VNSG 1400 Nursing in Health and Illness I
Unit III – Health Restoration for Commonly Occurring Illnesses
Behavioral Objectives
1.
Discuss the assessment of clients with commonly occurring cardiac illnesses.
2.
Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring cardiac illnesses.
3.
Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring cardiac problems.
4.
Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring cardiac health problems.
Content
I.
Assessment
A.
History
B.
Physical exam
C.
Risk factors
D.
Developmental variations
II.
Diagnostic tests
A.
Other
1.
Blood pressure
2.
Diagnostics
III.
Commonly Occurring Cardiac Illnesses
A.
Hypertension
5.
Define the terms associated with commonly occurring respiratory illnesses listed in the content column.
IV.
Nursing management of cardiac problems
A.
Independent interventions
1.
Assist with stress relief
2.
Encourage maintenance of exercise regimen
3.
Encourage smoking cessation
4.
Encourage weight control
5.
Patient teaching
6.
Refer to American Heart Association
B.
Dependent interventions
1.
Medications a.
Diuretics b.
Beta-blockers c.
Calcium antagonists d.
Angiotensin converting enzyme
C.
Interdependent interventions
1.
Encourage compliance with sodium restricted diet
V.
Terms Associated with Commonly Occurring
Respiratory Illnesses
A.
Status athmaticus
Learning Opportunities
Hopper… Chapter 21, 22 v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives
6.
Discuss the assessment of clients with commonly occurring respiratory illnesses.
7.
Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring respiratory illnesses.
8.
Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring respiratory problems.
9.
Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring respiratory health problems.
Content
VI.
Assessment
A.
History
B.
Physical exam
C.
Risk factors
D.
Developmental variations
VII.
Diagnostic tests
A.
Radiology
1.
Chest x-ray
B.
Laboratory studies
1.
Arterial blood gases
C.
Other
1.
Pulmonary function tests
2.
Pulse oximetry
VIII.
Commonly Occurring Respiratory Illnesses
A.
Chronic obstructive pulmonary disease (COPD)
1.
Asthma
2.
Bronchitis
3.
Emphysema
IX.
Nursing management of respiratory problems
A.
Independent interventions
1.
Deep breathing exercises
2.
Teach pursed lip breathing
3.
Encourage annual influenza vaccine
4.
Encourage smoking cessation
5.
Patient teaching to avoid exposure to infections, irritants, change of temperature
6.
Incentive spirometry
7.
Positioning for optimal breathing
8.
Provide humidification
9.
Encourage fluids
10.
Provide emotional support
11.
Refer to American Lung Association
B.
Dependent interventions
1.
Medications a.
Bronchodilators b.
Corticosteroids c.
Expectorants
2.
Low flow oxygen therapy
Learning Opportunities
ABG Worksheet
Hopper… Chapter 29, 30, 31
Video
#1158 “Asthma, Emphysema, & Chronic Bronchitis” v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives
10.
Define the terms associated with commonly occurring neurological illnesses listed in the content column.
11.
Discuss the assessment of clients with commonly occurring neurological illnesses.
12.
Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring neurological illnesses.
13.
Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring neurological problems.
14.
Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring neurological health problems.
Content
C.
Interdependent interventions
1.
Monitor ABGs
2.
Chest physiotherapy
X.
Terms Associated with Commonly Occurring
Neurological Illnesses
A.
Aphasia
B.
Dysphagia
C.
Hemiplegia
D.
Hemiparesis
E.
Increased intracranial pressure
XI.
Assessment
A.
History
B.
Physical exam
C.
Risk factors
D.
Developmental variations
XII.
Diagnostic tests
A.
Radiology
1.
Cerebral arteriogram
B.
Other
1.
Basic neurological exam
2.
Carotid Doppler studies
XIII.
Commonly Occurring Neurological Illnesses
A.
Cerebrovascular accident
1.
Thrombolytic/embolic stroke
2.
Hemorrhagic stroke
B.
Transient ischemic attack (TIA)
XIV.
Nursing management of neurological problems
A.
Independent interventions
1.
Perform frequent neurochecks
2.
Monitor for signs of increasing intracranial pressure (ICP)
3.
Prevent contractures, pressure ulcers, thrombosis
4.
Proper positioning/turning
5.
Range of motion exercises
6.
Implement guidelines for communicating with patient with aphasia
Learning Opportunities
Hopper… Chapter 49
Video
#999 “CVA” v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives Content
7.
Implement guidelines for working with patient with dysphagia, hemianopsia, unilateral neglect, and perceptual problems
8.
Prevent aspiration
9.
Assist with bowel & bladder retraining
10.
Patient teaching to prevent CVA
B.
Dependent interventions
1.
Medications a.
Anticoagulant therapy if indicated b.
Antihypertensive therapy
C.
Interdependent interventions
1.
Assist interdisciplinary team with rehabilitation plan
XV.
Surgeries
A.
Carotid endarterectomy
Learning Opportunities
15.
Discuss nursing care for clients having surgeries involving commonly occurring neurological health problems.
16.
Define the terms associated with commonly occurring endocrine illnesses listed in the content column.
17.
Discuss the assessment of clients with commonly occurring endocrine illnesses.
18.
Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring endocrine illnesses.
XVI.
Terms Associated with Commonly Occurring
Endocrine Illnesses
A.
Hyperglycemia
B.
Hypoglycemia
C.
Polydipsia
D.
Polydysphagia
E.
Polyuria
XVII.
Assessment
A.
History
B.
Physical exam
C.
Risk factors
D.
Developmental variations
XVIII.
Diagnostic tests
A.
Laboratory studies
1.
Blood glucose monitoring –glucometer
2.
Fasting blood sugar
3.
Glycosylated hemoglobin
4.
Oral glucose tolerance test
5.
Urine ketone testing v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives
19.
Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring endocrine problems.
20.
Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring endocrine health problems.
21.
Discuss the assessment of clients with commonly occurring musculoskeletal illnesses.
22.
Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring musculoskeletal illnesses.
Content
XIX.
Commonly Occurring Endocrine Illnesses
A.
Diabetes mellitus
1.
Type I diabetes
2.
Type II diabetes
XX.
Nursing management of endocrine problems
A.
Independent interventions
1.
Patient teaching
2.
Foot care
3.
Promoting proper hygiene
4.
Promoting exercise regimen
5.
Promote compliance
6.
Assist with individual/family coping
7.
Weight control
8.
Refer to community resources a.
American Diabetes Association b.
Living Well with Diabetes c.
Juvenile Diabetes Foundation
9.
Diabetes self management
10.
Monitor for signs/symptoms of complications a.
Diabetic ketoacidosis b.
Hyperglycemic, hyperosmolar, nonketotic coma
B.
Dependent interventions
1.
Medications a.
Insulin therapy b.
Oral hypoglycemic agents
2.
Replacement fluids/electrolytes
C.
Interdependent interventions
1.
Dietary management
XXI.
Assessment
A.
History
B.
Physical exam
C.
Risk factors
D.
Developmental variations
XXII.
Diagnostic tests
A.
Radiology
1.
X-ray of hip
Learning Opportunities
Hopper… Chapter 40
VIDEO TVCC Website
Diabetes in Clinical Practice
VIDEO TVCC Website
Diabetes in Clinical Practice
** Required Drug Card Comparison **
Insulin Comparisons
1.
Humalog
2.
Regular
3.
NPH
4.
Lente
5.
Protamine Zinc Insulin v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives
23.
Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring musculoskeletal problems.
24.
Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring musculoskeletal health problems.
Content
XXIII.
Commonly Occurring Musculoskeletal Illnesses
A.
Fractured hip
XXIV.
Nursing management of musculoskeletal problems
A.
Independent interventions
1.
Frequent neurovascular checks
2.
Prevent external rotation
3.
Avoid adduction
4.
Maintain affected extremity in alignment
5.
Proper positioning & turning
6.
Prevent complications of immobility
7.
Turn, cough, & deep breathing
8.
Provide trapeze
9.
Monitor for complications
B.
Dependent interventions
1.
Traction
2.
Dressing changes after surgery
C.
Interdependent interventions
1.
Pain management
2.
Assist with physical therapy plan
XXV.
Surgeries
A.
Open reduction/internal fixation of hip
Learning Opportunities
Hopper… Chapter 46
Video:
#1151 “Impaired Mobility:The Nurses Role”
#1152 “Impaired Mobility:Physical Consequences”
#1148 “Pre & Post-op Care of the Orthopedic Patient –
Hip Fracture"
#1149 “Pressure, Shear, & Friction: Prevention &
Intervention”
#1150 “Pressure, Shear, & Friction: Assessing Risks”
#1109 “Assisting with Casts & Traction”
25.
Discuss nursing care for clients having surgeries involving commonly occurring musculoskeletal health problems.
26.
Define the terms associated with commonly occurring oncologic illnesses listed in the content column.
XXVI.
Terms Associated with Commonly Occurring
Oncological Illnesses
A.
Alopecia
B.
Anorexia
C.
Carcinogen
D.
Cytology
E.
Extravasation
F.
Leukocytosis
G.
Leukopenia
H.
Metastasis
I.
Stomatitis
J.
Thrombocytopenia v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives
27.
Discuss the assessment of clients with commonly occurring oncologic illnesses.
28.
Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring oncologic illnesses.
29.
Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring oncologic problems.
30.
Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring oncologic health problems.
Content
XXVII.
Assessment
A.
History
B.
Physical exam
C.
Risk factors
D.
Developmental variations
XXVIII.
Diagnostic tests
A.
Radiology
1.
Computed tomography (CT)
2.
Magnetic Resonance Imaging (MRI)
3.
Mammogram
B.
Laboratory studies
1.
Papanicolaou test (Pap)
2.
CA-125
3.
Prostate Screening Antigen (PSA)
4.
Complete blood count
C.
Other
1.
Breast self exam (BSE)
2.
Biopsy
3.
Testicular self-exam (TSE)
4.
Rectal digital exam
XXIX.
Commonly Occurring Oncologic Illnesses
A.
Breast cancer
B.
Vaginal cancer
C.
Cervical cancer
D.
Ovarian cancer
E.
Prostate cancer
F.
Testicular cancer
G.
Hodgkin’s disease
XXX.
Nursing management of oncologic problems
A.
Independent interventions
1.
Patient teaching about prevention/ warning signs
2.
Assist with individual/family coping
3.
Assist with maintaining nutritional status
4.
Prevention of infection
5.
Refer to community resources a.
Reach to Recovery b.
American Cancer Society c.
Living with Cancer
Learning Opportunities
Hopper… Chapter 11
Hopper… Chapter 11, 28, 42, 43, v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014

Behavioral Objectives
31.
Discuss nursing care for clients having surgeries involving commonly occurring oncologic health problems.
Content d.
I Can Cope e.
Hospice
B.
Interdependent interventions
1.
Radiation therapy a.
External b.
Internal c.
Nursing implications d.
Safety precautions e.
Managing side effects of radiation
2.
Chemotherapy a.
Managing side effects
1) Leukopenia
2) Thrombocytopenia
3) Nausea/vomiting
4) Stomatitis
5) Alopecia b.
Care of implanted venous ports
3.
Pain management
XXXI.
Surgeries
A.
Hysterectomy
B.
Mastectomy
C.
Prostatectomy
Learning Opportunities v:\word\syllabus\vocation\level i\vnsg 1500 unit iii commonly occurring illnesses 11/2014