Course Outline for RNSG 2121 RNSG 2121 Medical Surgical II: Health promotion, maintenance and restoration across the lifespan Learning Module Unit 1: Client needs related to selected Alterations in Vision and Hearing Upon completion of this unit the student will: Promote a safe and effective healthcare environment by 1. Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected vision and hearing alterations. 1. Standards of care 2. Pediatric considerations 2. Selecting members of the health care team that would be assisting in the provision of care for the client with selected vision and hearing alterations. 1. Ophthalmologist 2. RN 3. Physical therapy/dietician 4. Surgical team 5. Optometrist 3. Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected vision and hearing alterations. 1. Outpatient care 2. Home Care 3. Ambulatory surgery 4. Choosing therapeutic communication techniques that would be utilized with for the client with selected vision and hearing alterations both verbal and non-verbal. 1. Open/closed ended questions 2. Anxiety reducing 3. Sign language 5. Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected vision and hearing alterations. 1. Inpatient 2. outpatient Promote Health Promotion and Maintenance by 6. Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected vision and hearing alterations to promote restore and maintenance of health. 1. Medications 2. Home care 3. Discharge instructions Promote Psychological integrity by 7. Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected vision and hearing alterations. 1. Stress management 2. Anxiety Promote Physiological Integrity by 8. Selecting assessment findings, nursing diagnosis, planning, interventions and evaluation of for the client with selected vision and hearing alterations. 1. EAR a. b. c. d. e. f. g. h. i. j. k. l. m. Hearing impairment /loss External Otitis Impacted cerumen Foreign bodies media Chronic otitis Acute otitis media Serious otitis media Mastoiditis Meniere’s Motion sickness Vertigo Otoxicity Acoustic neuroma 2. EYE a. Vision alterations i. Refractory errors ii. Loss of vision iii. Astigmatism iv. Nystagmus v. Amblyopia vi. Color blindness b. Retinal alterations i. Retinal detachment ii. Macular degeneration iii. Retinal vascular disorders c. Eye alterations i. Ptosis ii. Strabismus iii. Foreign bodies iv. Injuries v. Lid injuries 1. Contusion injuries vi. Glaucoma vii. Cataracts viii. Ulceration d. Infectious i. Conjunctivitis ii. Dry eye syndrome iii. Uveitis iv. Mucormycosis e. Orbital and ocular tumor i. Benign ii. Malignant 8. Selecting laboratory, diagnostic, and assessment procedures that would be expected for the client with selected vision and hearing alterations and the safe nursing interventions that would be expected. 1. EAR a. Audiometry b. Tympanogram c. Auditory brain stem response d. Electronystagmography e. f. g. h. Platform posturography Sinusoidal harmonic acceleration Middle ear endoscopy CBC 2. EYE a. Ophthalmoscopy b. Slit-lamp c. Color vision d. Ultrasound e. Fluorescein angiography f. Tonometry g. Gonioscopy h. Perimetry testing i. Snelling 9. Identifying the possible complications and health risks for the client with selected vision and hearing alterations and the nursing interventions that would be necessary 1. medications 2. follow up care 10. Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected vision and hearing alterations. 1. Surgical 2. Medical 11. Discriminating pharmaceutical modalities and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected vision and hearing alterations. 1. Anti-infectants 2. Mydriatrics 1. Phenylephrine HCL acid 3. Cycloplegics 1. Tropicamide 2. Cycopentolate HCL 3. Atropine 4. Scopolamine 4. B-adrenergic blockers 5. A-adrenergic agonists 6. Cholinergic agents 7. Carbonate anhydrase inhibitors 8. Hyperosmolar agents Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected vision and hearing alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Reading(s): Textbook Lewis 11th edition Hockenberry 11th edition Chapter 20 and 21 18 Mosby Drug Guide Nursing, 14th edition e Lilley online Ophthalmic Drugs Optic 57 58 Class Assignment(s): Textbook and/or Resource Type Activity Submission Directions Unit 2: Client needs related to selected Alterations in Fluid and Electrolytes Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with fluid and electrolyte alterations (1) Standards of care (2) Evidence-based care (3) Patient safety goals (4) Cultural/ethical issues 2) Selecting members of the health care team that would be assisting in the provision of care for the client with fluid and electrolyte alterations (1) Internist (2) Pediatrician (3) Respiratory therapy (4) Acute nurse practitioners (5) RN (6) Dietician (7) Home care 3) Discriminating collaborative healthcare resources that might be utilized to provide care for the client with fluid and electrolyte alterations (1) Home care (2) Outpatient services 4) Choosing therapeutic communication techniques that would be utilized with for the client with fluid and electrolyte alterations both verbal and non-verbal. (1) Interviewing (2) Open/closed ended questions (3) Anxiety reducing (4) Touch 5) Selecting the appropriate data that would be included in the documentation both written and technological for the client with fluid and electrolyte alterations. (1) Inpatient (2) Outpatient Promote Health Promotion and Maintenance by 6) Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with fluid and electrolyte alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care (4) Follow up care (5) Discharge teaching Promote Psychological integrity by 7) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with fluid and electrolyte alterations. (1) Stress management (2) Anxiety Promote Physiological Integrity by 8) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following fluid and electrolyte alterations (1) Homeostasis (a) Fluid distribution (i) Antidiuretic hormone (ii) Rennin-angiotensin-aldosterone (iii) Atrial natriuretic (iv) Baroreceptors (2) Fluid (a) Hypervolemia (b) Hypovolemia (3) Acid/ base balance (a) Chemical regulation (b) Carbonic acid-base buffering system (c) Plasma protein buffering system (4) Biological regulation (a) Hydrogen (b) Hemoglobin-Oxyhemoglobin system (5) Physiologic regulation (a) Lungs (b) Kidneys (6) Acidosis/alkalosis (a) Respiratory acidosis (b) Respiratory alkalosis (c) Metabolic acidosis (d) Metabolic alkalosis (7) Electrolytes (a) Sodium – hypernatremia/hyponatremia (b) Potassium – hypokalemia / hyperkalemia (c) Calcium – hypocalcemia / hypercalcemia (d) Magnesium – hypomagnesium / hypermagnesium (e) Phosphate – hypophosphatemia / hyperphosphatemia (f) Chloride – hypochloremia / hyperchloremia (8) IV Therapy a) b) c) Fluid Replacement Types of Fluids Central Venous Access Devices a. Centrally Inserted Catheters b. Peripherally Inserted Central Catheters c. Implanted Infusion Ports (9) Parenteral nutrition (a) Central lines (10) Blood products (a) Blood (b) Packed red blood cells (c) White blood cells (d) Platelets (e) Fresh frozen plasma (f) Albumin 9) Selecting the laboratory, diagnostic, and assessment procedures that would be expected for the client with fluid and electrolyte alterations and the safe nursing interventions that would be expected. (1) CBC with diff (2) Chemistries (3) Albumin (4) Bone marrow (5) ABG 10) Identifying the possible complications and health risks for the client with fluid and electrolyte alterations and the nursing interventions that would be necessary (1) Acute hemolytic (2) Febrile (3) Mild allergic (4) Anaphylactic (5) Circulatory overload (6) Sepsis (7) Transfusion related lung injury (8) Symptoms to report 11) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with fluid and electrolyte alterations. (1) Medical 12) Discriminating between pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with fluid and electrolyte alterations IV fluids (1) Sodium bicarbonate (2) Kayexalate (3) KCL (4) Calcitonin (5) Pamidronate (6) Calcium gluconate (7) Sodium phosphate (8) Magnesium sulfate (9) Intravenous IV fluids (10) Blood (11) Packed red blood cells (12) White blood cells (13) Platelets (14) Fresh frozen plasma (15) Albumin Classroom References: Mosby’s Manual of Diagnostic and Laboratory Tests (5th ed.) Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected fluid, electrolyte, acid, and base alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Readings: Textbook Lewis (Medical-Surgical Nursing 11th Ed.) Lilley (Pharmacology 9th Ed.) Hockenberry, Wilson, & Rodgers (2017) (Pediatric Nursing 10th Ed.) Perry & Potter (Nursing Interventions/Clinical Skills 7th Ed.) Chapter 16 28-29 20 & 22 28 Reference Reading Mosby’s Drug Guide for Nursing Students (13th ed.) Mosby’s Manual of Diagnostics & Laboratory Test (4th ed.) Potter & Perry (Fundamentals of Nursing 9th Ed.) Silvestri & Silvestri (Comprehensive Review for the NCLEX-RN) 42 8; 14 Class Assignment Textbook and/or Hesi Case Study-Fluid Balance Hesi Case Study-Dehydration Hesi Case StudyFluid/Electrolyte Type Activity Submission Directions Due, January 12 @ 08:00am Due, January 14, @ 08:00am Due, January 14, @ 08:00am Unit 3: Client needs related to selected Alterations in Respiratory Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected respiratory alterations. (1) Standards of care (2) Evidenced based practice (3) Patient safety goals 2) Selecting members of the health care team that would be assisting in the provision of care for the client with selected respiratory alterations. (1) Internist (2) Respiratory therapy (3) Acute nurse practitioners (4) RN (5) Physical therapy/dietician (6) Home care 3) Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected respiratory alterations. (1) Home care (2) Outpatient care 4) Discussing therapeutic communication techniques that would be utilized with for the client with selected respiratory alterations both verbal and non-verbal. (1) Interviewing (2) Open/closed ended questions (3) Anxiety reducing (4) Alternate communication 5) Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected respiratory alterations. (1) inpatient (2) outpatient Promote Health Promotion and Maintenance by 6) Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected respiratory alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care (4) Discharge teaching Promote Psychological integrity by 7) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected respiratory alterations. (1) Stress management (2) Anxiety Promotes Physiological Integrity by 8) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following for the client with selected respiratory alterations. (1) Upper respiratory (a) Infections (i) Rhinitis (ii) Sinusitis (iii) Peritonsilar abscess (iv) Tonsillities (v) Laryngitis 1. Hemophilus influenza 2. Pharyngitis 3. Strep 4. Influenza 5. Respiratory Syncytial Virus (b) Obstructions (i) Nasal fracture (ii) Epistaxis (iii) Facial trauma (iv) Nasal Polyps (v) Sleep apnea/Obstruction (vi)Vocal cord paralysis (vii) Vocal cord nodules/polyp (viii) Laryngeal/neck trauma (ix) Trach (c) COPD: Chronic Bronchitis/Emphysema (d) Asthma (i) Intermittent (ii) Mild Persistent (iii) Moderate Persistent (iv) Severe Persistent 9) Selecting the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected respiratory alterations and the safe nursing interventions that would be expected. (1) Radiography (a) Chest x-ray b) CT scan (2) Pulmonary function tests (a) Spirometry (b) Peak flow (3) Sputum studies 10) Identifying the possible complications and health risks for the client with selected respiratory alterations and the nursing interventions that would be necessary (1) diet (2) exercise (3) medications (4) follow up care (5) symptoms to report 11) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected respiratory alterations. (1) Surgical (2) Medical (3) Tracheostomy 12) Discriminating pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected respiratory alterations. (1) Vaccines (2) Anti-infectants Classroom Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected respiratory alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Reading(s): Textbook Respiratory Sections: Lewis Medical Surgical Wongs – Essentials of Pediatrics eLilly Pharmacology Process Davis Drug Guide Chapter Chapter 7 Chapter 25 Chapter 26 Chapter 28 Chapter 21 Chapter 36, 37 Reference Drugs in Respiratory Unit Reference Reading(s): Textbook Topics of Reference Mosby’s Drug Guide for Nursing Students (13th ed.) Mosby’s Manual of Diagnostics & Laboratory Test (4th ed.) Potter & Perry (Fundamentals of Nursing 9th Ed.) Silvestri & Silvestri (Comprehensive Review for the NCLEX-RN) Drugs Discussed in Class Respiratory Scans Chapter 28 Oxygenation Unit 6 Respiratory Review for Topics in Respiratory Outline and Search Chapters for Individual Topics Class Assignment(s): Textbook and/or Resource Type Activity Submission Directions Pre-Class Assignments include reviewing the PowerPoints and reading the assigned chapters. Please be prepared to participate in class/lecture. Post-Class Assignments are found in EVOLVE ELSEVIER due by January 25, 2022 at 8:00am. 1. Respiratory Syncytial Virus-Hesi Case Study TRIO in Evolve 2. COPD w/Exacerbation- Hesi Case Study TRIO in Evolve Unit 4: Client needs related to selected Alterations in the Endocrine System Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected endocrine alterations. (1) Standards of care (2) Evidence-based care (3) Pediatric considerations 2) Selecting members of the health care team that would be assisting in the provision of care for the client with selected endocrine alterations. (1) Internist (2) Acute nurse practitioners (3) RN (4) dietician 3) Discriminating collaborative healthcare resources that might be utilized to provide care for for the client with selected endocrine alterations. (1) Home care (2) Dietician consultants (3) Community programs 4) Choosing therapeutic communication techniques that would be utilized with for the client with selected endocrine alterations both verbal and non-verbal. (1) Interviewing (2) Open/closed ended questions (3) Anxiety reducing 5) Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected endocrine alterations. (1) Community (2) Inpatient (3) Outpatient Promote Health Promotion and Maintenance by 6) Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected endocrine alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care (4) Discharge teaching Promote Psychological integrity by 7) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected endocrine alterations. (1) Stress management (2) Anxiety (3) Noncompliance (4) Support groups Promote Physiological Integrity by 8) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following selected endocrine alterations. (1) Types (a) Prediabetes (b) Type 1 diabetes mellitus (c) Type 2 diabetes mellitus (d) Secondary diabetes mellitus (2) Short term Complications (a) Hypoglycemia (b) Insulin resistance (c) Somogyi effect (d) Dawn phenomenon (e) Diabetes Ketoacidosis (f) Non Hyperosmolar Hyperglycemic Syndrome (g) Gestational diabetes (3) Long term complications of diabetes mellitus (a) Microvascular (b) Macrovascular (c) Neuropathic 9) Selecting the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected endocrine alterations and the safe nursing interventions that would be expected. (1) Fasting blood glucose (2) Two-hour plasma glucose (3) Glucose tolerance test (4) Postprandial (5) Hemoglobin A1C (6) Lipid profile (7) Blood chemistries (8) Thyroid (9) Blood urea nitrogen and creatinine 10) Identifying the possible complications and health risks for the client with selected endocrine alterations and the nursing interventions that would be necessary (1) diet (2) exercise (3) medications (4) follow up care (5) skin care 11) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected endocrine alterations. (1) Medical 12) Discriminating between pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected endocrine alterations. (1) Insulin (a) Rapid acting (b) Short acting (c) Intermediate (d) Long acting (e) Combination (2) Oral (a) Sulfonylureas (b) Meglitinides (c) Biguanide (d) A-glucosidase inhibitors (e) Thiazolidinediones (f) Dipeptidyl peptidase-4 inhibitor (g) Combinations 13) Classroom References 14) Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected endocrine alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Reading: Textbook Lewis Med-Surg: Diabetes & DKA, HHNS, Gestational Diabetes Wong’s Pediatric Text Diabetes Lilly Pharmacology Anti-Diabetic Medications Handouts PowerPoints Chapter 48 28 32 On BB-See dues Available Jan. 10 Recommended Reading: Textbook Perry & Potter (Nursing Interventions/Clinical Skills 7th Ed.) Mixing Insulin Silvestri & Silvestri (Comprehensive Review for the NCLEX-RN) Chapter 24 (pages: 614-621) 32, 47 Class Assignment(s): Textbook and/or Resource Type Activity Submission Directions Evolve HESI Trio Case Study Peds Diabetes Type 1 Evolve HESI Trio Case Study Gestational Diabetes Child --Anya Mikhailor Available: January 20, 2022 Due: February 7, 2022 Pregnant—Danielle Green Available: January 20, 2022 Due: February 7, 2022 Diabetes Type 2 Case Study Homework on BB Due: February 7, 2022 Handout Activities on BB Complete Bring to Class Due: February 7, 2022 Unit 5: Client needs related to selected Cardiovascular Alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected cardiovascular alterations. (1) Standards of care (2) Patient safety goals (3) Core measures (4) Evidence-based care 2) Selecting members of the health care team that would be assisting in the provision of care for the client with selected cardiovascular alterations. (1) Cardiologist (2) Internists (3) Respiratory therapy (4) Acute nurse practitioners (5) RN (6) Physical therapy/dietician (7) Home care 3) Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected cardiovascular alterations. (1) Community resources (2) Rehabilitation resources (3) Home care 4) Choosing therapeutic communication techniques that would be utilized with the client with selected cardiovascular alterations both verbal and non-verbal (1) (2) (3) (4) Interviewing skills Open/closed ended questions Anxiety reducing Touch/comfort 5) Selecting the appropriate data that would be included in the documentation both written and technological the cardiovascular client. (1) inpatient (2) outpatient Promote Health Promotion and Maintenance by 6) Choosing culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected cardiovascular alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Discharge teaching (4) Home care (5) Symptom management Promote Psychological integrity by 7) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected cardiovascular alterations. (1) Stress management (2) Anxiety management Promote Physiological Integrity by 8) Selecting assessment findings, nursing diagnosis, planning, interventions and evaluation of the following cardiovascular clients (1) Cardiomyopathies a. b. c. d. Dilated Hypertrophic Restrictive Arrhymogenic Right Ventricular (2) Infectious Disease a. Endocarditis b. Pericarditis c. Rheumatic Fever/Carditis d. Kawasaki (3) Chronic Congestive Failure (a) Left-Sided (b) Right-Sided (4) Coronary Artery Disease (5) Chronic Stable Angina (6) Hyperlipidemia (7) Hypertension/Crisis (8) Peripheral Vascular Disease a. Arteriosclerosis b. Atherosclerosis c. Arterial Insufficiency d. Raynaud e. Bueger’s Disease f. Phlebitis g. Deep Vein Thrombosis h. Chronic Venous Insufficiency i. Varicose Veins (9) Lymphatic a. Lymphangitis b. Lymphedema c. Cellulitis 9) Selecting laboratory, diagnostic, and assessment procedures that would be expected for the client with selected cardiovascular alterations. (1) Hematologic studies (a) CBC (b) Chemistry profile (c) Troponin (d) CK-MB (e) CRP (f) Homocysteine (g) B-Type Natriuretic Peptide (h) Lipid profile (i) Renal profile (j) PT/PTT/ INR (k) Bone Marrow Aspiration (2) Urine Studies (3) ECG (a) Holter Monitor (b) Ambulatory Monitor (i) Rhythm Wave Form (4) Radiology (a) Chest X-Ray (b) Ultra Sound (c) CT Scans (d) Angiography (e) Venography (5) Cardiac Stress Test (6) Cardiac Catheterization (7) Radionuclide Testing (a) Chemical Stress Test (b) MUGA Scan (c) PET Scan (8) Echocardiogram (9) TEE 10) Identifying the possible complications and health risks for the client with selected cardiovascular alterations and the nursing interventions that would be necessary (1) diet (2) exercise (3) medications (4) follow up care 11) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected cardiovascular alterations. (1) Surgical (2) Medical 12) Discriminating pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected cardiovascular alterations. (1) Hypertension/CHF (a) Thiazide and related diuretics (b) Loop diuretics (c) Potassium-sparing (d) Aldosterone receptor blocker (e) Central acting adrenergic (f) Blockers (i) Alfa (ii) Beta (iii) Calcium Channel Blockers (g) Angiotensin II receptor blockers (h) B - Blockers (i) Vasodilators (2) CAD (a) HMG_COA Reductase Inhibitor (Satins) (b) Antianginals (c) Niacin (d) Fibric Acid Derivatives (e) Bile Acid Sequestrants (f) Cholesterol Absorption Inhibitor (3) Vascular (a) Anticoagulant (i) Vitamin K antagonists (ii) Indirect thrombin inhibitors (iii) Direct thrombin inhibitors Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected cardiovascular alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Reading(s): Textbook Lewis (Medical-Surgical Nursing 11th Ed.) Lilley (Pharmacology 9th Ed.) Hockenberry, Wilson, & Rodgers (Pediatric Nursing 11th Ed.) Chapter 31-34; 36-37 22-25; 27-28 23 Reference Reading(s): Textbook Mosby’s Drug Guide for Nursing Students (14th ed.) Mosby’s Manual of Diagnostics & Laboratory Test (4th ed.) Silvestri & Silvestri (Comprehensive Review for the NCLEX-RN 8th ed.) Chapter 36 & 52-53 Class Assignment(s): Textbook and/or Resource Hesi Trio Case Studies Hesi Trio Case Studies Hesi Trio Case Studies Type Activity Peripheral Vascular Disease (Huttel) Deep Vein Thrombosis (Flick, Carlson) Hypertension (Hallenbeck) Submission Directions Due: 1/31/2022 @ 11:59 Due: 1/31/2022 @ 11:59 Due: 1/31/2022 @ 11:59 Unit 6: Client needs related to selected Oncology and Hematology Alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected oncology and/or hematology alterations. (1) Standards of care (2) Evidenced based care (3) Pediatric considerations (4) Quality of life (5) Patient safety goals 2) Selecting members of the health care team that would be assisting in the provision of care for the client with selected oncology and/or hematology alterations. (1) Oncologist (2) Surgeon (3) Internist (4) Nurse Practitioners (5) RN (6) Dietician (7) Home Care 3) Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected oncology and/or hematology alterations. (1) Outpatient services (2) Home care (3) Community resources 4) Choosing therapeutic communication techniques that would be utilized with for the client with selected oncology and/or hematology alterations both verbal and non-verbal. (1) Interviewing (2) Open/closed ended questions (3) Anxiety reducing (4) Grieving process 5) Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected oncology and/or hematology alterations. (1) Inpatient (2) Outpatient (3) Surgical Promote Health Promotion and Maintenance by 6) Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected oncology and/or hematology alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care (4) Discharge teaching Promote Psychological integrity by 7) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected oncology and/or hematology alterations. (1) Stress management (2) Anxiety (3) Grieving process (4) Support groups Promote Physiological Integrity by 8) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the client with selected oncology and/or hematology alterations. (1) Hematological (a) Leukopenia (b) Thrombocytopenia (c) Anemias (i) Iron deficiency (ii) Pernicious (iii) Sickle cell (iv) Thalassemia (v) Polycythemia (vi) Megaloblastic (2) Leukemia (a) Acute myelogenous (b) Acute lymphocytic (c) Chronic myelogenous (d) Chronic lymphocytic (3) Malignant lymphomas (a) Hodgkin’s (b) Non-Hodgkin’s (c) Multiple myeloma (d) Lymphoma (4) Hemophilia (5) HIV (6) Cancers (a) Melanoma (b) Basal cell (c) Squamous cell (d) Breast cancers 1) Selecting the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected oncology and/or hematology alterations and the safe nursing interventions that would be expected. (1) Biopsy (2) CBC with diff (3) Chemistries (4) PT/PTT (5) Factor essays (6) Sickling test (7) Hemoglobin electrophoresis (8) MRI (9) Bone marrow aspiration (10) Monoclonal antibody (11) CD4, T-cells (12) Standard and rapid HIV tests 2) Constructing the possible complications and health risks for the client with oncology and/or hematology alterations and the nursing interventions that would be necessary (1) (2) (3) (4) (5) (6) diet protection medications follow up care home care symptoms to report 3) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with oncology and/or hematology alterations. (1) Surgical (2) Medical 12) Discriminating between pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with oncology and/or hematology alterations. (1) Anemias (a) Blood products (b) IV fluids (c) Folic acid (d) B12 (2) HIV (a) Entry inhibitors (b) Reverse transcriptase inhibitors (c) Nonnucleoside reverse transcriptase inhibitors (d) Nucleotide reverse transcriptase inhibitors (e) Integrase inhibitors (f) Protease inhibitors (3) Cancers (a) Selective chemotherapy agents (b) Cell stimulators (c) Antiemetic’s Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected oncology and hematology alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Readings: Text Book Lewis et al. (2020) Lewis et al. (2020) Lewis et al. (2020) Lewis et al. (2020) Lewis et al. (2020) Hockenberry, Wilson, & Rodgers (2017) Hockenberry, Wilson, & Rodgers (2017) Hesi Case Studies-Pernicious Anemia Hesi Case Studies- Lung Cancer Hesi Case Studies- Breast Cancer Chapter Chapter 30 – Hematologic Problems Chapter 14 - HIV Chapter 23 – Skin Cancer Chapter 51 – Breast Disorders Chapter 15 – Cancer Treatment Chapter 24 – The Child with Hematologic or Immunologic Dysfunction Chapter 25 – The Child with Cancers Due January 9, 2022 @ 08:00 am Due January 16 @ 08:00 am Due January 16 @ 08:00 am Unit 7: Client needs related to selected Genitourinary Alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 4) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected genitourinary alterations. (1) Standards of care (2) Evidence-based practice 5) Selecting members of the health care team that would be assisting in the provision of care for the client with selected genitourinary alterations. (1) Internist (2) Acute nurse practitioners (3) RN (4) Radiology (5) Ultrasound tech (6) Urologist 6) Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected genitourinary alterations. (1) Outpatient services (2) Home care (3) Outpatient treatment 7) Choosing therapeutic communication techniques that would be utilized with for the client with selected genitourinary alterations both verbal and non-verbal. (1) Interviewing (2) Open/closed ended questions (3) Anxiety reducing 8) Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected genitourinary alterations. (1) inpatient (2) outpatient Promote Health Promotion and Maintenance by 9) Choosing culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected genitourinary alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care (4) Discharge teaching Promote Psychological integrity by 10) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected genitourinary alterations. (1) Stress management (2) Anxiety Promote Physiological Integrity by 11) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the client with the following selected genitourinary alterations. (1) Alterations in voiding patterns (1) Exstrophy of the Bladder (2) Hypospadius (3) Enuresis (2) Urinary tract inflammations and infections (1) Cystitis/UTI (2) Urethritis (3) Pyelonephritis (4) Glomerulonephritis (5) Nephrotic syndrome (6) Vesicoureteral reflux (7) Hydronephrosis (8) Nephrostomy tube (3) Alterations in urinary tract flow (1) Ureterolithiasis (2) Congenital anomalies (3) Tumors (4) Wilms’s tumor (5) Strictures (6) Urinary diversion procedures (4) Alterations in kidney function (1) Kidney Agenesis (2) Polycystic Kidney (3) Renal Hypoplasia (4) Renal calculi (5) Goodpasture Syndrome (6) Alport’s Syndrome (7) Cancer (5) Alterations in male reproductive system (1) Erectile dysfunction (2) Prostatitis (3) BPH (4) Cancer (6) Conditions of testis and penis (1) Phimosis (2) Cryptorchidism (3) Hydrocele/Varicele (4) Testicular torsion (5) Testicular Cancer (7) Surgical procedures (1) Urinary tract (2) Kidney (3) Prostate (4) Testicular 12) Selecting laboratory, diagnostic, and assessment procedures that would be expected for the client with selected genitourinary alterations and the safe nursing interventions that would be expected. (1) Hematologic studies (a) CBC (b) Chemistry profile (c) Blood cultures (2) Urine 24 hrs. (3) KUB (4) Ultrasound (5) MRI and CAT (6) Nuclear scans (7) Pyelogram (IVP) (8) Cyctogram (9) Renal arteriogram (10) Cyctoscopy (11) Renal biopsy (12) Lithotripsy (13) TURP 10) Identifying the possible complications and health risks for the client with selected genitourinary alterations and the nursing interventions that would be necessary (1) Diet (2) Medications (3) Follow up care (4) Symptoms to report 11) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected genitourinary alterations. (1) Surgical (2) Medical (3) Radiation (4) Chemotherapy 12) Discriminating between pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected genitourinary alterations. (1) Antiinfectives a. Bactrim b. Microbid c. Cephalosporin d. Tobramycin e. Gentamycin f. Ciprofloxin g. Flagyl h. Vibramycin (2) Hormone Therapy Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected genitourinary alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Readings: Required Reading(s): Unit 7 Genitourinary Textbook Chapter Lewis, Bucher, Heitkemper, Harding, Kwong, & Roberts (2017) Wongs Pediatrics Drug Guide Chapter 44, 45, 46, 54 Chapter 26 Reference for Drugs in Genitourinary Section Reference for Labs/Diagnostics Labs/Diagnostic Book Reference Reading(s): Textbook Mosby’s Drug Guide for Nursing Students (13th ed.) Mosby’s Manual of Diagnostics & Laboratory Test (4th ed.) Silvestri & Silvestri (Comprehensive Review for the NCLEX-RN) Chapter Drugs Discussed in Class GU Testing Discussed Urinary System Class Assignment(s): Textbook and/or Resource Type Activity Submission Directions Post Class Assignments: 1. Discussion Board Assignment Details to be Released on February 23, 2022 during class and due on 2/26/2022 by 11:59pm. 2. Hesi Case Study Acute Nephrolithiasis due by 2/26/22 11:59 pm. Unit 8: Client needs related to selected Gastrointestinal Alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected gastrointestinal alterations. (1) Standards of care (2) Evidence-based care (3) Patient safety goals 2) Selecting members of the health care team that would be assisting in the provision of care for the client with selected gastrointestinal alterations. (1) Internist (2) Surgeon (3) Pediatrician (4) Respiratory therapy (5) Acute nurse practitioners (6) RN (7) Physical therapy/dietician (8) Home care 3) Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected gastrointestinal alterations. (1) Home care (2) Outpatient services 4) Choosing therapeutic communication techniques that would be utilized with for the client with selected gastrointestinal alterations both verbal and non-verbal. (1) Interviewing (2) Open/closed ended questions (3) Anxiety reducing 5) Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected gastrointestinal alterations. (1) inpatient (2) outpatient Promote Health Promotion and Maintenance by 6) Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected gastrointestinal alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care (4) Follow up care (5) Discharge teaching Promote Psychological integrity by choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected gastrointestinal alterations. (6) Stress management (7) Anxiety (8) Loss /grieving Promote Physiological Integrity by 7) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following selected gastrointestinal alterations. (1) Food Allergies (2) Nausea and vomiting (3) Diarrhea/Constipation (4) Dehydration (5) Malnutrition (6) Obesity (7) Esophageal diverticula (8) Esophageal strictures (9) Achalasia (10) Gastroesophageal reflux disease (11) Hiatal hernia (12) Gastritis (13) Peptic ulcer disease (14) GI Bleed (15) Cancer 8) Selecting the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected gastrointestinal alterations and the safe nursing interventions that would be expected. (1) Gastric analysis (2) Abdominal ultrasound (3) CAT scan (4) MRI (5) GI motility studies (6) CBC (7) Endoscopy (8) Chemistries 9) Identifying the possible complications and health risks for the client with selected gastrointestinal alterations and the nursing interventions that would be necessary (1) diet (2) exercise (3) medications (4) follow up care (5) symptoms to report 10) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected gastrointestinal alterations. (1) Surgical (2) Medical 11) Discriminating between pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected gastrointestinal alterations. (1) Proton pump inhibitors (2) H2 receptor blockers (3) Prokinetic (4) Cholinergic (5) Phenothiazines Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected gastrointestinal alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Required Readings: Required Readings: Chapter Class Activity –TBA Textbook Lewis 10th Ed. Hockenberry, 11th Ed. Mosby Drug Guide Nursing, 14th Ed. e Lilley online Acid-controlling drugs Bowel Disorders Antiemetic and Anti-nausea Chapter 38, 39 ,40, 41 and 42, 22 50 51 52 Class Assignment(s): Textbook and/or Resource HESI Case Study Med-Surg Type Activity Hesi Case study: Ms. Lewis topic -Peptic Ulcer and Ms. Jones-colonoscopy with bowel preparation Submission Directions March 22, 2022 @ 08:00 a.m. Unit 9: Client needs related to selected Neuromuscular Alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment 1) Applying evidence-based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected neuromuscular alterations. (1) Standards of care (2) Patient safety goals (3) Core Measures 2) Selecting members of the health care team that would be assisting in the provision of care for the client with selected neuromuscular alterations. (1) neurologist (2) Internist (3) Oncologist (4) Respiratory therapy (5) Acute nurse practitioners (6) RN (7) Radiology (8) Surgeon (9) Physical therapy/dietician (10) Home care 3) Discriminating between collaborative healthcare resources that might be utilized to provide care for the client with selected neuromuscular alterations. (1) Home care (2) Outpatient therapy (3) Rehabilitation 4) Choosing therapeutic communication techniques that would be utilized for the client with selected neuromuscular alterations. (1) Open/closed ended questions (2) Anxiety reducing (3) Altered communication techniques 5) Selecting the appropriate data that would be included in the documentation both written and technological for the client with selected neuromuscular alterations. (1) Inpatient (2) Outpatient Promote Health Promotion and Maintenance by 6) Choosing the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected neuromuscular alterations to promote restore and maintenance of health. (1) Nutrition (2) Medications (3) Home care Promote Psychological integrity by 7) Choosing culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected neuromuscular alterations. (1) Stress management (2) Anxiety Promote Physiological Integrity by 8) Selecting the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following selected neuromuscular alterations. (1) Neurological (1) Headache (i) Vascular (ii) Tension (iii) Cluster (2) Muscular (1) Multiple sclerosis (2) Parkinson’s (3) Huntington’s (4) Myasthenia Gravis (5) ALS (6) Muscular dystrophies (7) Cerebral palsy (8) Seizures (3) Herniation of intervertebral disc (1) Disk surgery (4) Nerve disorders (1) Trigeminal neuralgia (2) Bell’s palsy (3) Botulism (4) Tetanus (5) Restless Legs Syndrome (6) Neurosyphilis (i) Musculoskeletal (5) Joint replacement (1) Hip (2) Knee (3) Surgeries (6) Upper extremities (1) Bursitis, synovitis & tendonitis (2) Carpel tunnel syndrome (3) Ganglion cyst (4) Dupuytren’s contracture (7) Lower extremities (1) Hammer toe (2) Hallux valgus (3) Club foot (4) Legg-Calve Perthes (5) Developmental hip dysplagia (6) Spica cast (7) Osteo Imperfecta (8) Fascitis plantar (8) Metabolic disorders (1) Osteoporosis (2) Osteomalacia (3) Paget’s (4) Osteoarthritis (9) Infectious (1) Osteomyelitis (2) Septic arthritis (10) Connective tissue (1) Rheumatoid arthritis (2) Gout (3) Lupus (4) Lyme (5) Scleroderma (6) Ankylosis Spondylitis Sjogenen Syndrome Fibromyalgia Chronic Fatigue Syndrome Bone tumors Benign (i) Malignant (1) Osteogenic sarcoma (2) Ewin’s sarcoma (3) Rhabdomyosarcoma 9) Selecting laboratory, diagnostic, and assessment procedures that would be expected for the client with selected neuromuscular alterations and the safe nursing interventions that (7) (8) (9) (11) (1) would be expected. (1) Hematologic studies (2) CBC (3) Chemistry profile (4) X-ray (5) CT scan (6) Positron emission tomography (7) MRI (8) Bone scan (9) Bone densitometry (10)Arthroscopy/arthrocentesis (11)Angiography (12)Myelography (13)EEG (14)EMG (15)Nerve conduction studies (16) Biopsy 10) Identifying the possible complications and health risks for the client with selected neuromuscular alterations and the nursing interventions that would be necessary. (1) Diet (2) Exercise (3) Lifestyles (4) Medications (5) Follow-up care (6) Surgical concerns 11) Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected neuromuscular alterations. (1) Surgical (2) Medical 12) Discriminating between pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected neuromuscular alterations. (1) NSAIDS (2) Carbamazepine (3) Corticosteroids (4) Acyclovir (5) Diazepam (6) Vecuronium (7) Morphine (8) Fentanyl (9) Chemotherapies (10) Gold compounds (11) Disease modifying anti-rheumatic drugs (12) Immunosuppressants (13) Biologic targeted therapy (14) Anti-infectants (1) Penicillin (2) Tetracycline (3) Doxycycline Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected neuromuscular alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: a safe and effective environment health promotion and maintenance psychological integrity physiological integrity Unit 9 Neuromuscular Required Reading(s): Textbook Lewis 11th edition Hockenberry 11th edition e Lilley online Antiepileptic drugs Chapter 55, 58,60,63 27 and 30 14 Mosby Drug Guide Nursing, 14th edition Lifsey Section Unit 9- Musculoskeletal System Required Reading Textbook Lew Lewis, Med-Surg 11th ed Lewis, Med-Surg 11th ed Chapter Chapter 58 & 60 Chapter 63 – Herniated Disc 61-63-64: Nursing Assessment MS System, Synovitis, Tendonitis, Carpel Tunnel Syndrome, Ganglion Cyst, Dupuytren’s Contracture, Plantar fasciitis, Dx Studies, 62: Carpel Tunnel, Bursitis, Types of Joint Surgeries, Open Reduction, Drug and Nutritional Therapies, Hip Fracture 63-64: Osteomyelitis, Bone Tumors (Benign, Malignant) Cancer, Foot Disorders: (Hammer Toe, Hallux valgus), Metabolic Bone Diseases (Osteoporosis, Osteomyelitis, Paget’s Disease). 64: Arthritis & Connective Tissue Disease: (Osteoarthritis, Rheumatoid Arthritis, Gout, Lyme Disease, Septic Arthritis, Wong’s Pediatric 11th ed Wong’s Pediatric 11th ed. PowerPoint presentations Flip the Classroom-Instruction Ankylosing Spondiylitis, Lupus, Scleroderma, Raynauds, Sjogren’s Syndrome, Fibromyalgia, Chronic Fatigue Syndrome, 29: Care/Casting for Spica Cast (only) Development of Dysplasia Osteogenesis Imperfecta Septic Arthritis – Bone and Soft Tissue Tumors Genuvalgum/metatarsus adductus/Clubfoot/Legg-Calve Pertheses Slipped Capital Femoral Epiphysis Osteogenic Sarcoma Ewing Sarcoma Rhabdomyosarcoma Juvenile Idiopathic Arthritis Chapter 30 On BB On BB Textbooks only resources to used for presentations Recommended Reading: Textbook Silvestri & Silvestri (NCLEX-RN) Musculoskeletal Problems and Medications (as applicable to unit content only). Silvestri & Silvestri (NCLEX-RN) Musculoskeletal Problems and Medications (as applicable to unit content only). Lilly’s Pharmacology and/or Mosby Drug Book for medications listed in the topical outline and/or in the unit chapters as applicable Chapter 60, 61 58 & 59 Various pages Class Assignments: Textbook and/or Resource HESI Case Trio Study Med-Surg HESI Case Trio Study Med-Surg Flip the Classroom Flip the Classroom HESI Case Trio Study Med-Surg HESI Case Trio Study Med-Surg Type Activity Osteoporosis – Kat Mitchell Rheumatoid Arthritis w/Joint Arthroplasty– Terry Barnes Group Presentations Student ppts to Instructor via email Parkinson’s Disease – Leo White Seizure Disorder – Alanna Milstein Submission Directions Up to March 24, 2022 by 5:00 p. m. Up to March 24, 2022 by 5:00 p.m. March 23, 24 March 21to be upload to BB Due April 12th, 2022 by 11:59 pm Due April 12th, 2022 by 11:59 pm