1187 (review
Reproductive System -                                                                                       elimination, tests),
male                            2. Identify psychological and emotional implications related to
                                   disorders/dysfunction of the male reproductive system                    Lewis, pp 1339-1340, pp1347-1348
                                                                                                            (male reproductive system) and
                                3. Describe historical data, physical examination procedures used to        other content related to male
                                   diagnose dysfunction of the male reproductive system.                    reproductive system
Male Reproductive
Problems                        4. Describe health promotion/maintenance measures for males across the
                                   life span.                                                               Lewis, pp. 1414-1438 Male
                                                                                                            reproductive problems
                                5. Discuss the laboratory and diagnostic test findings used in diagnosing
                                   dysfunction of the male reproductive system

                                6. Discuss pathophysiology, clinical manifestations and collaborative
                                   care of BPH (benign prostate hypertrophy)

                                7. Discuss nursing management of clients with infection/inflammation of
                                   the male reproductive system.

                                8. Briefly discuss cancers of the male reproductive system

                                9. Discuss nursing management of problems related to male sexual
                                   function/dysfunction

                                10. Discuss nursing care for clients with common problems
                                    affecting the penis, scrotum and testes
                                         Hydrocele          scrotal trauma priapism
                                         Cryptorchism phimosis

                                11. Formulate a nursing plan for the post-surgical client following male
                                    reproductive surgery.




NURS 101 Syllabus Winter 2008                                                                                                              14
                                          Care of the Client with Disorders of the Musculoskeletal System #1
        Topic                                                   Objectives                                             Assignment/Comments
Anatomy & Physiology            1. Review the anatomy and physiology of the musculoskeletal system in          Lewis, (2007)Medical Surgical
                                                                                                                         th
                                   relation to care of the client with disorders in the musculoskeletal        Nursing. 7 ed., Chap. 62, pp. 1614-
                                   system.                                                                     1619

Assessment                      2. Describe nursing assessment related to musculoskeletal function:            Lewis, et al., Chap. 62, pp. 1619-
                                    Health interview/client history                                           1625
                                    Physical assessment/examination
                                    Significant diagnostic procedures
                                    Changes in function across the life span                                  Table 62-7, p. 1625-1627
                                                                                                               Table 62-1, p. 1619
Sports Injuries                 3. Discuss cause of sports-related injuries and usual management               Liefer, G. (2007) Introduction to
                                                                                                                                                 th
                                    strains/sprains                                                           Maternity & Pediatric Nursing. 5 ed.
                                    dislocations/subluxations                                                 St Louis: Mosby, p. 549-551, 563-
                                    Repetitive strain injury                                                  564.
                                    Rotator cuff
                                                                                                               Lewis, et al, Chap 63, p, 1629-1635
                                    Meniscus injuries

                                4. Describe ―R.I.C.E.‖ therapy for soft tissue injury
                                                                                                               Chap. 62, p. 1628 (Arthroscopy)
                                5. Describe clinical manifestations of fractures and identify the stages of
                                   healing
                                                                                                               Liefer, Nursing Tip, p. 552
Management of Clients
                                6. Discuss the nursing management of a client with a fracture
with Fractures
                                    Reduction                                                                 Chap 63, p. 1635-1638, Table 63-4,
                                    Immobilization                                                            p. 1637
                                         Casts/ Cast Care
                                         Traction
                                         External/Internal Fixation                                            Lewis, Chap. 63, p. 1638-1649
                                7. Describe assessments for and nursing interventions for common
                                   complications of fractures                                                  Liefer, Nursing Tip, p. 553, 555
                                    Infection                                                                 Lewis, et al., Nursing Care Plan 61-
                                    Avascular necrosis                                                        1, p. 1666-1667
                                    Compartment Syndrome
                                    Venous Thrombosis



NURS 101 Syllabus Winter 2008                                                                                                                       15
                                   Fat Embolism   Lewis, Chap. 63, p. 1649-1651
                                                   Liefer, Nursing Tip, p. 555

                                                   Liefer, chap. 24, p. 561-562




NURS 101 Syllabus Winter 2008                                                      16
                                                   Unit : Care of the Client with Musculoskeletal #2
        Topic                                                  Objectives                                            Assignment/Comments
Amputation                      1. Discuss the physiologic, psychosocial and health restoration needs of a   Lewis, Chap 31 p 1658-1662
                                   client with an amputation                                                 Nurses Pocket Guide p 103-108
                                                                                                             (Disturbed Body Image)

Orthopedic surgery              2. Discuss nursing interventions for the client experiencing orthopedic      Lewis, Chap. 63, p 1653-1655, 1662-
                                   surgery on the joints                                                     1665
                                    Hip pinning (ORIF)
                                    Total hip arthroplasty (replacement)
                                    Total knee arthroplasty (replacement)

                                3. Discuss measures to reduce the incidence and progression of               Lewis, Chap. 64 p 1668-1672
Osteomyelitis                      osteomyelitis
                                    Clinical manifestations
                                    Diagnostic studies
                                    Treatment

                                4. Discuss nursing care for clients with disorders of the foot:              Lewis, Chap 64, p 1684-1686
                                        Bunion
                                        Hammertoe
                                        Morton’s Neuroma
                                                                                                             Liefer, Chap 14, p. 328-332, 563-564
                                5. Describe the clinical manifestations, nursing assessment for and
Congenital Anomalies
                                   treatment of common congenital anomalies
                                     Dysplasia of the Hip
                                     Talipes equinovarus (clubfoot)
                                     Scoliosisi
Metabolic bone disease
                                6. Compare and contrast the etiology, pathophysiology and medical            Lewis, Chap 64, p. 1686-1691
                                   management of metabolic bone diseases
                                    Osteomalcia
                                    Osteoporosis
                                    Paget’s Disease


                                7. Describe health promotion measures to reduce the incidence and



NURS 101 Syllabus Winter 2008                                                                                                                       17
Health promotion                    progression of osteoporosis
                                     Nutrition
                                     Exercise
                                     Medications

                                8. Describe the actions, therapeutic effects and nursing implications for
Medications                        the medications used in the treatment of osteoporosis                    Lewis, Chap 64, p. 1689-1690
                                    Calcium Supplementation
                                    Estrogen Replacement
                                    Calcitonin
                                    Bisphosphonates (Fosamax)
                                    Estrogen receptor Modulators (Evista)
                                    Human parathyroid hormone (Forteo




NURS 101 Syllabus Winter 2008                                                                                                              18
                                                  Unit: Care of the Client with Musculoskeletal #3
        Topic                                                 Objectives                                           Assignment/Comments
Pathophysiology                 1. Compare and contrast the etiology, pathophysiology, clinical            Lewis, et al, Chap 63, p. 1715-1738
       Arthritis                   manifestations, diagnostic studies and medical management for clients
                                   with Arthritis
                                        Osteoarthritis                                                    Table 63-6, p. 1726
                                        Rheumatoid Arthritis
                                        Spondyloarthropathies                                             Nursing care plan 63-1, p. 1730-1731
                                        Lyme Disease/HIV
                                        Gout
Medications
                                2. Describe the actions and nursing implications of common medications     Lewis, Chap. 63, p. 1719-1722
                                   used in the treatment of connective tissue diseases
                                       Salicylates
                                       Non steroidal aniinflamatory drugs (NSAIDS)
                                       Non opioid/opioid analgesics
                                                                                                           Lewis, Chap. 63, p. 1728-1729
                                       Corticosteroids
                                       Disease modifying antirheumatic drugs
                                              o Methotrexate
                                              o Gold salts
                                              o Anti-malarial drugs [Plaquinel]
                                       Biologic Therapy
                                       Specific anti-gout medications
                                              o Colchicine
                                              o Benemid                                                    Lewis, Chap. 63, p. 1738
                                              o Zyloprim

Pathophysiology                 3. Compare and contrast the etiology, pathophysiology, clinical
       Connective                  manifestations, diagnostic studies and medical management for clients   Lewis, Chap 63, p. 1739-1752
       Tissue                      with connective tissue disorders
       Disorders                       Systemic Lupus Erythematosus
                                       Systemic Sclerosis
                                       Soft tissue rheumatic syndrome
                                           o Fibromyalgia




NURS 101 Syllabus Winter 2008                                                                                                                     19
                                                             Unit: Introduction to Cancer
         Topic                                                  Objectives                                                    Assignment/Comments
Overview of Cancer        1.    Depict and discuss the psychological response to a diagnosis of cancer.               Lewis, Ch 16 (look for basic concepts)

                          2.    Describe prevalence, incidence, survival rates and mortality rates of cancer in the
                                US.                                                                                   Expect to use vocabulary in class activity

                          3.    Describe the biology of cancer.                                                       Bring markers, colored pencils,
                                                                                                                      crayons for drawing (crayons
                          4.    Compare and contrast benign and malignant neoplasms.                                  available in WW)

                          5. Explain how a diagnosis is made and the importance of the various classification         Look at the NCLEX examination
                          systems related to diagnosis    and outcome                                                 review questions on you companion
                                                                                                                      CD
                          6.    Describe the role of the nurse in prevention and/or early detection of cancer.

                          7.    Differentiate between treatment modalities and the role of the nurse while clients
                                are making care choices.

                          8.    Describe nursing management for clients undergoing cancer treatment (consider
                                potential side effects or complications)




NURS 101 Syllabus Winter 2008                                                                                                                                  20
                                                             RESPIRATORY LECTURE #4
                                                        SUPPLEMENTAL READING ASSIGNMENT


                          Please read the following information about peak flow meters prior to coming to class for respiratory lecture #4.
                                       The lecture material will be better understood if this material is read before the lecture.
                                                                        PEAK FLOW METER
Peak Flow Meters are used in some asthma patients to assess how well the person is breathing and how well medication is working. A peak flow meter measures
 the peak expiratory flow (PEF)—the fastest airflow rate reached at any time during the forced vital capacity (FVC)—volume of air exhaled from full inhalation
 to full exhalation). So, the peak flow meter measures how well air moves out of the lungs. During an asthma episode the airways of the lungs begin to narrow.
    The peak flow meter can be used to find out if there is narrowing in the airways hours, even days, before there are symptoms of asthma. By taking asthma
    medicine early (before symptoms), a serious episode of asthma may be avoided. Peak flow meters are essentially used to check asthma the way that blood
                  pressure cuffs are used to check high blood pressure. Clients, age 5 and older, who have moderate to severe asthma may benefit
by using a peak flow meter.


How to Use a Peak Flow Meter
 1. Place the indicator at the base of the numbered scale.                                        5. Write down the number you get.
 2. Stand up.                                                                                     6. Repeat steps 1 through 6 two more times.
 3. Take a deep breath & place the meter in your mouth & close your lips around the               7. Write down the highest of the three numbers achieved.
    mouthpiece. Do not put your tongue inside the hole.
  4. Blow out as hard and fast as you can

Personal Best Peak Flow Number

The personal best peak flow number is the highest peak flow number that is achieved over a 2-week period when asthma is under good control. Good control is
when the client feels good and does not have any asthma symptoms.

Each client's asthma is different and the best peak flow may be higher or lower than the average usual number for someone of the same height, weight, and sex.
This means that it is important for individuals to find their own personal best peak flow number. A client’s medicine plan needs to be based on his/her own
personal best peak flow number.

To find the personal best peak flow number, peak flow readings are taken:
       Every day for 2 weeks                                                                       Before & after taking inhaled beta2-agonist (if taking)
       Mornings & evenings (when client wakes up & then about 10-12 hrs later)                     As instructed by the physician




NURS 101 Syllabus Winter 2008                                                                                                                                  21
The Peak Flow Zone System

Once the personal best peak flow number is established, the doctor will provide the numbers that tell the client what to do. The peak flow numbers are put into
zones that are set up like a traffic light. This helps to tell the client what to do when his/her peak flow number changes. For example:
         Green Zone (80 to 100 percent of your personal best number) signals all clear. No asthma symptoms are present, and you may take your medicines as
         usual.

         Yellow Zone (50 to 79 percent of your personal best number) signals caution. You may be having an episode of asthma that requires an increase in
         your medicines. Or your overall asthma may not be under control, and the doctor may need to change your medicine plan.

         Red Zone (below 50 percent of your personal best number) signals a medical alert. You must take an inhaled beta2-agonist right away and call your
         doctor immediately if your peak flow number does not return to the Yellow or Green Zone and stay in that zone.

Reference:
From Facts About Controlling Asthma, National Asthma Education & Prevention Program,
National Heart, Lung, & Blood Institute, NIH Publication No. 97-2339-A reproductive han




NURS 101 Syllabus Winter 2008                                                                                                                                     22

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:149
posted:6/18/2011
language:English
pages:29