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Syllabus C (Med Surg 1020) CCRI

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NURS 1020 Course Learning Outcomes (CLO)
At the completion of this course, students will be able to:
1. Describe the prevalent medical surgical conditions affecting adult patients. (EPSLO 1)
2. Develop an individualized plan of care, utilizing the nursing process, for assigned patients
with common acute and chronic medical surgical conditions. (EPSLO 2)
3. Review and critique nursing research of common acute and chronic medical surgical
conditions. (EPSLO 2)
4. Identify nursing implications associated with safe administration of medications by various
routes. (EPSLO 1 & 7)
5. Interprets and utilizes clinical findings, including pathophysiology, to safely manage common
acute and chronic medical surgical conditions in a variety of healthcare settings. (EPSLO 1, 2,
5)
6. Develop a professional image while employing therapeutic communication, including
appropriate use of technology to collaborate, document and facilitate safe, effective
evidence-based patient care. (EPSLO 1-7)
N 1020 Syllabus C Spring 2024
1/6/2024
Page 1 of 15
Hours
allocated
Concept
Exemplars
Class # 1
1/22 or 1/23
Perfusion
Part 1
CAD & PVD Exemplars
 Atherosclerosis
 Arteriosclerosis
 Heart Failure-chronic
 Hypertension
3 Hours
You must
bring your
iPad to all class
meetings.
Medication Exemplars:
Antihypertensives
Beta-Blockers
Β1 Selective
 Metoprolol
Β non-Selective
 Propranolol
Ace Inhibitors
 Lisinopril
ARBs
 Losartan Potassium (Cozaar)
Alpha-Blocker
 Prazosin (Minipress)
Calcium Channel Blocker
 Amlodipine (Norvasc)
Nitrates
 Nitroglycerine
Antihyperlipidemic
Statins
 Atorvastatin calcium (Lipitor)
Diuretics
Loop
 Furosemide (Lasix)
Potassium Sparing
 Spironolactone (Aldactone)
Thiazide
 Hydrochlorothiazide (HCTZ)
Cardiac Glycosides

N 1020 Syllabus C Spring 2024
Student Learning Outcomes
PER1. Identify risk factors for
developing selected perfusion
disorders.
PER2. Articulate the recommended
screening practices, laboratory, and
diagnostic studies for selected
perfusion disorders.
PER3. Discuss clinical manifestations
of selected disorders of perfusion.
PER4. Plan and prioritize nursing
interventions for a patient with an
alteration in perfusion.
PER5. Develop a teaching plan,
utilizing current research, for a
patient with an alteration in
perfusion.
PER6. Apply principles of
pharmacologic management to the
care of patients with an alteration in
perfusion.
PER7. Discuss management of care
for patients receiving transfusion
therapy.
Readings & Assignments
Pre-Class Assignments
Perfusion PRE-LECTURE QUIZ –
DUE 1/28/2024



Review A & P of the cardiovascular and
hematologic systems. (Student independent
review)
Review Focused Assessment of CV system.
(Student independent review)
HESI Physical Assessment:
o Heart and Neck Vessels
o Peripheral Vascular and Lymphatics
Readings
Giddens
Concept 18: Perfusion
Lewis
Ch. 35 Assessment (Pre-class assignment)
Ch. 36 Hypertension
Ch. 37 Coronary Artery Disease pp. 819- 840
Ch. 38 Heart Failure pp. 859-877
Ch. 41 Vascular Disorders pp. 932-940, 946-960
Ackley
Decreased Cardiac Output: pp. 194-202
Ineffective Peripheral Tissue Perfusion: pp. 992996
Fatigue: pp. 411-416
Digoxin
1/6/2024
Page 2 of 15
Class # 2
1/29 or 1/30
Perfusion/
Hematology Exemplars:
Hematology

Part 2
3.5 hours
Overview of Hematologic
System
 Anemia & Leukemias
 Transfusion Therapy
Medication Exemplars
Hematology




N 1020 Syllabus C Spring 2024
Epoetin alfa
Ferrous Sulfate (Iron)
Folic Acid
Hydroxocobalamin (B12)
PER1. Identify risk factors for
developing selected perfusion
disorders.
PER2. Articulate the recommended
screening practices, laboratory, and
diagnostic studies for selected
perfusion disorders.
PER3. Discuss clinical manifestations
of selected disorders of perfusion.
PER4. Plan and prioritize nursing
interventions for a patient with an
alteration in perfusion.
PER5. Develop a teaching plan,
utilizing current research, for a
patient with an alteration in
perfusion.
PER6. Apply principles of
pharmacologic management to the
care of patients with an alteration in
perfusion.
PER7. Discuss management of care
for patients receiving transfusion
therapy.
1/6/2024
Pre-Class Assignments
HESI Mastery Level Assessment
 CHF/Perfusion Intermediate
Level– due 2/4/24
Readings
Giddens
Concept 18: Perfusion
Lewis
Ch. 33 Assessment: Hematologic System
Ch. 34 Hematologic Problems pp. 715-727, 744765
Page 3 of 15
Hours
allocated
Concept
Class # 3
2/5 or 2/6
Metabolism
/Sensation
3.5 Hours
You must
[ing your
iPad to all
class
meetings.
Exemplars
Metabolism/Sensation
Exemplars:
 DM Type 1
 DM Type 2
 Peripheral Neuropathy
Medication Exemplars
Metabolism & Sensation
Insulins
 Lispro (Humalog)
 Regular (Humulin R)
 Isophane (NPH)
 Glargine (Lantus)
 Humulin 70/30 (Isophane
NPH 70%, Regular 30%)
Medications for treatment of
hypoglycemia


D50
Glucagon
Oral Antidiabetics




Glipizide
Glyburide
Metformin
Neurontin
Student Learning Outcomes
MET1 Understand and discuss the
concept of Metabolism.
MET2 Recognize patients with optimal
metabolism, those at risk, and those who
are experiencing poor metabolism.
MET3 Apply knowledge of
pathophysiology to care of patients with
metabolic disorders.
MET3 Analyze physical assessment
findings of patients with a selected
metabolism disorder.
MET5 Identify and interpret laboratory
studies for patients with metabolic
disorders.
MET6 Apply principles of pharmacologic
management for patients with metabolic
disorders.
MET7 Discuss nutritional management of
patients with metabolic disorders.
MET8 Collaborate with interdisciplinary
care team to plan care for patients with
metabolic disorders.
MET9 Plan & Prioritize nursing
interventions for patients with metabolic
disorders.
MET10 Develop individualized teaching
plans for patients with metabolic
disorders.
SEN1. Discuss risk factors for developing
peripheral neuropathy.
SEN2. Develop a plan of care for a patient
with peripheral neuropathy.
Readings & Assignments
Pre-Class Assignments
Readings
Metabolism PRE-LECTURE QUIZ –
DUE 2/4/2024
HESI Mastery Level Assessment
 Diabetes/Glucose Regulation
Intermediate Level- due 2/11/2024
 VSIM Assignment- Skyler Hansen
due Friday, 2/16/24
Homework Assignment
HESI Case Studies Med./ Surg.
 Diabetes
Giddens:
Concept 15 Glucose Regulation
Lewis:
Ch. 52: Glands & hormones pp. 1265-1268 stop at
hypothalamus; Table 52.1 p. 1267;
Pancreas- p. 1271; Table 52.6 – Pancreatic studies
Ch. 53 Diabetes pp. 1285-1298 – stop after
Sulfonylureas; Table 53.8 (p. 1297-1298)- Biguanides &
Sulfonylurea only;
Nutrition therapy pp. 1299-1308- stop at ketoacidosis;
pp. 1311 – 1319- start at Hypoglycemia – end before case
study.
McCuistion:
Ch. 50(focus on exemplars)
Ackley
Risk for unstable blood Glucose level: pp. 456-462
N 1020 Syllabus C Spring 2024
1/6/2024
Page 4 of 15
Hours
Allocated
Class # 4
2/12 or 2/13
Concepts
Oxygenation
Part 1
3 Hours
You must
bring your
iPad to all
class
meetings.
Exemplars
Oxygenation Exemplars
 COPD
 OSA
 Asthma
Medication Exemplars:
Bronchodilators
Short acting beta agonist
(SABA)
 Albuterol
Long-acting beta agonist
(LABA)
 Salmeterol
Cholinergic antagonist
 Ipratropium
Anti-inflammatories
Corticosteroids
 Prednisone
 Fluticasone
Mast Cell Stabilizers
(Cromones)
 Cromolyn
Leukotriene Modifiers
 Montelukast
Monoclonal Antibodies
 Xolair
Xanthine
 Theophylline
Student Learning Outcomes
OXY1. Discuss common clinical
manifestations of altered oxygenation
with a focus on the following
exemplars:



Asthma
COPD
OSA
OXY2. Review care of patients
receiving oxygen therapy.
OXY3. Develop individualized
teaching plan, utilizing current
research, for patients with alterations
in oxygenation.
OXY4. Interpret laboratory and
diagnostic studies for patients with
common alterations in oxygenation,
with a focus on selected exemplars.
OXY5. Discuss pharmacologic
management for patients with
alterations in oxygenation.
OXY6. Manage care in the clinical
environment for patients with
alterations in oxygenation.
Readings and Assignments
Pre-Class Assignments
Oxygenation PRE-LECTURE QUIZ –
DUE 2/11/24
Readings
Giddens:
Concept 19: Gas Exchange
Lewis
Ch 27 Review Oxygenation Assessment pp. 515537 (Pre-class assignment).
Ch. 31 Asthma pp. 638-656 COPD pp. 656-670,
Ch 8 OSA pp. 112-114
Oxygenation systems: pp. 542-543,
Peak flow p. 656,
Chest physiotherapy p. 540,
Pursed lip breathing p. 540.
Medications pp. 644-650, Mast Cell Stabilizers
(cromolyn) p. 583.
Ackley
Impaired Gas Exchange: pp. 446-450
After class continued Learning
McCuistion
Ch. 38 & 39 Respiratory Agents
N 1020 Syllabus C Spring 2024
1/6/2024
Additional Readings for Respiratory Lab (per
clinical schedule)
Page 5 of 15
Class # 5
2/19 or
2/20
Oxygenation
Part 2
3 Hours
Oxygenation Exemplars
 COPD
 OSA
 Asthma
Medication Exemplars:
Exam 1
1st hour
You must
bring your
iPad to all
class
meetings.
N 1020 Syllabus C Spring 2024
Bronchodilators
Short acting beta agonist
(SABA)
 Albuterol
Long-acting beta agonist
(LABA)
 Salmeterol
Cholinergic antagonist
 Ipratropium
Anti-inflammatories
Corticosteroids
 Prednisone
 Fluticasone
Mast Cell Stabilizers
(Cromones)
 Cromolyn
Leukotriene Modifiers
 Montelukast
Monoclonal Antibodies
 Xolair
Xanthine
 Theophylline
OXY1.Discuss common clinical
manifestations of altered oxygenation
with a focus on the following
exemplars:



Asthma
COPD
OSA
OXY2. Review care of patients
receiving oxygen therapy.
OXY3. Develop individualized
teaching plan, utilizing current
research, for patients with alterations
in oxygenation.
OXY4. Interpret laboratory and
diagnostic studies for patients with
common alterations in oxygenation,
with a focus on selected exemplars.
OXY5. Discuss pharmacologic
management for patients with
alterations in oxygenation.
OXY6. Manage care in the clinical
environment for patients with
alterations in oxygenation.
1/6/2024
FOR EXAM: Download the exam onto your
iPad in ExamSoft prior to arrival. You must
have your CCRI ID badge with you to take
the exam.
HESI Mastery Level Assessment
 COPD/Gas Exchange Intermediate
Level- due 2/25/24
 VSIM Assignment-Vincent Brody
due Friday, 3/1/24
Homework Assignments
HESI Case Study
COPD with Pneumonia
Pre-Class Assignments
Readings
Giddens:
Concept 19: Gas Exchange
Lewis
Ch 27 Review Oxygenation Assessment pp. 515537 (Pre-class assignment).
Ch. 31 Asthma pp. 638-656 COPD pp. 656-670,
Ch 8 OSA pp. 112-114
Oxygenation systems: pp. 542-543,
Peak flow p. 656,
Chest physiotherapy p. 540,
Pursed lip breathing p. 540.
Medications pp. 644-650, Mast Cell Stabilizers
(cromolyn) p. 583.
After class continued learning
Page 6 of 15
McCuistion
Ch. 38 & 39 Respiratory Agents
Additional Readings for Respiratory Lab (per
clinical schedule)
Hours
allocated
Concept
Exemplars
Class # 6
2/26 or
2/27
3 Hours
Nutrition
Nutrition Exemplars
 PUD
 GERD
NUT1. Discuss modifiable and nonmodifiable risk factors for developing
selected nutritional disorders.
Medication Exemplars:
NUT2. Recognize common clinical
manifestations of altered nutrition.
You must
bring your
iPad to all
class
meetings.
Pay close attention chart in Concepts,
Vol. 1, pp 240-241
H2 blockers
 Famotidine
Antacids
 Magnesium Hydroxide with
Aluminum Hydroxide
(Mylanta)
PPIs
 Omeprazole
Cytoprotectives (Mucosal
Barrier Fortifier)
 Sucralfate (Carafate)
Antimicrobials
 Metronidazole (Flagyl)
 Amoxicillin (Amoxil)
Student Learning Outcomes
NUT3. Develop a plan of care for a
patient with altered nutrition.
NUT4. Discuss common treatment
options for patients with selected
disorders.
NUT5. Compare administration
guidelines and nursing interventions
for alternative nutritional delivery
systems including enteral feedings
and parenteral nutrition for patients
with altered nutrition.
NUT6. Apply knowledge of common
pharmacologic therapies to care of
patients with altered nutrition.
Readings & Assignments
Pre-Class Assignments
Nutrition PRE-LECTURE QUIZ –
2/25/2024
Homework Assignments:
HESI Case Study
 Peptic Ulcer Disease
Readings
Giddens:
Concept 16: Nutrition
Lewis
Ch. 43 Review GI assessment pp. 987-1000 (preclass assignment),
Diagnostics pp. 1000-1007
Ch. 44 Enteral feedings pp. 1021-1024
Ch. 46 GERD pp. 1057-1061
PUD pp. 1067-1074
McCuistion
Ch. 46 Antiulcer Medications
N 1020 Syllabus C Spring 2024
1/6/2024
Page 7 of 15
Hours
allocated
Concept
Exemplars
Student Learning Outcomes
Class # 7
3/4 or 3/5
Perioperative
Perioperative Nursing
Exemplars
 Preoperative Phase
 Postoperative Phase
PON1. Discuss measures to protect
the patient from injury and infection
during the perioperative period.
3.5 Hours
You must
bring your
iPad to all
class
meetings.
PON2. Correlate laboratory and
clinical data to surgical patient risks
Readings & Assignments
Pre-Class Assignments
Perioperative PRE-LECTURE QUIZ –
DUE 3/3/24
PON3. Develop an individualized
plan of care for patients undergoing
surgical procedures.
Homework Assignments Pre-Class
HESI Case Study/Fundamentals
 Perioperative Care
PON4. Discuss implementation of
nursing interventions necessary to
minimize assessed risks in
perioperative patients.
Readings
Lewis
Ch 18 Preoperative Care pp. 335 – 349
Ch 19 Nursing management of patient before
surgery pp. 353-354,
Anesthesia techniques pp. 357 - 362
Ch 20 Postoperative Care pp. 365 – 384
Ackley
Acute Pain: pp. 712-719
Risk for Infection: pp. 579-585
N 1020 Syllabus C Spring 2024
1/6/2024
Page 8 of 15
Hours
allocated
Concept
Exemplars
Student Learning Outcomes
Class # 8
3/18 or 3/19
Mobility
Part 1
Mobility Exemplars
 Fractures and fracture care
 Hip fractures
 Osteoarthritis
 Total Joint Replacements of
hips and knees
Mobility
MOB1. Identify risk factors for
development of alterations in mobility,
focusing on selected disorders.
MOB2. Articulate the recommended
screening practices, laboratory, and
diagnostic studies for selected disorders.
MOB3. Discuss clinical manifestations of
selected disorders of mobility.
MOB4. Utilizing knowledge, manage care
of a patient with alterations in mobility.
MOB5. Develop a teaching plan, utilizing
current research, for a patient with
selected disorders of mobility.
MOB6. Apply principles of pharmacologic
management to the care of a patient with
alterations in mobility
Pre-Class Assignments
Sensation
SEN3. Discuss hot and cold therapy.
SEN4. Develop a plan of care for a
patient with impaired
Thermoregulation
Concept 25 Mobility
Concept 10 Thermoregulation pp. 85-92
Class
3 Hours
You must
bring your
iPad to all
class
meetings.
Medication Exemplars
Antibiotics
 Cephalosporins
Opioids & PCA
 Hydromorphone
 Morphine sulfate
 Oxycodone
 Oxycodone with
acetaminophen
Readings & Assignments
Mobility PRE-LECTURE QUIZ –
DUE 3/17/24
HESI Mastery Level Assessment
 Fractures/Mobility Intermediate
Level- due 3/31/24
 VSIM assignment- Marilyn
Hughes due Friday, 4/5/24
Readings
Giddens
Lewis
Ch. 66 Musculoskeletal System assessment pp. 16221637 (Pre-class assignment)
Ch. 67 Fractures pp. 1645-1658,
Hip Fractures pp. 1658-1661,
Joint surgical procedures pp. 1667-1671
Ch. 69 Osteoarthritis pp. 1696 – 1702,
Table 69.5 p. 1703,
Gerontologic considerations p. 1710
Ch. 12 RICE p. 184.
Ch. 9: Pain p. 138-140 and Table 9.14, p. 139
Ackley
Impaired Physical Mobility: pp. 655-658
N 1020 Syllabus C Spring 2024
1/6/2024
Page 9 of 15
Class # 9
3/25 or
3/26
Mobility
Part 2
 Refer to Class #8 for Mobility
Exemplars
Refer to Class #8 for Mobility Student
Learning Outcomes
FOR EXAM: Download the exam onto your iPad in
Examsoft prior to arrival. You must have your CCRI
ID badge with you to take the exam.
3 HOURS
Refer to Class #8 for Mobility Readings &
Assignments
EXAM 2
1st hour
N 1020 Syllabus C Spring 2024
1/6/2024
Page 10 of 15
Hours
allocated
Concept
Class # 10
4/1 or 4/2
Cognition
Part 1
4 Hours
You must
bring your
iPad to all
class
meetings.
Care of
Patients with
Impaired
Intracranial
Regulation
N 1020 Syllabus C Spring 2024
Exemplars
Student Learning Outcomes
Cognition Exemplars
 Parkinson’s
 Epilepsy/Seizures
 Migraine Headaches
 TIA
 Embolic Stroke
 Hemorrhagic Stroke
CMS1. Interpret common clinical
manifestations of Impaired
Intracranial Regulation with a focus
on the selected exemplars.
Medication Exemplars:
CMS3. Develop individualized
teaching plan, utilizing current
research, for patients with actual or
risk for Impaired Intracranial
Regulation.
Antiepileptics
 Carbamazepine (Tegretol)
 Diazepam (Valium)
 Gabapentin (Neurontin)
 Levetiracetam (Keppra)
 Lorazepam (Ativan)
 Phenobarbital
 Phenytoin (Dilantin)
 Valproate (Depakote)
Fibrinolytic/Thrombolytic
 Alteplase tPA (Activase)
Antiplatelet Drugs
 Aspirin
 Clopidogrel (Plavix)
Anticoagulants
 Enoxaparin Sodium
 Heparin
 Rivaroxaban
 Warfarin Sodium
CMS2. Interpret laboratory and
diagnostic studies for patients with
Impaired Intracranial Regulation.
CMS4. Plan and prioritize nursing
care for patients with actual or risk for
Impaired Intracranial Regulation.
CMS5. Identify modifiable and nonmodifiable risk factors for developing
Impaired Intracranial Regulation.
CMS6. Discuss common
pharmacologic management for
chosen exemplars of Impaired
Intracranial Regulation.
1/6/2024
Readings & Assignments
Pre-Class Assignments
Cognition PRE-LECTURE QUIZ –
DUE 3/31/24
Homework Assignments:
HESI Case Study/Medical Surgical
 Stroke
Readings
Giddens
Concept 13 Intracranial Regulation
Lewis 12th ed.
Ch. 60 Nervous system assessment pg. 1470-1476
Ch. 62 Cerebral Autoregulation pg. 1516
Ch. 62 Stroke pg. 1515-1536
Ch. 63 Headaches pg. 1538-1544
Ch. 63 Seizure Disorder pp. 1544-1553
Ch. 63 Parkinson’s Disease pp. 1560 – 1566
Ackley
Risk for Aspiration: pp. 151-157
Unilateral Neglect: pp. 1008-1010
Page 11 of 15
Hours
allocated
Class # 11
4/8 or 4/9
1.5 Hours
You must
bring your
iPad to all
class
meetings.
Concept
Exemplars
Cognition
Part 2
Care of
Patients with
Impaired
Intracranial
Regulation
Refer to Class # 10 for
Cognition Exemplars
N 1020 Syllabus C Spring 2024
Student Learning Outcomes
Refer to Class #10 for Cognition
Student Learning Outcomes
Medication Exemplars
continued
Anticoagulant Antidotes
 Protamine Sulfate
 Vitamin K
Dopamine Agonists
 Levodopa
 Levodopa/Carbidopa
Antimigraine
 Sumatriptan (Imitrex)
Readings & Assignments
Refer to Class #8 for Cognition Readings &
Assignments
HESI Mastery Level Assessment
 Stroke/Intracranial Regulation
Intermediate Level- due 4/14/24
1/6/2024
Page 12 of 15
Class # 11
4/8 or 4/9
Protection
Part 1
(2 hours)
Immune
function
excess
You must
bring your
iPad to all
class
meetings.
Protection Exemplars
 Latex allergy
 Hemolytic transfusion
reaction
 Rheumatoid arthritis
 Contact dermatitis
Medication Exemplars
NSAIDS
 Ibuprofen
Antihistamine (H1 Blocker)
 Diphenhydramine
Sympathomimetics
 Epinephrine
Biologic Response Modifier
(DMARD)
 Infliximab
Corticosteroids
 Prednisone
PRO1. Identify risk factors for
development of alterations in
protection, focusing on selected
disorders (CLOs 2, 3)
PRO2. Articulate the recommended
screening practices, laboratory, and
diagnostic studies for selected
disorders (CLOs 2, 3)
PRO3. Discuss clinical manifestations
of selected disorders of protection
(CLOs 1, 3)
PRO4. Utilizing knowledge, manage
care of a patient with alterations in
protection related to immune
function excess (CLOs 5, 6)
PRO5. Develop a teaching plan,
utilizing current research, for a
patient with a selected protection
disorder related to immune function
excess (CLOs 1, 4)
PRO6. Apply principles of
pharmacologic management to the
care of patients with alterations in
protection related to immune
function excess (CLO 4)
Pre-Class Assignments
Protection PRE=LECTURE QUIZ ==
DUE 4/7/2024
Homework Assignments:
HESI Case Study
 Rheumatoid arthritis
Readings
Giddens
Concept 22: Immunity
Concept 23: Inflammation
Lewis
Ch. 14 Immune Responses pp. 213-235,
Ch. 25 Allergic Skin Reactions pp. 477-479,
Ch. 69 Rheumatoid Arthritis pp. 1702-1710,
Systemic Lupus Erythematosus pp. 1716-1721,
Sjogren’s Syndrome p. 1724-1725
Ch. 34 Blood Transfusion Reactions pp. 757-761
Ackley
Risk for Allergy Reaction: pp. 140-143
Risk for Latex Allergy Reaction: pp. 620-623
N 1020 Syllabus C Spring 2024
1/6/2024
Page 13 of 15
Hours
allocated
Concept
Exemplars
Class #12
4/15 or 4/16
EXAM 3
1st hour
Protection
Part 2 (2
hours)
Refer to Class #11 for Protection
Exemplars
Elimination
&
Sexuality
Part 1
(1 hour)
Elimination-Renal Exemplars
Student Learning Outcomes
Readings & Assignments
Refer to Class #11 for Protection
Student Learning Outcomes
Refer to Class #11 for Protection Readings &
Assignments
FOR EXAM: Download the exam onto your iPad in
ExamSoft prior to arrival. You must have your CCRI
ID badge with you to take the exam.
4 hours
You must
bring your
iPad to all
class
meetings.
 Pyelonephritis
 Kidney Stones
 BPH
Elimination-Bowel Exemplars
 Chronic IBD
 Diverticulitis
 UC
 Crohn’s
Sexuality
 Erectile Dysfunction
Medication Exemplars
Spasmolytic agents
 Ditropan Antimicrobial
 Sulfamethoxazole and
Trimethoprim (Bactrim)
 Aminosalicylates
 Mesalamine (Asacol)
 Sulfasalazine
 Glucocorticoids
 Prednisone (Deltasone)
Biologic Response Modifier
(DMARD)
 Adalimumab (Humira)
Antidiarrheal
 Loperamide (Imodium)
5-alpha Reductase Inhibitor
N 1020 Syllabus C Spring 2024
Elimination SLOs
ELI1. Describe assessment methods
and clinical manifestations for altered
elimination.
ELI2. Plan and Prioritize nursing
interventions for patients
experiencing complications of altered
elimination.
ELI3. Identify and interpret
laboratory testing for patients with
elimination disorders.
ELI4. Apply knowledge of common
pharmacologic therapies to care of
patients with altered elimination.
ELI5. Discuss dietary modifications
for patients with altered elimination.
ELI6. Collaborate with the
interdisciplinary health care team for
discharge planning of patients with
elimination disorders (i.e.,
enterostomal nurse therapist)
ELI7. Develop individualized teaching
plans for patients with altered
elimination.
Sexuality SLOs
SEX1. Discuss care of patients with
erectile dysfunction.
1/6/2024
Elimination Pre-Lecture Quiz – DUE
4/21/24
HESI Mastery Level Assessment
 Chronic IBD/ Elimination Intermediate
Level due 4/28/24
Homework Assignments:
HESI Case Study/Medical Surgical
 BPH
 Inflammatory Bowel Disease
Readings
Giddens
Concept 17 Elimination
Lewis
Ch. 43 Assessment GI system (pre-class
assignment) pp. 987-1005,
Ch. 47 inflammatory Bowel Disease pp. 1104-1111,
Bowel Resection and Ostomy Surgery pp. 11181123, Diverticulosis & Diverticulitis pp. 1123-1125
Ch 49 Assessment Urinary System (pre-class
assignment) pp. 1177-1194
Page 14 of 15


Ch. 50 UTI pp. 1195-1200, Acute Pyelonephritis
pp. 1200=1201, Chronic Pyelonephritis p. 1201-1202,
Urinary Tract Calculi pp. 1207-1212
Ch 59 Benign Prostatic Hyperplasia pp. 1434-1443,
Erectile Dysfunction pp. 1454-1458.
Finasteride (Proscar) Alpha-1
selective blocking agent
Tamsulosin (Flomax)
PDE-5 inhibitor
Sildenafil (Viagra)
Ackley
Impaired Urinary Elimination: pp. 1010-1014
Diarrhea: pp. 357-363
Hours
allocated
Concept
Exemplars
Class # 13
4/22 or
4/23
Elimination Refer to Class #12 for
(Part 2)
Elimination Exemplars
and
Sexuality
Student Learning Outcomes
Refer to Class #12 for Elimination
Student Learning Outcomes
3.5 hours
Class #14
4/29 or
4/30
Readings & Assignments
Refer to Class #12 for Elimination Readings &
Assignments
Reminder: Elimination Pre-Lecture
Quiz – DUE 4/21/24
Exam 4
N 1020 Syllabus C Spring 2024
FOR EXAM: Download the exam onto your iPad in
ExamSoft prior to arrival. You must have your CCRI
ID badge with you to take the exam.
1/6/2024
Page 15 of 15
Note: Syllabus subject to change. Students will be notified of any updates and/or changes.
N 1020 Syllabus C Spring 2024
1/6/2024
Page 16 of 15
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