Syllabus
Medical Surgical Nursing II – VNMS II
Credit Hours: 16.00
Clock Hours:
Classroom:
Laboratory:
Clinical:
Total:
Methods of Delivery:
166
0
240
406
Residential
Prerequisite(s):
VNFN, VNA&P, VNPH
Faculty:
Name: Jeanelle F. Jimenez, RN, BSN, CCRN
Phone: (909) 376-5761
E-Mail: paramountnurse_ed@yahoo.com
Office Hours: by appointment
Description
This Term II module utilizes the nursing process and critical thinking skills
learned in Term I. Nursing care of adult clients with common medical surgical health
care needs in a variety of settings is emphasized. Health promotion is taught along with
the concepts of the etiology and basic pathophysiology of disorders, the nurse’s role in
diagnostic tests, recognizing clinical signs and symptoms of disorders, providing nursing
interventions, including demonstrating cultural and spiritual competencies, and the
identification of possible complications. The practical nurse's role in evidence-based
nursing practice is reinforced.
Clinical sites and/or simulated client laboratory assignments provide hands-on
learning experiences. The student will be able to apply concepts of care for clients
experiencing common medical surgical health disorders related to pain, the surgical
patient, cancer, musculoskeletal, respiratory, gastrointestinal, blood, immune, HIV/AIDS,
and lymphatic systems.
The Concepts and Application of Medical Surgical Nursing I are integrated
throughout the curriculum.
Objectives
Upon successful completion of this module the student will be able to:
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VNMSII (Term II)
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Discuss the etiology and basic pathophysiology of pain, and pain
management
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Describe the nursing management of the surgical patient in the
preoperative, intraoperative and postoperative stages
Discuss the etiology and basic pathophysiology of cancer, selected
musculoskeletal, respiratory, gastrointestinal, immune, HIV/AIDS, blood,
and lymphatic system disorders.
Explain the nurse's role in common diagnostic tests for a client with
cancer, musculoskeletal, respiratory, gastrointestinal, immune, HIV/AIDS,
blood and lymphatic disorders, and for the surgical client.
Differentiate the clinical signs and symptoms of cancer, selected
musculoskeletal, respiratory, gastrointestinal, immune, HIV/AIDS, blood
and lymphatic system disorders.
Describe the pharmacological interventions for a client with cancer,
musculoskeletal, respiratory, gastrointestinal, immune, HIV/AIDS, blood
and lymphatic system disorders , and for a surgical client.
Discuss medical treatments for a client with cancer, musculoskeletal,
respiratory, gastrointestinal, immune, HIV/AIDS, blood and lymphatic
system disorders, and for a surgical client.
Explain nursing interventions for a client with cancer, respiratory,
gastrointestinal, immune, HIV/AIDS, blood and lymphatic system
disorders, and for a surgical client.
Recognize possible complications for a client with cancer,
musculoskeletal, respiratory, gastrointestinal, immune, HIV/AIDS, blood
and lymphatic system disorders, and for a surgical client.
Communicate effectively, document accurately, and demonstrate caring
behavior for a client with cancer, musculoskeletal, respiratory,
gastrointestinal, immune, HIV/AIDS, blood and lymphatic system
disorders, and for the surgical client.
Demonstrate a physical assessment of a client with cancer,
musculoskeletal, respiratory, gastrointestinal, immune, HIV/AIDS, blood
and lymphatic system disorders, and for the surgical client.
Utilize critical thinking skills and the nursing process to prioritize and
provide care for a client with cancer, musculoskeletal, respiratory,
gastrointestinal, immune, HIV/AIDS, blood and lymphatic system
disorders, and for the surgical client.
Identify the effects of aging on a client with cancer, musculoskeletal,
respiratory, gastrointestinal, immune, HIV/AIDS, blood and lymphatic
system disorders, and for the surgical client.
Identify cultural and spiritual practices that relate to nursing care.
Develop a care plan for a client with cancer, musculoskeletal, respiratory,
immune, HIV/AIDS, blood and lymphatic system disorders, and for the
surgical client.
Implement a health maintenance teaching plan for a client with cancer,
musculoskeletal, respiratory, immune, HIV/AIDS, blood and lymphatic
system disorders, and for the surgical client.
Investigate community resources available to support a client with cancer,
musculoskeletal, respiratory, immune, HIV/AIDS, blood and lymphatic
system disorders, and for the surgical client.
Demonstrate basic knowledge of evidence-based nursing practice.
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Topic Outline
Week 1 Care of the Client With Pain
Week 2 Care of the Surgical Client
Week 3 Care of the Client With Cancer
Week 4 Care of the Client With An Immune System Disorder
Week 5 Care of the Client With HIV/AIDS
Week 6 Care of the Client With A Respiratory Disorder
Week 7 Care of the Client With A Respiratory Disorder
Week 8 Care of the Client With A Respiratory Disorder
Week 9 Care of the Client With A Musculoskeletal Disorder
Week 10 Care of the Client With A Musculoskeletal Disorder
Week 11 Care of the Client With A Gastrointestinal System Disorder
Week 12 Care of the Client With A Gastrointestinal System Disorder
Week 13 Care of the Client With A Gastrointestinal System Disorder
Week 14 Care of the Client With A Gastrointestinal System Disorder
Week 15 Care of the Client With A Blood Or Lymphatic System Disorder
Week 16 Review & Exams
Instructional Methods
Lecture/discussion
Guided and independent practice
Readings
Written assignments
Oral presentations
Audio-visual aids
Group work
Internet assignments
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Textbook(s)
Christensen, B. & Kockrow, E. (2011). Adult health nursing (6th ed.). St. Louis,
Missouri: Elsevier Mosby.
Christensen, B., Kockrow, E., & Cooper, K. (2011). Study guide for adult
health nursing (6th ed.). St. Louis, Missouri Elsevier Mosby
Clayton, B., et. al. (2010) Basic Pharmacology For Nurses, 15th ed. St.
Louis. Mosby Elsevier
Clayton, B., et. Al. (2010) Basic Pharmacology For Nurses Study Guide.
St. Louis Mosby Elsevier
Deglin, J. & Vallerand, A. (Eds.). (2006). Philadelphia: Davis's drug guide for
nurses (11th ed.). F.A. Davis Company.
Taber’s Cyclopedia Medical Dictionary (2001.). Philadelphia: FA Davis.
Reference(s)
Reference books, journals, and computers with internet access are available for
student use in the Learning Resource Center (hours posted). For assistance,
contact the Vocational Nursing Department Administrative Assistant.
Grading Criteria
The grade will be computed using the following criteria:
A (Excellent) = 90-100%
B (Good)
= 80-89%
F (Failing)
= Below 80%
The cumulative final grades for the term is based on 100% test and/or quiz
grades. Each unit test score must be at least 80%. Any student who receives a
test score less than 80% must make an appointment with the Director of Nursing
or designee to review the student’s status, study habits, and to plan
improvements for successful completion of the module.
The clinical grade is based on clinical objectives demonstrated by performance in
the simulated client laboratory and/or at the clinical site. The clinical grade is
Pass/Fail.
For completion of this module, both a minimum theory grade of 80% and a
clinical performance grade of Pass are necessary.
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TESTS =
=
NLN COMPUTER EXAM IN NUTRITION
=
Pop quizzes & term project
=
TERM 2 COURSE COMPREHENSIVE EXAM =
50%
15%
5%
30%
100%
COMPUTERIZED TESTING SYSTEM
Computerized testing is a valuable resource integrated into our teaching plan. With
the assessment and preparation computerized testing at various terms, the
students will receive ample preparations to pass NCLEX.
Each student must register for computerized testing during the first term of the
program. Upon registration, each student will setup a user name and password.
From any internet-access computer, the student will have the following:
 Online practice examinations in specific nursing content areas:
Fundamentals, Maternity, A&P, Basic Nursing skills, Medical-Surgical,
Mental Health, Nutrition, Pediatrics and Pharmacology.
 View or listen to extensive nursing coaching study materials.
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Student will take the following nationally standardized, web-based exams
(using on-campus computers on scheduled day/time only). These exams
will help students become familiar with computerized testing and will be part
of the students’ grades.
NLN Term 2 EXAM
Nutrition
Attendance
The attendance policy for this term is 100%. Student must complete all 406
hours at the end of each term. See VN student handbook for details.
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