Laredo Community College Vocational Program

Laredo Community College Vocational Program

VNSG 1409 Nursing in Health & Illness 11

Respiratory System

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Evaluate client respiratory status by measuring oxygen saturation
Examples ( ABGs & pulse oximeter)
Notify provider about client laboratory test results
Monitor client laboratory values that are deviations from normal arterial blood gases (ABGs) Ph, Pao2, Paco2, Hco3
Discuss preparation and care of clients having respiratory diagnostic procedures. / I. Respiratory Anatomy
II. Respiratory Physiology
III.Assessment
IV. Diagnostics procedures / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 19
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Upper Respiratory Disorders

Course Learning Objectives / Content / Learning Experience
Consider priorities of care according to current condition of client.
Provide care for client with tracheostomy
Monitor care for client on ventilator
Reinforce client teaching on purposes of laboratory tests
Describe instances when HCP should be notify of client’s status
Plan with client to meet client’s self care needs.
Provide care for client with drainage device / Client diagnosis/ prescribed tx.
Treatment modalities for airway obstruction/airway maintenance.
ET tube and mechanical ventilation
Nursing process
Diagnostic Examinations:
Pulse oximeter
Bronchoscopy
Thoracenthesis
CPAP
Pulmonary Function Tests
NCP for clients with tracheostomy mechanical ventilation
Diet therapy
Drug therapy
Health Promotion / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 20
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Lower Respiratory Airway

Course Learning Objectives / Content / Learning Experience
.
Identify client’s support system and resources.
Explain the use of meter dose inhalers and Incentive Spirometry.
Provide care for client with drainage device
Intervene to improve client respiratory status by giving a breathing or respiratory treatment, suctioning or repositioning
Determine client’s ability to perform activities of daily living & nutrition
Schedule client care activities to promote adequate rest and sleep / Infectious and Inflammatory Disorders
Pulmonary Tuberculosis
Occupational Lung Diseases
Malignant Disorders
Trauma
Thoracic Surgery
Chest tubes
Sputum specimen collection
Concept Mapping for client recovering from thoracic surgery
Drug therapy
Diet therapy
Psychosocial / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 21
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Introduction to the Urinary Tract

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Reinforce client teaching on purpose of lab tests
Monitor client output changes from baseline
Collect specimens as needed
Notify provider about clinical lab test results
Discuss alternative methods to promote client’s urinary output.
Monitor client’s nutritional status.
Identify client response to diagnostic tests/treatments/procedures/ surgery or health alterations / General Nursing Assessment
History
Physical Exam
Gerontologic Consideration
Diagnostic Studies
Blood Chemistry
Routine Urinalysis
Clean Catch
Urine Culture
Radiologic Evaluation
IVP KUB
Renal Arteriogram
Renal Scan
Other Tests
Cystoscopy and Retrograde
Renal Biopsy
Voiding Cystrourethrogram
Urine Specific Gravity
Arteriovenous Graft
Drug therapy
Irrigate urinary catheter
Measure IO
Indwelling catheters
Care of the client with urinary incontinence / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10h Ed.
Chapter 57,58, 59
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for the client with Urinary Disorders

Objective / Content / Learning experiences
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Reinforce client teaching on purposes of lab tests
Notify health care provider if client has signs of potential complications after special procedures or surgical interventions i.e. bleeding.
Compare client lab values to normal lab values specific to facility
Notify provider about lab tests results
Perform diagnostic teaching
Diagnostic tests collect specimens
Bladder scan, BUN & Creatinine, urine specific gravity
Monitor client output for changes from baselines / Bladder training
Barrier garment/external
Collective devices.
Care of the client with urethral strictures
Nursing management
Preoperative
Postoperative
Urinary diversion procedures
Ileal conduit
Continent urinary diversion
Uretersigmoidostomy
Renal calculi
Etiology
Voiding dysfunction
Urinary retention
Urinary incontinence
AV fistula
Teaching client and family self care
Drug therapy
Nutritional needs of clients in renal failure / Chapters 57,58, & 59 continues
To include topic group presentations
Active class participation

Infectious and Inflammatory Disorders of the Heart, Blood Vessels, and Valvular Disorders

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Implement measures to manage/prevent possible complications of client condition or procedures
Reinforce client teaching on treatments & procedures
Identify client’s need for palliative comfort/care.
Reinforce teaching to prevent complications due to client diagnostic test/treatments/procedures or health alterations
Provide sensitivity to client’s cultural practices when reinforcing teaching. / Infectious and Inflammatory Disorders of the Heart
Inflammatory Disorders of the
Peripheral Blood Vessels
Assessment findings
Diagnostic Treatments
Nursing Management
Client and family teaching
Drug therapy
Diagnostic Procedures / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 28,24
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Disorders of Coronary and Peripheral Blood Vessels

Course Learning Objectives / Content / Learning Experience
Consider general principles of client disease process when providing care
Notify provider about changes in client status
Identify signs & symptoms of electrolyte imbalance
Identify abnormalities on cardiac monitor
Perform care for client before or after surgical procedures
Identify client with increased risk for insufficient blood circulation / Arterial Pressure
Hypertensive Disease
Nursing Process
Diet therapy for clients with coronary heart disease
Drug therapy
Client and family teaching
Surgical procedures:
CABG
PTCA
Cholesterol levels
Cardiac markers / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 25
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Introduction to the Gastrointestinal System

Course Learning Objectives / Content / Learning Experience
Consider general principles of client disease process when providing care
Identify signs & symptoms of client fluids &/or electrolyte imbalances
Monitor & provide for nutritional needs
Provide client/family information about condition, treatments & procedures
Monitor client changes form baseline
Provide emotional
support to client/family / Anatomy and Physiology
Nursing Process
Client and family teaching
Drug therapy
Diagnostic studies:
EGD
MUGA Scan
Colonoscopy
Health Promotion (client teaching)
Diet therapy / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 44
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Disorders of the Upper Gastrointestinal Tract

Course Learning Objectives / Content / Learning Experience
Consider general principles of client disease process when providing care
Provide feeding and/or care for client with enteral tubes
Monitor & provide for nutritional needs of client
Collect data on client nutrition or hydration status
Identify client potential for aspiration, sedation, swallowing difficulties
Perform care for client before & after surgical procedures / Disorders affecting eating
Disorders affecting the esophagus
Gastric Disorders
Pathophysiology and Etiology
Assessment findings
Diagnostic findings
Medical and Surgical Management
Nursing Management
Nursing Process / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 45
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Disorders of the Lower Gastrointestinal Tract

Course Learning Objectives / Content / Learning Experience
Consider general principles of client disease process when providing care
Identify signs & symptoms of client fluid and/or electrolyte imbalance
Teach on methods to prevent constipation.
Collect data on client nutrition or hydration status
Collect data for and review client’s diet history.
Monitor & provide for nutritional needs of client
Consider client preferences & reinforce teaching on dietary restrictions
Monitor client’s bowel sounds & elimination needs . / Altered Bowel Elimination
Inflammatory Bowel Disease
Intestinal Obstruction
Diverticular Disorders
Abdominal Hernia
Cancer of the Colon and Rectum
Anorectal Disorders
Nursing Management
Client’s emotional status / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 46
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Disorders of the Liver, Gallbladder, and Pancreas

Course Learning Objectives / Content / Learning Experience
Gather data on client’s health history and risk for disease (medical hx.).
Monitor diagnostic or lab test results
Perform diagnostic tests
Notify provider about lab test results
Collect various specimens
Identify client response to diagnostic tests/procedures/surgery or health alterations
Validate pain using rating scale (0/10)
Identify actual/potential stressors for client. / Disorders of the Liver
Disorders of the Gallbladder
Disorders of the Pancreas
Carcinoma of the Pancreas
Nursing Management
Client’s intake & output
Drug therapy
Pain management
Client and family teaching re: diet therapy / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 47
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Client with an Ileostomy and Colostomy

Course Learning Objectives / Content / Learning Experience
Monitor impact of disease on client nutritional status
Collect data on client nutrition or hydration status
Identify client risk for impaired elimination
Provide skin care to client with skin barrier creams
Assist with teaching ostomy care to client.
Teach skin care to clients with colostomy.
Identify significant body image changes that may affect recovery / Ileostomy
Continent Ileostomy
Ileoanal Reservoir
Colostomy
Surgical Management
Pre and Post operative Clients
Nursing Process
Record Intake & Output
Provide ostomy care / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 48
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Clients with Pain

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Validate pain using a rating scale (0/10)
Monitor client’s non-verbal signs of pain/discomfort such as grimacing (pain subjective)
Monitor & document client response to medication
Reinforce client teaching on expected effects of prescribed medications
Provide non pharmacological measures for pain relief (imagery, message, or repositioning) use an alternative/complementary therapy (acupressure, music therapy, or herbal therapy) in providing care / Types of Pain
Pain Transmission
Nursing Management
Pain scale 0-10
Applying heat and cold
Drug therapy (non-pharmacological interventions) / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 11
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Clients with Cancer

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body image
Validate pain using rating scale
Document & monitor client response to medication
Monitor client for signs & symptoms of adverse effects of radiation therapy
Reinforce client teaching for management of side effects of radiation therapy
Reinforce client teaching for management of side effects of radiation
Document client response to radiation therapy provide interventions for client side effects to radiation
Identify family response to client illness / Cancer
Pathophysiology
Etiology
Physical Assessment & History
Chemotherapy
Bone Marrow Transplants
Immunotherapy
Nursing Management
Psychological Support
Terminally Ill Client / Required readings: Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 18
Activities:
Lecture
Discussions
Group presentations
Quizzes
Learning System Software
Tests

Caring for Clients in Shock

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Apply knowledge of pathophysiology when addressing client pharmacological agents
Implement measures to manage/prevent complications of client condition
Respond to life threatening situations (CPR)
Notify provide about client unexpected response/emergency situations
Recommend changes in emergency treatment based on client response to interventions
Reinforce teaching of emergency interventions explanations to client/family (eg., restorations of breathing and/or pulse) / Shock Types
Medical Management
Drug Therapy
Nursing Process
Drug therapy
Assessing client’s status.
Early recognition of s/s of shock / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 17
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Clients with Infectious Disorders

Course Learning Objectives / Content / Learning Experience
Identify communicable disease & modes of transmission
Reinforce appropriate infection control procedures with client & staff
Monitor diagnostic or lab test results
Use universal precautions/apply infection principles to client care (isolation, aseptic techniques)
Assist client in disease prevention activities
Prevent environmental spread of infectious disease through correct use of equipment
Protect immuno compromised clients from exposure to infectious organisms
Use correct hand washing techniques / Factors that increase susceptibility to infection
Diagnostic Tests
WBC Count and Differential
Culture and Sensitivity
Skin Tests
Immunologic Tests
Other Tests
Nursing Process / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 20h Ed.
Chapter 23
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Preoperative Clients

Course Learning Objectives / Content / Learning Experience
Review client’s physiological history
Identify client response to diagnostic surgery
Implement measures to manage/ prevent post-op complications
Reinforce teaching to prevent complications due to surgery
Obtain informed consent & baseline lab tests
Monitor vital signs
Notify provider if client has signs of potential complications
Use appropriate supplies to maintain asepsis
Monitor client care area for sources of infection / Perioperative Care
Preoperative
Intraoperative
Postoperative
Ambulatory Care
Sequential compression device
TED’s stockings / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 14
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Introduction to the Endocrine

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body systems
Reinforce client teaching on purpose of lab test
Monitor diagnostic or lab tests
Know about diagnostic various endocrine disorders
Notify provider about lab tests results
Discuss the nursing management of clients undergoing diagnostic tests to detect endocrine dysfunction. / Anatomy and Physiology
Pituitary Gland
Thyroid Gland
Parathyroid Gland
Thymus Gland
Pineal Gland
Adrenal Glands
Pancreas
Ovaries and Testes
Physical Assessment & health history
Nursing Management
General Nutritional Considerations
General Pharmacologic Considerations
General Gerontologic Considerations / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 49
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Client with disorder of the Endocrine

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body
Monitor diagnostic or lab test results
Reinforce client teaching about diagnostic tests.
Notify provider about client lab test results
Reinforce client teaching on methods to prevent complications associated with diagnosed illness
Reinforce client’s stress management techniques.
Determine client’s nutritional and hydration status. / Disorders of the Pituitary Gland
Acromegaly
Simmond’s Disease
Diabetes Insipidus
Syndrome of inappropriate
Antidiuretic Hormone
Secretion
Disorders of the Thyroid Gland
Hyperthyroidism
Thyrotoxic Crisis
Hypothyroidism
Medical Management
Nursing Process
The Client with Hypothyroid / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 50
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Clients with Diabetes Mellitus

Course Learning Objectives / Content / Learning Experience
Apply knowledge of pathophysiology to monitoring client for alterations in body
Reinforce teaching about diagnostic tests
Monitor diagnostic & lab results
Notify provider about lab results
Identify/intervene to control signs of hypoglycemia or hyperglycemia
Provide client/family information about condition
Provide interventions to restore fluids & electrolytes imbalance
Reinforce teaching about actions & therapeutic effects of medications (insulin or oral agents / Diabetes Mellitus
Pathophysiology & Etiology
Assessment Findings
Medical Management
Nursing Management
The Client with Diabetes Mellitus Care Plan
Acute Complications of Diabetes Mellitus
Diabetic Ketoacidosis
Hyperosmolar Hyperglycemic Nonketotic Syndrome
Hypoglycemia
Chronic Complications of Diabetes Mellitus
Peripheral Neuropathy
Diabetic Nephropathy/ foot care
Diabetic Retinopathy
Vascular Disturbances
Assessment Findings
Medical management
Nursing Management / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 51
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Dying Patients

Course Learning Objectives / Content / Learning Experience
Identify client needs for palliative/comfort care
Respect client palliative care choices
Provide palliative/comfort care interventions
Reinforce client/family teaching on palliative care
Monitor outcome of palliative care interventions
Identify client end of life needs (finances, fear, loss of control & role changes)
Identify client/family’s ability to cope with end of life interest
Assist client in resolution of end of life issues
Provide care or support for client/family to end of life / The Dying Client
Informing the dying client
Sustaining hope
Care of the dying client
Assisting with Emotional Reactions
Supporting Final Decisions
Living Wills
Durable Power of Attorney
Nursing Management / Required Readings:
Timby, Introduction to Medical Surgical Nursing, 10th Ed.
Chapter 10
Activities:
Lecture
Discussion
Case Studies
Group Activities
Quiz
Learning System Software
Test

Caring for Clients with AIDS