NURSING 1202 STUDY GUIDE 2008
Test 1 Content- Asepsis
LECTURE CONTENT
1. Differentiate between medical &
surgical asepsis.
LAB CONTENT
1. Discuss the types of isolation
techniques.
2. Define the following terms:
 Pathogenic
 Nonpathogenic
 Resident
 Transient
 Opportunistic
2. Proficiency donning sterile gloves.
3. Define infection.
4. Explain how each element of the
“chain of infection” contributes to
infection.
5. Identify the reservoirs & portals of
exit/entry of microorganisms.
6. Describe the routes by which
pathogens are transmitted.
7. List & describe the factors that
make a person susceptible to
infection.
3. Compare the types of wound
dressings & tapes used.
4. Demonstrate maintaining a sterile
field, opening, & applying dressings,
tapings, & changing a dressing.
5. Discuss the process of collecting a
wound culture.
CLINICAL ACTIVITIES
1. Practice all measures necessary to
prevent the chain of infection to
yourself & others.
2. Clinically learn to recognize the
manifestations of infection &
inflammation in patients.
3. Utilize the nursing process in planning
the care for the patient with an infection.
4. Correlate patients’ lab data with the
presence of infection.
5. Recognize & maintain the zone of
sterility in nursing & medical procedures
requiring it.
INDEPENDENT ACTIVITIES
1.Read FON text:
Chapter 31: p. 668-708, 915-916, 922-931.
2. Complete FON study guide.
(Suggested *)

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CAI - Delmar’s: Applying a dry
dressing.
CAI - Delmar’s: Applying a pressure
dressing.
CAI - Delmar’s: Applying a wet to
damp dressing.
CAI - Delmar’s: sterile gloves via the
open method.
CAI - Delmar’s: Donning and removing
clean and contaminated gloves, cap &
mask
CAI - Delmar’s: Obtaining a wound
drainage specimen for culture
CAI - Delmar’s: Packing a wound
CAI - Delmar’s: Irrigating a wound
8. Define the terms:


Nosocomial infection
Iatrogenic infection
9. Define MRSA, VRE, & C.Difficile.
10. Describe the measures to control /
eliminate the chain of infection.
11. Identify the body’s normal
defenses against infection.
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12. Explain the difference between
cell-mediated & humoral
immunity.
13. Discuss the essential data in
assessing infection in patients:
 Risk factors
 Clinical appearance
 Diagnostic data
14. Identify NANDA nursing diagnoses
related to infection.
15. Plan for goal-directed nursing
interventions for clients with
infection.
16. Explain the purpose of an infection
control nurse in an agency.
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Test 2 Content-Medication administration
LECTURE CONTENT
ON-CAMPUS CLINICAL CONTENT
CLINICAL ACTIVITIES
1. Discuss nursing considerations with safe
drug delivery.
1. Demonstrate ability to accurately
calculate dosages for all routes of
medication administration.
2. State the factors to consider in choosing
the various routes of drug administration.
3. List the steps of setting up patients'
medications.
4. State and practice the "RIGHTS" of drug
administration.
5. Discuss important nursing considerations
for safe drug administration via oral,
topical, ophthalmic, otic, nasal, inhalation,
vaginal, rectal.
6. Discuss and demonstrate appropriate
nursing considerations when
administering meds per intradermal,
subcutaneous, and intramuscular route.
2. Prepare to correctly identify any drug
administered to your assigned patients
in clinical.
3. Assess each patient's need for and
response to drug therapy across the life
span.
INDEPENDENT ACTIVITIES
KEY:
 Required
 Suggested
NOTE: For required computer assisted
instruction students must complete each
program and record date completed on
computer list. Those dealing with
medication administration are due prior to
the first hospital clinical and all other are
due before the related unit test.
4. Properly record all drugs administered.
5. Safely dispose of contaminated
medication equipment used in the
administration procedure.
6. Be prepared to relate the drug
information that was discussed in class
to clinical patient care.
7. Give complete nursing care to one
patient, including all medications except
intravenous.
Read Kozier, Erb, Berman & Snyder
Fundamentals of Nursing (FON): Ch. 35:
p. 829-900. Exclude pages 878-885 (IV
section).
Review Kee & Hayes Pharmacology: pp.
23 – 118. Chapter 5 pp. 120-128.
Complete FON Study Guide*
Complete Pharmacology Study Guide*
 Video: Medicating Children (KIT.
RJ560.M4P3)
 CAI - Delmar’s: Administering Oral
Sublingual, and Buccal Medications
 CAI - Delmar’s: Administering Eye
and Ear Medications
 CAI - Delmar’s: Administering
Skin/Topical Medication
 CAI - Delmar’s: Administering Nasal
Medication
 CAI - Delmar’s: Administering Rectal
Medication
 CAI - Delmar’s: Administering
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Vaginal Medication
 CAI - Delmar’s: Administering
Nebulized Medication
 CAI - Delmar’s: Administering an
Intradermal Medication
 CAI - Delmar’s: Administering a
Subcutaneous Medcation
 CAI - Delmar’s: Administering an
Intramuscular Medication
 CAI - Delmar’s: Administering
Medications via Z-Track Injection
 CAI - Delmar’s: Withdrawing
Medication from anVial
 CAI - Delmar’s: Withdrawing
Medication from an Ampule
 CAI – Delmar’s: Mixing Medications
from Two Vials into One Syringe
 CAI - Delmar’s: Administering
Patient-controlled analgesia
 CAI - Delmar’s: Administering
epidural analgesia
 CAI - Delmar’s: Administering
medication via a cartridge system
 CAI - Delmar’s: Managing controlled
substances
 CAI - Delmar’s: Assisting with the
insertion and maintenance of an
epidural catheter
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Test 3 Content- Perioperative care/wounds
LECTURE CONTENT
1. Preoperative Care
a. Describe the ways surgeries are
classified.
b. Discuss factors that increase
surgical risks in patients.
c. List and explain the data to
include in the preop assessment
of a surgical patient: history,
physical assessment, and
diagnostic tests.
d. Identify the essential features of
an informed consent for a
surgical procedure.
e. List and explain the nursing
responsibilities for the patient
prior to surgery.
f. Discuss the required content of
preop teaching.
g. Discuss the importance of the
universal protocol for patient
safety.
h. Identify the common types of
anesthesia that may be used in
surgery.
i. Describe the effects of general and
regional anesthesia.
j. Discuss the SN role in the OR.
k. List the nursing responsibilities
involved in the immediate postop
LAB CONTENT
1. .
GUEST SPEAKER:
1.
Identify the assessment data pertinent
to wounds.
2.
Discuss appropriate treatment,
including dressings and other wound
coverings of wounds.
3.
Discuss different types of wounds.
CLINICAL ACTIVITIES
1. With the opportunity, be prepared to :
a. Provide appropriate preop teaching.
b. Prepare pt's skin before surgery.
c. Adequately prepare & record
patient’s care on the day of surgery.
d. Accompany patients to surgery.
e. Accompany patients to the PAR.
2. When given the opportunity, be
prepared to:
a. Assess pertinent data of the patient's
postop condition and accurately
record it.
b. Prepare a postop nursing care plan.
c. Provide nursing measures to relieve
postop discomfort and prevent
complications.
INDEPENDENT ACTIVITIES
Read FON: Ch. 36, Ch. 37, Ch. 47: p.
1265-1277, and Ch. 35: p. 856-857.
Read nutrition book on postop diets*
Complete FON Study Guide*
*CAI – Delmar’s: Applying
Antiembolic Stockings
*CAI – Delmar’s: Applying Pneumatic
Compression Device
*CAI – Delmar’s: Assisting with a
Continuous Passive Motion Device
 CAI – Delmar’s: Administering
Preoperative Care
 CAI – Delmar’s: Preparing A
Surgical Site
 CAI – Delmar’s: Assessing
Immediate Post-operative Care
 CAI – Delmar’s: Postoperative
Exercise Instruction
 CAI – Delmar’s: Cleaning and
Dressing a Wound with an Open
Drain
 CAI – Delmar’s: Dressing a Wound
with Retention Sutures
 CAI – Delmar’s: Maintaining a
Closed Wound Drainage System
 CAI – Delmar’s: Care of the
Jackson-Pratt Drain Site and
Emptying the Drain
 CAI – Delmar’s: Removing Skin
Sutures and Staples
 CAI – Delmar’s: Preventing and
Managing the Pressure Ulcer
 CAI – Delmar’s: Applying a Pouch
to a Draining Wound
 CAI – Delmar’s: Applying ABD, Tor Breast Binders
*CAI – Delmar’s: Applying Moist Heat
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*CAI – Delmar’s: Applying Dry Heat
*CAI – Delmar’s: Applying Cold
Treatment
period and the significance of
each.
l. Identify postoperative
complications, their causes, and
the nursing interventions to
prevent them.
m. Define types of wounds and the
phases of the healing process.
n. Identify factors that inhibit wound
healing and measures to promote
the healing process.
o. Describe the nursing process
involved with the care of wounds.
3. When given the opportunity, be
prepared to:
a. Identify & gather proper dressing
materials.
b. Appropriately assess a wound.
c. Change a dressing using aseptic
technique, securing it well.
d. Irrigate or pack a wound using
aseptic technique.
e. Remove skin sutures.
f. Accurately record observations of
wound care and nursing care.
 CAI – PDS-Clinical Nursing
Concepts: Perioperative Care,
Inflammation, Infection, and Wound
Healing.
4. Demonstrate the proper applications of
bandages and binders.
p. Describe the complications of
wound healing.
q. Discuss the types of drains most
often seen with wounds.
5. In the clinical setting, use appropriate
safety measures when applying heat or
cold applications to patients.
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Test 4 content-Elimination
LECTURE CONTENT
TEST 3 MATERIAL
1. Urinary elimination
a. State several factors that affect
normal elimination.
b. Compare and contrast common
alterations in urinary elimination
patterns.
c. List and explain the data needed
to assess a person's urinary
function: nursing history,
physical assessment and urine
assessment.
d. Describe some common
diagnostic measures and nursing
implications to assess the urinary
system.
e. Describe some common
interventions to maintain normal
urinary elimination and to assist
patients with urinary problems of
urinary incontinence and
retention.
f. Discuss nursing measures to
reduce UTI in the catheterized
patient.
LAB CONTENT
1. Describe how to collect a urine specimen
that is a clean-catch and from a foley.
2. Describe how to apply an external
catheter.
3. Discuss types of urinary catheters and
their purposes:
a. straight
b. foley catheter
c. 3-way catheter
4. Discuss the following procedures:
a. Inserting a urinary catheter.
b. Care of the catheters
c. Removing a urinary catheter.
d. Self-catheterization
5. Discuss urinary irrigations.
6. Using 100% aseptic technique,
demonstrate the insertion of a urinary
catheter.
CLINICAL ACTIVITIES
1. Describe the functions of: nephron,
glomerular filtrate, bladder, urethra,
urinary meatus.
2. Understand the physiological process of
urine production.
3. Routinely assess assigned patients for
normal urinary elimination.
4. Identify nursing diagnoses appropriate
for alterations in urinary elimination.
5. Appropriately apply nursing measures
to attain normal urinary elimination.
6. When given the opportunity, properly
obtain urine specimens for the lab.
7. Provide good catheter care to all
patients with retention catheters.
8. Provide good catheter care to all
patients with retention catheters.
9. Understand the physiological aspects of
normal defecation.
STUDENT ACTIVITIES
Read FON: Ch 48.
Complete FON Study Guide*
*CAI - Delmar’s: Applying a Condom
Catheter
 CAI - Delmar’s: Inserting an
Indwelling Catheter :Male
 CAI - Delmar’s: Inserting an
Indwelling Catheter: Female
*CAI - Delmar’s: Routine Catheter
Care
 CAI - Delmar’s: Obtaining a
Residual Urine Specimen from an
Indwelling Catheter
 CAI - Delmar’s: Irrigating a Urinary
Catheter
 CAI - Delmar’s: Irrigating the
Bladder Using a Closed-System
Catheter
 CAI - Delmar’s: Removing an
Indwelling Catheter
*CAI - Delmar’s: Testing Urine for
Specific Gravity, Ketones, Glucose, and
Occult Blood
*CAI - Delmar’s: Collecting a CleanCatch, Midstream Urine Specimen
*CAI – Mastering Clinical Skills:
Urinary Catheters
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2. Fecal elimination
a. Discuss factors that influence
fecal elimination.
b. Describe some common fecal
elimination problems.
c. List and explain the data needed
to assess fecal elimination
function: history, physical
assessment, fecal characteristics,
and diagnostic tests.
7. Explain the steps to perform the
following:
a. Guaiac test for occult blood.
b. Administer an S.S. or saline enema
c. Adminster a Fleets enema.
d. Remove a fecal impaction
10. Routinely assess assigned patient’s
fecal elimination patterns for
malfunctions.
8. Describe what a rectal tube is and its
purposes.
12. When given the opportunity, properly
obtain fecal specimens for the lab.
11. Identify nursing diagnoses related to
alterations in elimination.
13. Appropriately apply nursing measures
that will maintain or attain normal fecal
elimination.
Read FON: Ch 49.
Complete FON Study Guide*
*CAI - Delmar’s: Testing for Occult
Blood with a Hemoccult Slide
 CAI - Delmar’s: Administering an
Enema
 CAI - Delmar’s: Digital Removal of
a Fecal Impaction
 CAI - Delmar’s: Inserting a Rectal
Tube
d. Describe some nursing measures
that promote regular defecation
and relieve problems.
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Test 5 content-Fluids/electrolytes/ shock/IV therapy/ NG/ Gtubes
CLASSROOM
1. Describe body fluid distribution and
composition.
2. Define the terms: isotonic,
hypotonic, and hypertonic fluids.
3. Explain the various types of fluid
movement: diffusion, osmosis,
filtration, and active transport.
4. Discuss the factors that affect the
body's fluid balance.
5. List the clinical features of
evaluating a patient's fluid status:
history, physical assessment, &
diagnostic tests.
6. Discuss the assessment of a patient
in hypovolemic shock.
7. Discuss fluid deficits and excesses
in various age groups.
8. Differentiate the major electrolytes
of the body and the importance of
each.
9. Discuss some major factors that
affect the body's electrolyte
balance.
LAB CONTENT
1. .
1. Identify and describe the essential parts
of IV infusion equipment.
2. Discuss the physiological and
psychological considerations that are
important in parenteral administration.
3. Demonstrate the following parenteral
procedures:
a. Change primary IV solutions.
b. Change primary IV tubing.
c. Maintain the IV infusion.
d. Regulate the infusion flow rates.
e. Change IV dressings.
f. Discontinuing IV infusions.
4. Discuss the procedures:
a. Administrating an IVPB.
b. Administrating an IVP.
5. Identify the types of mechanical
problems that are commonly
encountered with IV infusion systems
and the appropriate nursing measures to
cope with them.
CLINICAL ACTIVITIES
STUDENT ACTIVITIES
1. Accurately assess your assigned patients
for fluid and electrolyte imbalances.
Read FON: Ch 52, Ch. 35- pp. 875, 878885.
Review Pharmacology: Ch. 15 & 16.
Complete FON Study Guide*
Review Pharmacology Study Guide*
2. When the opportunity arises, be
prepared to:
a. Assemble the proper equipment &
solutions for IV administration.
b. Change IV tubing as indicated
using aseptic technique.
c. Change IV dressings as indicated
using aseptic technique.
d. Discontinue IV infusions.
3. Routinely calculate assigned patients' IV
flow rates & regulate as indicated.
4. Routinely observe for any patient
complications or mechanical
malfunctions during parenteral therapy
and apply the correct nursing measures.
5. Accurately document initiation of IV
procedures, nursing interventions
related to IV therapy, and assessment
of the patient receiving an IV infusion.
6. Demonstrate ability to evaluate IV drip
rate.
7. Spike IV bag, prime tubing, and regulate
IV flow rate by gravity.
6. When the opportunity arises, be
prepared to use the techniques of GI
intubation, irrigation, and feeding.
 CAI – Mosby’s: Fluids and
Electrolytes
 CAI - Delmar’s: Preparing an IV
Solution
 CAI - Delmar’s: Administering
Medications via Secondary
Administration Sets (Piggyback)
 CAI - Delmar’s: Administering
Medications via IV Bolus or IV Push
 CAI - Delmar’s: Preparing the IV
Bag and Tubing
 CAI - Delmar’s: Setting the IV Flow
Rate
 CAI - Delmar’s: Assessing and
Maintaining an IV Insertion Site
 CAI - Delmar’s: Changing the IV
Solution
 CAI - Delmar’s: Discontinuing the
IV and Changing to a Saline or
Heparin Lock
 Clinical Nursing Concepts: Fluid
and Electrolyte Balance
Found in:
Clinical Ed. Software, then Clinical
Nursing Concepts, then
Fl. & Electrolyte Balance (2 scenarios)
10. List and explain the data needed to
assess a patient for an electrolyte
imbalance: history, physical
assessment, and lab tests.
8. Discuss the reasons for GI intubation.
9. Explain the uses of the commonly used
types of GI intubations.
 Video: Signs & symptoms of fluid &
electrolyte imbalances. RD52.F59
S54 2002
11. Discuss some clinical cases of
electrolyte imbalances.
10. Discuss the following procedures:
Inserting an N/G tube.
Charting, nursing Dx & nursing orders
 CAI – Delmar’s: Inserting and
Maintaining a Nasogastric Tube
9
12. Identify the purpose, uses, and
legal implications of IV therapy.
13. Differentiate the types of isotonic,
hypotonic, & hypertonic solutions
commonly used in IV therapy.
14. Discuss some common IV
medications and how to
administer them.
Removing an N/G tube.
Irrigating an N/G or feeding tube.
Maintaining an N/G or feeding tube.
Administering meds per NG/GT.
Avoiding complications that commonly
occur with NG/GT.
 CAI – Delmar’s: Assessing
Placement of a Large Bore Feeding
Tube
 CAI – Delmar’s: Assessing
Placement of a Small Bore Feeding
Tube
 CAI – Delmar’s: Removing a Naso
Gastric Tube
 CAI – Delmar’s: Feeding and
Medicating via a Gastrostomy Tube
 CAI – Delmar’s: Maintaining
Gastrointestinal Suction Devices
 CAI -Mastering Clinical Skills:
GI tubes
Enteral Feedings
*CAI - Delmar’s: Changing the IV
Gown
* CAI - Delmar’s: Adding
Medications to an IV Solution
* CAI - Delmar’s: Administering
Medications via Volume-Control Sets
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Test 6 content- Acid/Base Imbalances/Oxygenation
LECTURE CONTENT
1. Describe pH as related to the body's
acid-base balance.
LAB CONTENT
2. .
1. Discuss the principles related to oral
suctioning.
CLINICAL ACTIVITIES
1. Determine if your patients are in an
acid-base imbalance.
2. Discuss the 3 major body regulators
for acid-base balance.
2. Demonstrate correct procedure for oral
suctioning.
2. Routinely assess and properly record
your assigned patients' oxygen needs.
3. Discuss the 4 major acid-base
imbalances and how to assess a
patient's status.
3. Complete bedside scenarios related to
oxygen needs.
3. When given the opportunity,
a. Collect and send sputum specimens
to the lab.
b. Take oximetry readings.
c. Perform adequate suctioning for
assigned patients.
d. Teach correct use of spirometry.
e. Provide nursing measures for
patients with oxygen
administration.
INDEPENDENT ACTIVITIES
Read FON: Ch. 52: 1432-1433, 14421444, 1449-1450.
FON: Ch. 50. Except endotrach/
tracheostomy care.
Complete FON Study Guide*
4. View video on oral suctioning.
4. Discuss some clinical cases of acidbase imbalances.
5. Oxygenation
a. Define terms related to
oxygenation.
b. Describe factors that affect
oxygenation.
c. Describe the nursing assessment
data that determines a patient's
oxygen needs.
d. Identify common diagnostic tests
for oxygen deficits and explain
their value in developing a
nursing care plan.
e. List and provide the rationales for
measures to maintain or attain
normal respiratory function.
5. Proficiency on IV therapy.
 Clinical Nursing Concepts:
Acid/Base Balance
Found in:
Clinical Ed. Software, then Clinical
Nursing Concepts, then
Acid-Base Balance (4 scenarios)
 CAI - Delmar’s: Administering
Oxygen Therapy
 CAI - Delmar’s: Assisting a Client
with Controlled Coughing and Deep
Breathing
 CAI - Delmar’s: Assisting a Client
with an Incentive Spirometer
*CAI - Delmar’s: Administering Pulse
Oximetry
*CAI - Delmar’s: Administering
Pulmonary therapy and Postural
Drainage
 CAI - Delmar’s: Administering
Intermittent Positive-Pressure
Breathing
 CAI - Mastering Clinical Skills:
Oxygen Administration
Pulse Oximetry
f. Discuss the procedures of:
Oximetry
Oropharyngeal / nasopharyngeal
suctioning
Incentive spirometer
Caring for a pt c a nasal cannula
Caring for a pt c a simple face
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mask
Using the Venturi mask
CPAP/BiPAP
e. Utilize the nursing process in
planning the care of the patient
with oxygenation.
FINAL TEST!

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