WALLA WALLA COMMUNITY COLLEGE
NURSING EDUCATION
BEGINNING NURSING CONCEPTS II
NURS 102
Spring Quarter 2011
To request accommodations related to a disability, contact Claudia Angus, Ph.D.,
Coordinator of Disability Support Services, at 527-4262 or email
claudia.angus@wwcc.edu on the Walla Walla Campus. Clarkston students may contact
Carol Bennett, at 758-1718 or email carol.bennett@wwcc.edu .
Every effort is made to ensure accuracy in the syllabus at the time of printing. However,
the Walla Walla Community College Nursing Education Program reserves the right to
change any provision or requirement that is necessitated by circumstances arising during
the course. All changes will be provided in writing.
NURS 102 Syllabus
Spring 2011
Final 3.18.11
1
COURSE OUTLINE
Course Identifier:
NURS 102
Title:
Beginning Nursing Concepts II
Credits:
6
Class Hrs Per Wk: 6
Catalog Description: A continuation of NURS 101. The focus is on providing care to
clients of all ages experiencing normal life processes or
common/chronic disease processes in selected body systems.
Prerequisites:
NURS 101 and 111
Corequisites:
NURS 112 and 197
Teaching Format:
Lecture/Discussion
Critical Thinking Activities
Small Group Activities
Audio-visual
Computer-based Learning Activities
Location:
Walla Walla Campus Room 1706
Clarkston Campus
Room 2107
Course Topics:
Normal Maternal-Newborn
Cardiac I
Peripheral Vascular
Gastrointestinal
Special Senses
Women's Health
Evaluation Devices: Activities
Unit Tests
Comprehensive Final
ATI Tests
NURS 102 Syllabus
Spring 2011
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Course Competencies:
Critical Thinking
1.
2.
Demonstrate critical thinking in the use of the nursing process.
Demonstrate use of management/leadership principles in the delivery of
client/patient care.
Caring
3.
4.
Perform interventions in a safe and effective manner.
Use therapeutic communication.
Professional Behaviors
5.
Demonstrate professional behaviors.
FACULTY CONTACT LIST
NOTE: Students are encouraged to contact the faculty member responsible for the content area or
clinical experience that they have a question about. Contact your faculty advisor for academic
concerns and advising.
Walla Walla Campus: Nursing Office:
Clarkston Campus: Nursing Office:
509-527-4240
509-758-1702
Director of Nursing Education: Marilyn D. Galusha, RN, MSN
Walla Walla-based Instructors
Kathy Adamski, RN, MN
(Level I Lead Instructor)
Brenda Anderson, RN, MSN
Patti Becker, RN, MN
Office
Number
527-4244
527-4327
527-4242
Email addresses
kathleen.adamski@wwcc.edu
Cell: 200-0904
brenda.anderson@wwcc.edu
Cell: 240-4084
patti.becker@wwcc.edu
Cell: 301-9680
Clarkston-based Instructors
Carol McFadyen, RN, Ph.D.
(Clarkston Lead Instructor)
Todd Carpenter, RN, BSN
758-1728
carol.mcfadyen@wwcc.edu
758-1787
todd.carpenter@wwcc.edu
Karen Molander, RN, BSN
758-1786
karen.molander@wwcc.edu
Jaci Hanvey, RN, BSN
(Evening section facilitator)
758-1702
jacquelynn.hanvey@wwcc.edu
Office Hours for instructors may be found posted on the NURS 101 Angel Website
NURS 102 Syllabus
Spring 2011
Final 3.18.11
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BEGINNING NURSING CONCEPTS I
NURS 102
Grading Criteria & Distribution of Points:
CONTENT
POINTS
Normal Maternal-Newborn (4 classes)
Women’s Health
Special Senses (2 classes, Ear, Eye)
Gastrointestinal (4 classes)
Cardiac I (4 classes)
Peripheral Vascular
Sub-Total: Class Activities
ATI PN Maternal-Newborn (60 questions)
ATI PN Nutrition (60 questions)
ATI PN Pharmacology (60 questions)
4 unit tests (9 questions per 3-hour lecture period)
Final Test (5 questions per 3-hour lecture period)
Sub-Total: Tests Only
Total Points available
12
3
6
12
12
3
48
15
15
15
144
80
269
317
(All content will be taught via ITV. Faculty will travel part of the time weather permitting.)
**Students must attain 75% or greater cumulative score on tests to achieve a passing grade
in NURS 102. Activity points will accumulate as achieved, however, they will not be
added to the grade until the end of the quarter and will be added only if the test score is a
minimum of 75%.
Course Expectations:
1. Follow all policies as outlined in Nursing Student Handbook
2. If absent from class, no points shall be awarded for missed in-class learning
activities
3. All assignments must be accounted for before progression regardless of score
achieved.
4. Late papers will receive a one-point deduction per school day when turned in
after the due date and /or time (i.e. beginning of class or as stated).
NURS 102 Syllabus
Spring 2011
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Testing:
Failure to take a test at the scheduled time will result in an automatic reduction of 5% of
the available score from the earned score. (See Nursing Student Handbook).
A student arriving late for a test with an excused tardy may choose either to take the test
with the allotted time remaining or take the test at a later time with the 5% point deduction
applied per the WWCC Nursing Handbook policy. An excused tardy is one in which the
student informs the nursing department prior to the beginning of the test that he or she will
be late.
A student arriving late for a test with an unexcused tardy will have only the allotted time
remaining to complete the test. An unexcused tardy is one in which the student fails to
inform the nursing department prior to the beginning of the test that he or she will be late.
Grading Scale – See Nursing Student Handbook
NURS 102 Syllabus
Spring 2011
Final 3.18.11
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Assessment Technologies Institute (ATI) Testing
Three (3) proctored computerized Content Mastery Examinations will be administered this
quarter: PN Maternal-Newborn, RN Nutrition, PN Pharmacology

Mandatory Online Practice Tests:
o Prior to taking each of the three Content Mastery Examinations, each student must
complete TWO (2) non-proctored, online practice tests (Form A and Form B) and
achieve a score of 90% on EACH practice test. These non-proctored, online
practice tests can be taken more than once, however, a 90% must be achieved on
each test. Access and Test ID codes will be provided.
o The student’s score on the two versions of the non-proctored, online practice tests
will be verified on the ATI website by the designated instructor on the due date.
o Failure to complete BOTH practice tests by the date and time set will result in a
one (1) point deduction from the earned score of the respective ATI test.

Proficiency Level Required:
o On the ATI Content Mastery Examinations, an “ATI Proficiency Level 2” score
must be achieved. This is a proficiency level that is determined by ATI for each
content mastery test and is considered minimum proficiency.
o A student’s grade is based on the score received on the first attempt at each of the
three Content Mastery Exams. The student’s score is allocated on a curved scale
basis with the lowest “ATI Proficiency Level 2” receiving 75% of the possible
points for the test (eg. If a content mastery test is worth 15 points, the lowest “ATI
Proficiency Level 2” score will receive 11.25 points).

Mandatory Remediation to Achieve an “ATI Proficiency Level 2” Score:
o Failure to achieve an “ATI Proficiency Level 2” score will require content-specific
remediation. Remediation must be completed prior to retaking any ATI content
mastery examination.
o Students will not be allowed to retake any ATI exam within 48 hours of test failure.
This does not mean that students should expect retakes to be administered every 48
hours. The frequency of retake testing is subject to issues of scheduling and
availability.
o A student has a maximum of five (5) attempts to meet the minimum proficiency
level score on each proctored exam.
o The first retake of a Content Mastery Exam is free of charge. Subsequent retakes
will result in a cost to the student.

Incomplete Grade:
o Failure to achieve an “ATI Proficiency Level 2” on all ATI tests prior to the end of
Spring quarter will result in an Incomplete “I” grade contract.
o Failure to clear the “I” grade contract by the end of the first two weeks of the next
quarter will result in the conversion of the “I” grade to a C- and the student will not
be allowed to progress.
NURS 102 Syllabus
Spring 2011
Final 3.18.11
6
NORMAL MATERNAL-NEWBORN (CLASS #1)
Topic
Objectives
Assignments/Comments
Introduction
1. Identify the goals of maternal newborn care and the roles of the providers of care
Leifer, (2011, 6th edition)
Ch. 1, pp. 6-7
Antepartum
EDD
2. Calculate estimated date of delivery (EDD) using:
 Nagele’s Rule
 McDonald’s Rule
Leifer (6th edition)
Ch. 4, pp. 44-77
Signs of
pregnancy
Physiologic and
psychosocial
changes
Assessment
3. Differentiate between presumptive, probable, and positive signs of pregnancy
4. Relate the physiologic and psychosocial changes during pregnancy to variations in
assessment of the pregnant client
 Reproductive system
 Breasts
 Systemic changes
 Management of common discomforts of pregnancy
5. Identify the assessment measures completed during prenatal care
 Health assessment
 Laboratory and diagnostic testing
 Physical examination
 Risk assessment
Nutritional needs
6. Describe the nutritional needs of the pregnant mother and assessment measures
indicating adequate nutrition
 Weight gain pattern and Assessment of nutrient intake
Fetal Development
7. Describe the development of the fetus during each month of pregnancy and factors
that affect fetal development
 Organogenesis
 Critical Period
 Teratogens
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Leifer (6th ed.)
Box 4-3, p. 48
Leifer (6th ed.)
Table 4-6, pp. 73-75
Leifer (6th ed.)
pp. 65-66
Leifer (6th ed.)
Table 4-1, p. 46
Leifer (6th ed.)
Table 4-4 and 4-5, p. 59
Leifer (6th ed.)
Ch. 3, pp. 31-40
7
NORMAL MATERNAL-NEWBORN (CLASS #2)
Topic
Postpartum
Physiologic
needs
1.
Objectives
Describe the physiologic changes that occur during the postpartum period
 Involution
 Lochia
 Perineum/episiotomy
 Systemic changes
 Changes in vital signs
 Breasts/lactation
2.
Be able to complete an assessment of a postpartum client and document assessment
findings using correct terminology
 Health History
 Laboratory data
 Physical assessment
 Psychosocial assessment
Nursing care
plan
3.
Develop a nursing care plan to meet the needs of the postpartum client
 Pain
 Risk for Infection
 Sleep Pattern Disturbance
 Alteration in Nutrition
 Alteration in Elimination
 Altered Tissue Perfusion (peripheral), Risk for
 Altered Sexuality Patterns, Risk for
 Altered Parenting, Risk for
Medications
4.
Identify the actions, therapeutic effect, and nursing implications for medications
given in the postpartum period
 Oxytoxics
 Pain medications
 Stool softeners/Laxatives
 Rubella vaccine
 RhoGam
Assessment/
Documentation
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Assignments/Comments
Leifer (6th ed.)
Ch. 9, pp. 148, 199-214
Leifer (6th ed.)
Box 9 – 1, p. 201
Box 9 – 2, p. 211
Leifer (6th ed.)
Nursing Care Plan 9 -1, pp. 209 - 212
8
NORMAL MATERNAL-NEWBORN (CLASS #3)
Topic
Newborn
Physiologic
function
1
Objectives
Relate the changes in physiologic function that occur at birth to assessment and care
of the newborn
 Respiratory system
 Circulatory system
 Thermoregulation
 GI system
 Renal function
 Hepatic function
 Immunologic function
 Neurologic function
2
Complete an assessment of the newborn and document findings using correct
terminology
 Physical Assessment
 Gestational Age assessment
 Behavioral Assessment
Medications
3.
Identify the actions, therapeutic effects, and nursing implications of medications
given to the newborn
 Vitamin K
 Erythromycin ointment
Teaching Plan
4. Develop a teaching plan to meet the needs of parents of a newborn
 Daily care
 Sleeping
 Crying
 Circumcision care
 Continued Health Maintenance
 Car safety
 Meeting the nutritional needs of the newborn
 Breast feeding
 Bottle feeding
Assessment/
Documentation
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Assignments/Comments
Leifer (6th ed.)
Ch. 9, pp. 215–234
Ch. 12, pp. 279–303
Leifer (6th ed.) pp. 150-153
9
NORMAL MATERNAL-NEWBORN (CLASS #4)
Topic
Objectives
Preparation for
Childbirth
1.
Identify the components of childbirth education classes
 Expectations during labor & delivery
 Managing discomfort during labor
 Conscious relaxation
 Controlled breathing
 Cutaneous stimulation
 Focusing
 Medications
Intrapartum Care
2.
Identify the signs of labor
 Preliminary
 True vs.: False Labor
Signs of Labor
Assignments/Comments
Leifer (6th ed.)
Ch. 7, pp. 157-158
Leifer (6th ed.)
Ch. 6, pp. 115-155
Labor Progress
3.
Discuss the effect on labor progress for the following components of labor:
 Passage
 Passenger
 Powers
 Psyche
Maternal / Fetal
Response
4.
Describe the maternal and fetal response during each stage of labor
 First Stage
 Latent Phase
 Active Phase
 Transition
 Second Stage
 Third Stage
 Fourth Stage
Leifer (6th ed.)
Table 6-6, pp. 145-146
5.
Describe nursing interventions related to pain control measures during labor
 Epidural
Leifer (6th ed.)
Ch. 7, pp. 159-172
6.
Identify the fetal and maternal danger signs during labor and delivery
Danger Signs
NURS 102 Syllabus
Spring 2011
Final 3.18.11
10
WOMEN’S HEALTH
Topic
Objectives
Review of A&P
1.
Contraception
2. Describe the teaching needed for correct use of contraceptive Methods
 Mechanical Barrier methods (Leifer pp. 262-264)
 Hormonal Contraceptives (Leifer pp. 258-262)
 Vaginal Spermicides (Leifer pp. 265-266)
Infertility
3. Define infertility and describe the nurse’s role in working with infertile couples
Diagnostic Testing
4. Discuss the nursing care of the women undergoing diagnostic testing for reproductive
disorders
 Pelvic exam/ Pap smear (pp. 859-862,863)
 Colposcopy (p. 861)
 Cervical/Endometrial Biopsy (p.862)
 Cervical Conization (pp. 928, 929)
 Ultrasound (p. 861)
Health Promotion
GYN Surgery
Endometriosis
NURS 102 Syllabus
Spring 2011
Final 3.18.11
5.
Review the anatomy and physiology of the female reproductive tract, including the
physiology of menstruation
Assignments/Comments
Black & Hawks (8th ed.)
Unit 9 pp. 840-847 for anatomy review
Ch. 37 pp. 851-863
Ch. 39 pp. 912-939
Ch. 40 pp. 940-967 & scan 967-971
Ch. 41 pp. 972-993
Leifer, (6th ed.)
Ch. 11, pp. 248-278
Describe health promotion activities for the women experiencing menopause
 Gerontological Considerations
6. Use the nursing process to provide care to a client undergoing GYN surgery
 Laporoscopy
 Dilatation & Curettage (D&C)
 Hysterectomy, Vaginal, Abdominal
 Anterior & Posterior Repair (A&P Repair)
7. Compare and contrast the signs and symptoms, medical management and nursing care
of the client with Endometriosis vs. Pelvic Inflammatory Disease (PID) (p. 920 & 921)
11
Sexually
Transmitted Disease
Warning signs of
cancer
Breast Self
Examination
Diagnostic
Procedures
8. Identify the cause, treatment and prevention of the following sexually transmitted
diseases (STD) (B & H, Ch. 41)
 Syphilis
 Gonorrhea
 Herpes
 Chlamydia
 Human Papilloma Virus
 Trichimonas
 Candidiasis
 HIV/AIDS
9. Identify warning signs of cervical, ovarian, endometrial cancer
10. Describe the method for teaching breast self examination (BSE) to a client
11. Describe the nursing care of clients undergoing diagnostic procedures of the breast
 Mammography
 Ultrasonography
 Breast Biopsy
Benign Breast
Disorders
12. Describe the nursing care of clients with benign breast disorders
NCP for breast
malignancy
13. Use the nursing process to develop a nursing care plan for a client with a malignant
lesion in the breast
NURS 102 Syllabus
Spring 2011
Final 3.18.11
12
PERIPHERAL VASCULAR
Topic
Review of A & P
Assessment
Pathophysiology
Diagnostic Testing
Medications
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Objectives
1. Apply knowledge of the anatomy and physiology of the Peripheral Vascular System in
providing care to clients with disorders of this system.

Arteries, capillaries, and veins

Factors affecting blood flow
 Diameter of the vessel
 Elastic recoil
 Viscosity of blood
 Age related considerations
2. Describe variations in assessment data for the client with disorders of the Peripheral
Vascular System, and Arterial Disorders

Clinical manifestations of vascular dysfunction
 Pain
 Intermittent claudication
 Rest pain
 Venous insufficiency
 Ischemic neuropathy
 Ulceration or gangrene
 Changes in skin color, temperature, and integrity
 Bruits
 Abdominal pulsations

History

Risk factors

Physical examination
Assignments/Comments
A&P:
Black and Hawks (8th ed.)
pp. 1272-1278.
Assessment of :
Black and Hawks (8th ed.)
Ch. 51, pp. 1279-1289.
Management of:
Black and Hawks (8th ed.)
Ch. 53, pp. 1307-1340
Silvestri (4th ed.)
(Saunders NCLEX-PN)
Starting with vascular disorders
pp. 689-705.
Silvestri (4th ed.)
(Saunders NCLEX-PN)
Medications to treat:
pp. 706-720
3. Review the pathophysiology and factors related to arteriosclerosis and atherosclerosis
4. Describe the nursing care of clients undergoing diagnostic testing and relate findings to
the care of clients with peripheral vascular disorders.

Common arterial diagnostic studies

Common venous diagnostic studies
5. Identify the actions, therapeutic effects and nursing implications of medications used to
treat peripheral vascular diseases.
 Hypolipedemics
13



Arterial vs.: venous
disease
Health Maintenance
Anticoagulants
Vasodilators
Antiplatelet aggregation agents
6. Differentiate pathophysiology, assessment and medical management of arterial vascular
disease from venous vascular disease. Include:
 Aneurysms
 Buerger's Disease
 Raynaud's Phenomenon
 Venous Thrombosis
 Varicose Veins
7. Describe the goals of medical management of peripheral arterial and venous vascular
disease and health maintenance activities to meet the goals.
 Diet
 Lifestyle
 Medications
 Safety
 Prevention of complications
Nursing Diagnosis to look at:
“ Ineffective Tissue Perfusion,
Peripheral”
“ Knowledge Deficit”,
“Ineffective Health Maintenance”
8. Develop a teaching plan for a client with peripheral vascular disease
 Readiness model for Smoking Cessation
 Nursing Diagnosis of patients with Peripheral Arterial Disease of the Lower
Extremities
NURS 102 Syllabus
Spring 2011
Final 3.18.11
14
CARDIAC 1 (CLASS #1)
Topic
Function of the Heart
1.
Assessment
Laboratory/
Diagnostic Studies
Medication
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Objectives
Apply knowledge of the anatomy & physiology of the cardiac system to care of the
client with cardiac disorders
 Blood flow
 Regulation of impulses
 Normal sinus rhythm
 Age related changes
2.
Identify significance of variations from normal assessment findings for both the
adult and child with cardiac disease
 S1 and S2
S3 and S4

 Murmurs
3.
Describe nursing interventions to prepare a client for and/or in response to findings
from common laboratory and diagnostic studies:
 EKG/ Holter Monitoring
 Echocardiogram
 Cardiac catheterization
4.
Identify the actions, side effects, and nursing implications for the following classes
of medications:
 Beta-Adrenergic Receptor Blockers (Beta Blockers)
 atenolol (Tenormin)
 propranolol (Inderal)
 Calcium Channel Blockers
 diltiazem (Cardizem)
 verapamil (Calan)
 digoxin (Lanoxin)
 Anticoagulants
heparin & lovenox
warfarin (Coumadin)
5. Identify the most common nursing diagnoses utilized in patients with
cardiac disorders
Assignments/Comments
Black & Hawks (8th ed.)
Unit 13 (pp. 1342-1353)
Ch. 54 (pp. 1354-1384)
Bring the following books with you to
class:
1. Davis’s Drug Guide
2. Nursing Diagnosis Handbook
(Ackley, 9th ed.)
Utilize your Saunder’s NCLEX-PN (4th ed.)
review book to review all the cardiovascular
medications that we will be covering in the 4
cardiac lectures.
Chapter 51 begins on page 706, and the
practice questions begin on page 716.
Davis’s Drug Guide is also a good resource
15
CARDIAC 1 (CLASS #2)
Topic
Coronary Artery
Disease (CAD)
Objectives
1. Describe the pathophysiology and clinical manifestations of coronary artery disease
and lipoprotein disorders
Health promotion
2. Discuss health promotion measures for the client at risk for coronary artery disease:
Teaching
Assignments/Comments
Black & Hawks (8th ed.)
Ch.. 56 (pp. 1414-1430)
3. Develop a teaching plan for a client with coronary artery disease or lipoprotein
disorder(s)
4. Differentiate between angina pectoris and myocardial infarction.
5. Describe the nursing management of the patient following a myocardial infarction.
Include psychosocial needs of the client.
Medications
Nursing Process
NURS 102 Syllabus
Spring 2011
Final 3.18.11
6. Identify the actions, side effects, and nursing implications for the following
medications:
 Platelet Aggregation Inhibitors
 aspirin
 plavix
 Lipid Lowering Agents
 atorvastatin (Lipitor)
 lovastatin (Mevacor)
 simvastatin (Zocor)
 Nitrates--Nitroglycerin
 Angiotensin-Converting Enzyme Inhibitors
 captopril (Capoten)
 enalapril (Vasotec)
 Morphine
 Fibrinolytics
 Activase
Retavase
7. Develop a nursing care plan for a client with coronary artery disease
16
CARDIAC 1 (CLASS #3)
Topic
Hypertensive
Vascular Disease
Objectives
1. Compare & contrast the etiology & pathophysiology of the various types of hypertensive diseases:
 Primary HTN and Secondary HTN
Health
Promotion
Teaching
2. Identify health promotion measures to reduce the risk of developing hypertension.
Congestive Heart
Failure (CHF)
Nursing Process
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Assignments/Comments
Black & Hawks (8th ed.)
Ch.52 , pp. 1290-1306
3. Develop a teaching plan for a client with newly diagnosed hypertension.
 Lifestyle Modifications
 Medications
 Diuretics
 chlorothiazide (Diuril)
 furosemide (Lasix)
 spironolactone (Aldactone)
 Angiotensin Converting Enzyme (ACE) Inhibitors
 Angiotensin Receptor Blockers (ARBs)
 Calcium Channel Blockers
 Beta-Adrenergic Blockers
 Vasodilators
 hydralazine (Apresoline)
 sodium nitroprusside (Nipride)
4. Describe the pathophysiology and clinical manifestations of congestive heart failure.
 Left sided failure
 Right sided failure
5. Differentiate the nursing & collaborative management of the patient with acute congestive heart
failure (CHF) & pulmonary edema versus chronic congestive heart failure.
Black & Hawks (8th ed.)
Ch. 56, pp.1430-1448
6. Identify the actions, side effects, & nursing implications of medications used for a client with
(CHF):
 ACE Inhibitors; ARBs
 Diuretics
 digoxin (Lanoxin)
 Vasodilators: sodium nitroprusside (Nipride); nitroglycerin
 Beta-Adrenergic Blockers
OPTIONAL READING
ATI Medical Surgical text, Chapter 32
(p. 306-320)
7. Develop a nursing care plan for a client with hypertension and/or CHF
17
CARDIAC 1 (CLASS #4)
Topic
Congenital Cardiac
Defects
Pathophysiology
HF in child
Family Coping
Strategies
Nursing Process
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Objectives
1.Describe risk factors associated with congenital cardiac defects
2. Differentiate between the pathophysiology and clinical manifestations for the
following congenital cardiac defects
 Increased pulmonary blood flow ("Acyanotic")
Atrial Septal Defect (ASD)
Ventral Septal Defect (VSD)
Patent Ductus Arteriosis (PDA)
 Obstructive defect
Coarctation of the aorta
 Decreased pulmonary blood flow ("Cyanotic")
Tetraology of Fallot
 Mixed
Transposition of the great arteries
Assignments/Comments
Leifer, (6th ed)
pp. 611-619.
Skip section on Kawasaki Disease on page
606 & 607.
OPTIONAL READING
3.
Compare and contrast the pathophysiology and clinical manifestation and medical and
nursing management of congestive heart failure (HF) in a child with HF in an adult.
ATI Nursing Care of Children text,
Ch. 20 pp. 200-214
4.
Discuss the role of the nurse in assisting the family with a child with a congenital
cardiac defect to cope
 Meeting growth and developmental needs
 Coping with a child with a life threatening condition
Saunders NCLEX-PN (4th ed)
pp. 374 - 383
5. Develop a nursing care plan for a child with a congenital cardiac defect.
Saunders NCLEX-PN (4th ed)
pp. 321-323
18
GASTROINTESTINAL (CLASS 1)
Topic
Assessing Clients
with Complaints of
the GI System
Objectives
1.
Review anatomy and physiology of the gastrointestinal system
Assignments/Comments
Black and Hawks (8th ed.)
Unit 7, pp. 546-555
Saunder’s NCLEX Review (4th ed.)
Ch. 46 586-599 (up to cirrhosis)
2.
Identify specific topics to consider during a health history assessment interview
Black and Hawks (8th ed.)
Ch. 28, pp. 556-571
Pharmacology
Related to GI system
3.
Describe physical assessment techniques used to evaluate GI and nutritional status
4.
Identify abnormal findings that may indicate impairment in the GI system
5.
Identify specific diagnostic studies used to evaluate and/or diagnose gastrointestinal
dysfunction
6.
Discuss the implication for gastrointestinal intubation.
7.
Examine the different types of gastrointestinal tubes.
8.
Identify different types of equipment and different methods of delivery used to
provide enteral nutritional support.
6.
Describe nursing considerations related to a client receiving enteral nutritional support.
7.
Calculate enteral feeding formulas
8. Identify the actions, side effects, and nursing implications for medications used
in the treatment of GI disorders.
Black & Hawks (8th ed.)
Ch. 28, pp. 568-571
Ch. 32 pp. 660-662 (Specifics r/t tests are
found in the Mosby’s Manual of
Diagnostic and Laboratory Tests)
Black and Hawks (8th ed.)
Ch. 29, pp. 579-586
Black & Hawks (8th ed.),
Ch. 31, pp. 623-626
ATI: Nutrition
Ch. 13 pp. 120-130
Bring calculator
ATI: Pharmacology Unit 10
Saunder’s NCLEX Review (4th ed.)
Ch. 47
NURS 102 Syllabus
Spring 2011
Final 3.18.11
19
GASTROINTESTINAL (CLASS 2)
Topic
Management of
Clients with
Ingestive Disorders
Objectives
1. Discuss the etiology, pathophysiology, and clinical manifestations to the patient
with ingestive disorder and apply the nursing process to each:









Periodontal disease
Oral infections/inflammations (mucositis, candidasis)
Tumors (benign/malignant)
Salivary disorders (inflammation, calculi, tumors)
Esophageal Disorders (Dysphagia, regurgitation, pain, heartburn (pyrosis), achalasia,
Gastroesophageal Reflux Disease (GERD)
Hiatal Hernia
Diverticula
Vascular disorders - Esophageal varices (pp. 1154-1158)
2. Discuss the nursing management of the medical and surgical GI patient.
Assignments/Comments
Black & Hawks (8th ed.)
Ch. 30, pp. 596-621
Black & Hawks (8th ed.)
Ch. 47 pp 1154-1158
Optional study materials for GI content:
ATI: Med-Surg
Unit 7, Ch.. 61-72
NURS 102 Syllabus
Spring 2011
Final 3.18.11
20
GASTROINTESTINAL (CLASS 3)
Topic
Management of
Clients with
Digestive and
Intestinal Disorders
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Objectives
1. Discuss the etiology, pathophysiology, and clinical manifestations to the
Following conditions and apply the nursing process to each:
Assignments/Comments
Black & Hawks (8th ed.)
Ch. 31, pp. 622-642
 Pain, anorexia, nausea, vomiting, diarrhea, bleeding, belching, flatulence, indigestion,
distention, abnormal stool characteristics
 GI Bleed
 Gastritis (Acute/Chronic)
 PUD/Duodenal Ulcers/Gastric Ulcers
 Gastric cancer
 Gastroenteritis (viral/bacterial)
 Parasitic infections
 Appendicitis
 Peritonitis
 Inflammatory bowel disease (Crohn’s Disease, Ulcerative Colitis,
 Neoplastic disorders (benign tumors of the bowel (polyps), small bowel
cancer,colorectal cancer
 Ostomies
 Herniations
 Diverticular disease (diverticulosis, diverticulitis)
 Intestinal obstruction
 Irritable bowel syndrome
 Hemorrhoids
 Anal fissure
 Anal fistula
 Anorectal abcess
 Colorectal cancer
 Fecal incontinence
 Pilonidal Cyst
 Abdominal Trauma
Ch. 33, pp. 678-726
21
GASTROINTESTINAL (CLASS 4)
Topic
Nursing Care for
Children with
Conditions of the GI
tract.
Objectives
1. Discuss the etiology, pathophysiology, and clinical manifestations to the
following GI conditions and apply the nursing process to each:

















2.
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Esophageal atresia
Imperforate anus
Pyloric stenosis
Celiac disease
Hirschsprung’s disease
Intussusception
Meckel’s diverticulum
Hernias
Gastroenteritis
Vomiting
GERD
Diarrhea
Constipation
Failure to thrive/Kwashiorkor/Scurvy
Appendicitis
Thrush (Oral candidiasis)
Worms
Assignments/Comments
Leifer (6th ed.)
Ch. 28, pp 647-667 (up to Poisoning)
ATI: Nutrition
Ch. 8 pp. 73-84
Leifer (6th ed.)
Ch. 14. pp 327-329
Describe pathophysiology and nursing management for a child with cleft lip/cleft
pallet.
22
SPECIAL SENSES: DISORDERS OF THE EYE
Topic
Review of A & P
Assessment
Diagnostic Tests
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Objectives
1.
2.
3.
Apply knowledge of the anatomy and physiology of the eye to care for the client with
vision disorders
 Structures
 Vision
 Age related considerations
Describe variations from normal assessment data indicating eye or visual disorders
using correct terminology.
 History
 Clinical manifestations
 Blurred vision
 Diplopia
 Photopsia
 Floaters
 Scotomata
 Photophobia
 Pain
 Loss of Vision
 Examination
 Outer structures
 Visual acuity
 Near vision
 Visual fields
 Eye movements
 Color vision
 PERRLA
Assignments/Comments
A&P, function, & effects of aging:
Black and Hawks (8th ed.)
pp. 1668-1672
Assessment of:
Black and Hawks (8th ed.)
pp. 1677-1687
Management of:
Black and Hawks (8th ed.)
pp. 1699-1716
Saunders NCLEX-PN (4th ed.)
Just look at the eye disorders
pp. 770-794
Saunders NCLEX-PN (4th ed.)
Medications (opthalmic):
pp. 795-804
Describe the significance of findings from selected diagnostic tests to care of the client
with disorders of the eye
 Visual examination
 Intraocular pressure
 Fluorescein staining
 Slit lamp
23
Medications
4.
Identify the actions, therapeutic effects, and nursing implications in the administration
of ophthalmic medications
 Topical Anesthetics
 Topical Steroids
 Antiinfective Agents
 Antibiotic-Steroid Combinations
 Topical Antiviral
 Adrenergics
 Beta Blockers
 Miotics
 Mydriatics & cycloplegics
 NSAIDs
Nursing Care and
Interventions
5.
Relate the clinical manifestations and care of the client to the following disorders of
the eye
 Infections/inflammation of the eye
 Strabismus
 Cataracts
 Glaucoma
 Retinal problems
 Macular degeneration
 Trauma & chemical burns
Health Promotion &
Health Maintenance
Teaching Plan
6. Develop an age appropriate teaching plan to meet the learning needs of a client
undergoing ocular surgery.
Nursing Care Plan
7.
Health Promotion
NURS 102 Syllabus
Spring 2011
Final 3.18.11
Develop a plan of care to meet the needs of a client with low or loss of vision
 Learning needs & barriers to learning
 Safety
 Adaptive Devices
 Community Resources
Nursing Diagnosis to look at:
“Sensory perception disturbed (specify)”
“Risk for ineffective management of
therapeutic regimen, needs”
“Anxiety”
“Powerlessness”
8. Discuss health promotion activities to prevent the loss of vision
24
SPECIAL SENSES: DISORDERS OF THE EAR
Topic
Anatomy and
Physiology
Assessment/
Diagnostic Testing
Health Promotion
Objectives
1.
2.
Apply knowledge of the anatomy and physiology of the ear to care for the
client with hearing or balance disorders
 Outer ear
 Middle ear
 Inner ear
 Age related considerations
Describe variations in assessment data for the client with disorders of
clinical manifestations
 Hearing loss - types
 Otalagia
 Otorrhea
 Tinnitus
 Vertigo
History and Diagnostic procedures
 Hearing
 Pneumatoscopy
 Tuning Fork tests
 Audiometry
 Vestibular
 Balance, gait & past pointing
 Electronystagmography
 Caloric test
Assignment/Comments
A&P, function, & effects of aging:
Black and Hawks (8th ed.)
pp. 1672-1676
Assessment of:
Black and Hawks (8th ed.)
pp. 1688-1698
Management of:
Black and Hawks (8th ed.)
pp. 1720-1744
Saunders NCLEX-PN (4th ed.)
Just look at the ear disorders
pp. 770-794
Saunders NCLEX-PN (4th ed.)
Medications (otic):
pp. 795-804
3. Identify the common causes of hearing loss. Develop a plan to prevent or
decrease the incidence of hearing loss in children and adults
4. Define ototoxicity and list common medications that are ototoxic
NURS 102 Syllabus
Spring 2011
Final 3.18.11
25