- Type:
- MATERIALS FEE:
- No
- CREDIT BY EXAM:
- No
- CORE MISSION APPLICABILITY:
- Associate Degree Applicable (AA/AS);Certificate of Achievement (COA);CSU Transfer;Career Technical Education (CTE)
- STAND-ALONE:
- No
PROGRAM APPLICABILITY
- Required:
-
Vocational Nursing (AS Degree Program)
Vocational Nursing Cert (Certificate of Achievement)
- Elective:
-
GENERAL EDUCATION APPLICABILITY
- Local:
-
- IGETC:
-
- CSU:
-
- UC Transfer Course:
-
- CSU Transfer Course:
-
STUDENT LEARNING OUTCOMES Upon completion of the course, the student will be able to
- SVN Semester 3 Curriculum Objectives: Column – Theory Objectives - please see attached documents
- Instructional Plan and Lesson Plan/Outline for Semester 3
REQUISITES
- Prerequisite:
-
HCRS C112
HCRS C102
- Corequisite:
-
HCRS C211
DETAILED TOPICAL OUTLINE:
Lecture: Unit 1A Supervision and Management
I. Terminology
A. Key terms
1. autocratic
2. bureaucratic
3. laissez-faire
4. triage
5. transcribing
6. endorsement
7. reciprocity
8. probationary period
II. Responsibilities of Licensure
A. Program completion
B. Entry-level skills
C. Continued competency
D. Moving to another state or country
E. Dilemmas for nurses
F. Individual choices
G. Individual responsibilities
III. Team for Client Care
A. Role and expectation of the client
B. Hospital administration
C. Nursing administration
D. Nursing chain of command
E. Facility supervision
F. Unit supervision
G. Client supervision
H. Ancillary healthcare team members
I. Family / caregiver role
IV. Medical-Surgical Unit Nursing Responsibilities
A. Nurse practice act
B. Hospital policies and procedures
C. Chain of command
D. Working with the physician
E. Working with ancillary team members, e.g., pharmacist, radiology, dietary, admission
F. Working with families
G. Discharge planning
H. Teaching the client, family, and caregivers
I. Making priorities
J. Supervision of client care
K. Documentation
L. Time management
M. Procedures
N. Laboratory values and diagnostic studies
V. Long-term Care Responsibilities
A. Nurse practice act
B. Hospital policies and procedures
C. Chain of command
D. Working with the physician
E. Working with ancillary team members, e.g., pharmacist, radiology, dietary, admission
F. Working with families
G. Discharge planning
H. Teaching the client, family, and caregivers
I. Making priorities
J. Supervision of client care
K. Documentation
L. Time management
M. Procedures
N. Laboratory values and diagnostic studies
O. Differentiation of duties between acute care and long-term care facilities
VI. Nursing Care Outside of a Hospital
A. Home care
B. Ambulatory care
C. Hospice care
D. Public health
E. Private duty
VII. Nursing Management Members
A. First line level: care of the client
B. Second line level: supervision of client care
C. Third line level: director of nurses
D. Supervision of UAPs or CNAs
E. Supervision by RNs
F. Supervision by physicians
VIII. Qualities of Supervisor
A. Flexibility
B. Able to communicate
C. Competence
D. Judgment
E. Attitude
F. Coping mechanisms
G. Role model
H. Concern for others
IX. Management Styles
A. Autocratic / directive
B. Bureaucratic
C. Laissez-faire
D. Democratic
E. Participative
F. Motivational
G. Mixed
X. Duties and Tasks of Manager
A. Decision-making
B. Scheduling
C. Assigning duties
D. Evaluating subordinates
XI. Factors that Influence Decisions
A. Type and characteristics of staff and co-workers
B. Group dynamics
C. Ability to delegate
D. Priorities
E. Legal and ethical limitations
F. External limits, e.g., room availability, emergencies,
G. Internal limits, e.g., confidence, judgment
H. Facility policies and procedures
XII. External Factors
A. Rural vs. urban community
B. Acute vs. long-term facilities
C. Language and culture of community
D. Government regulations
E. Society trends
F. Society expectations
G. Philosophy of facilities, e.g., profit, non-profit, religious
XIII. Guidelines for Decision-Making
A. Obtain the facts
B. Identify problem
C. Consult resources
D. Explore options
E. Make decision
F. Take action
XIV. Career Opportunities for the LVN
A. Acute care hospitals
1. medical units
2. surgical units
3. out-patient care units
4. pediatrics
5. maternity / newborn
6. operating room and post-anesthetic recovery
7. emergency room
8. quality assurance
9. infection control
B. Long-term care
C. Home care
D. Private duty
E. Mental health
F. Rehabilitation
G. Prison or jail nursing
XV. Influences on Future Nursing Trends
A. Medicare
B. Medical
C. Private insurance
D. Physician influences, e.g., UAPs
E. Aging population
F. Unemployed
G. Immigrants
H. Consumer demands
XVI. Transcribing Physician’s Orders
A. Hospital policies
B. Unit secretary functions and limitation
C. Medication orders, re-orders, and discontinued orders
D. Telephone and verbal orders
E. Computers and orders
F. Stat orders
G. Routine orders
H. Standing orders
Unit 1B Leadership
LDR 9 HOURS
I. Graduate Transitions
A. Obtaining employment
B. Orientation at facility
C. Preceptorship
D. Facility expectations
E. Peer expectations
F. Evaluations and reviews
G. Adjusting to new role
H. Making mistakes
I. Becoming a leader
II. Expected Leadership Qualities
A. Ethics
B. Morality
C. Honesty
D. Capability
E. Personality
F. Communication
III. Personal Resume
A. Goal
B. Education
C. Experience
D. Formats
IV. Employment Interviews
A. Appearance
B. Behaviors and attitude
C. Communication
D. Questions and answers
E. Follow-up
V. The First Year
A. Do nurses eat their young?
B. Dealing with stress
C. Coping mechanisms
D. Realistic expectations
E. Burn-out
F. Job jumping
VI. Nursing and Family Life
A. Scheduling work hours
B. Working weekends and holidays
C. Family emergencies
D. Being on-call
VII. Recreation and Diversional Activities
A. Burn-out
B. Fatigue and decision-making
C. Stress and coping
D. Family support and stressors
VIII. Five Year Plan and Ten Year Goals
A. Personal goals
B. Financial goals
C. Career goals
D. Family goals
IX. Career Pathways
A. Career ladders: LVN-ADN-BSN
B. Certificates vs. degrees
C. Masters prepared
D. Advanced practice nurses
E. Nurse Practitioners
F. Independent practice
X. Individual Goals
XI. Individual Pathways
Unit 2 Gastrointestinal
MS 18 HOURS
I. Terminology
A. Key terms
1. chalasia
2. anastomosis
3. ascites
4. bruxism
5. cachexia
6. caries
7. dehiscence
8. dyspepsia
9. evisceration
10. fistula
11. hematemesis
12. melena
13. paralytic ileus
14. paracentesis
15. pyorrhea
16. steatorrhea
17. tenesmus
18. varices
19. volvulus
II. Overview of Gastrointestinal Anatomy
A. Upper GI tract
1. mouth
2. pharynx
3. esophagus
4. stomach
B. Lower GI tract
1. small intestine
2. large intestine
C. Accessory organs
1. teeth
2. glands
3. liver
4. gallbladder
5. pancreas
III. Digestion and Absorption
IV. Metabolism
V. Nonmodifiable Risk Factors
A. Family History
B. Age
C. Sex
D. Race
VI. Modifiable Risk Factors
A. Smoking
B. Hypertension
C. Diabetes mellitus
D. Obesity
E. Lifestyle and culture
F. Stress
G. Dietary habits
H. Psychosocial factors
I. Carcinogens
VII. Laboratory Testing Procedures
A. Complete blood count
B. Hemoglobin
C. Hematocrit
D. White blood count and differential
E. Blood lipid studies
F. Cholesterol levels
G. Serum electrolytes
H. Liver profile
I. Hepatitis profile
J. Occult blood
VIII. Non-Invasive Diagnostic Procedures
A. Stool specimens
B. X-ray
C. Fluoroscopy
D. Barium studies
E. Ultrasound
F. Computed tomography scan
G. Magnetic resonance imaging
IX. Invasive Diagnostic Procedures
A. Endoscopy
B. Colonoscopy
C. Endoscopic retrograde cholantiopancreatography (ERCP)
D. Sigmoidoscopy
E. Gastric analysis
F. Liver or other biopsy
G. Paracentesis
H. Exploratory surgery
X. Diagnostic Laboratory Studies
A. Liver function tests
B. Cholesterol levels
C. Triglyceride levels
D. Complete blood count
E. Hemoglobin and hematocrit
F. Prothrombin time (PT)
G. Activated partial thromboplastin time (aPTT)
H. Partial thromboplastin time (PTT)
I. Erythrocyte sedimentation rate (ESR)
J. Blood culture
K. Serum albumin
L. Serum globulins
M. Serum and urine bilirubin
N. Type and crossmatching blood
O. Gastric analysis
P. Cytology
Q. Biopsy
R. Frozen sections
XI. Disorders: Etiology, Pathophysiology, Signs and Symptoms
A. Disorders of the mouth
1. caries
2. infectious disorders
3. periodontal diseases
4. trauma
5. leukoplakia buccalis
6. cancer
B. Disorders of the esophagus
1. inflammatory disorders and complications
2. esophageal varices
3. achalasia
4. Barrett’s esophagus
5. cancer
C. Disorders of the stomach
1. gastritis and inflammatory disorders
2. ulcers
3. hernias
4. dumping syndrome
5. cancer
D. Disorders of the intestines
1. diverticulosis and diverticulitis
2. hernias
3. obstruction
4. constipation
5. irritable bowel syndrome (IBS)
6. inflammatory bowel disease (IBD)
7. appendicitis
8. peritonitis
9. abscesses, fissures, and fistulas
10. cancer
E. Disorders of the accessory organs
1. liver failure
2. cirrhosis
3. hepatitis
4. obstruction
5. cholecystitis and cholelithiasis
6. pancreatitis
7. cancer
8. trauma
F. Obesity
G. Anorexia and bulemia
XII. Nursing Observations for Data Collection
A. Pain
B. Vital signs and changes
C. Steatorrhea
D. Jaundice
E. Hematemesis / melena
F. CAUTION signs
G. Dysphagia
H. Cyanosis
I. Pallor
J. Dyspnea
K. Cough
L. Fatigue
M. Syncope
N. Diaphoresis
O. Edema
P. Hemorrhage
Q. Laboratory data documentation
R. Gastric secretions
S. Ileostomies or colostomies
T. Vascular access devices
XIII. Common NANDA Diagnoses
A. Activity intolerance
B. Incontinence
C. Nutrition altered
D. Body image disturbance
E. Knowledge deficit
F. Pain
G. Anxiety
H. Fatigue
I. Impaired social interaction
J. Sleep pattern disturbance
K. Fluid volume excess or deficit
L. Self-care deficit
M. Injury, risk for
XIV. Long-Term Nursing Goals or Objectives
A. Education of client regarding preventative, palliative, and/or curative measures for treatment
B. Improvement in homeostasis mechanisms
C. Maintenance of homeostatic mechanisms
D. Achievement of pharmacodynamic objectives
XV. Short-term Nursing Goals or Objectives
A. Identify precipitating causes of signs or symptoms
B. Achieve appropriate medical and/or surgical care
C. Acceptance of medical diagnosis
D. Compliance with treatment regimens
XVI. Common Nursing Interventions
A. Observing Universal Precautions
B. Collection of subjective data
C. Collection of objective data
D. Monitoring vital signs
E. Monitoring and controlling pain
F. Providing assistance with ADLs as required
G. Providing active or passive ROM as required
H. Reassurance and support
I. Maintaining pharmaceutical regimen protocol
J. Monitoring and reporting side-effects of medications
K. Preventing complications related to immobility
L. Documentation
M. Communicating status to appropriate personnel
N. Notifying changes in status to appropriate personnel within appropriate time-frame.
O. Maintenance of vascular access devices
XVII. Surgical Nursing Interventions
A. Monitoring vital signs
B. Monitoring dressings
C. Providing routine post-operative care such as TCDB, ADLs, rest and exercise
D. Controlling pain
E. Reassurance and support
F. Family and client teaching
G. Discharge planning
H. Providing continuing nursing interventions relating to medical care
XVIII. Surgical Interventions
A. Biopsy
B. Ileostomy
C. Colostomy
D. Transplant
E. Polypectomy
F. Gastric stapling
XIX. Drug Classifications
A. Antiulcer drugs
B. Laxatives and cathartics
C. Antidiarrheals
D. Antiemetics
E. Nutrient supplements
F. Electrolyte replacement therapy
G. Sedatives
H. Analgesics
I. Vitamin replacement or supplementation
J. Antibiotics
K. Chemotherapeutic agents
XX. Nursing Responsibilities and Administration of Medications for a client with a disorder of the gastrointestinal system.
A. Monitor and report laboratory levels used to gauge outcomes of therapeutic regimen
B. Monitor and report vital signs
C. Monitor and report intake and output
D. Monitor and report daily weight
E. Monitor and report gastric suction secretions
F. Monitor and report signs of edema
G. Administer medications within appropriate time-frame
H. Monitor and report idiosyncratic or other untoward medication reactions
I. Participate in client and family teaching regarding medication regimen
XXI. Nursing Responsibilities and Administration of Medications for the client receiving chemotherapy
A. (same as A-I above)
XXII. Special Considerations for the Elderly Client
A. Compare normal aging patterns with abnormal signs and symptoms for each client
B. Contrast signs and symptoms of client with other elderly clients
C. Identify physiologic factors that may lead to abnormal signs or symptoms observed in the client
D. Identify psychological factors that affect treatment
E. Monitor behavioral patterns in order to identify changes that may be caused by physiologic sources
F. Monitor pharmaceutical regimens closely to detect complications secondary to polypharmacy, drug interactions, or non compliance
G. Compare and contrast nutritional needs of the elderly client with an adult of less than 60 years of age
XXIII. Discharge Planning
A. Client status upon discharge
B. Presence of stomas or diversionary devices
C. Destination for discharge e.g., home or long-term care center
D. Family and/or care-giver support
E. Client’s physical abilities
F. Client’s mental abilities
G. Client’s motivation
H. Pharmaceutical regimen
I. Nutritional needs
J. Medical needs, e.g., equipment, oxygen, dressings, etc.
XXIV. Teaching the Client
A. Knowledge about disorder
B. Learning capabilities of the client
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXV. Teaching the Family and/or Caregivers
A. Knowledge about disorder
B. Learning capabilities
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXVI. Dietary Considerations
A. Client capabilities for self-care
B. Client physical resources
C. Client emotional resources
D. Client financial resources
E. Caloric needs
F. Nutrient needs
G. Nutrient changes
H. Fluid and electrolytes
I. Processing of food
J. Serving of food
K. Tube feedings
L. Enteral vs. parenteral feedings
XXVII. Rehabilitation Therapy
A. Client motivation
B. Client capabilities
C. Realistic expectations
D. Community resources
E. Physical therapy
F. Enterostomal therapy
G. Occupational rehabilitation
H. Emotional rehabilitation
I. Financial influences on rehabilitation
J. Nursing Interventions and rehabilitation
Unit 3 Endocrine
MS 18 HOURS
I. Terminology
A. Key terms
1. acromegally
2. Chvostek’s sign
3. cretinism
4. Cushing’s syndrome
5. exophthalmos
6. giantism
7. goiter
8. hirsutism
9. ketoacidosis
10. lipodystrophy
11. myxedema
12. pheochromocytoma
13. polydipsia
14. polyphagia
15. polyuria
16. retinopathy
17. Trousseau’s sign
II. Overview of Endocrine Anatomy
A. Exocrine vs. endocrine
B. Negative feedback system
C. Endocrine glands
1. Pituitary
2. Thyroid
3. Parathyroid
4. Adrenal
5. Pancreas
III. Nonmodifiable Risk Factors
A. Family History
B. Age
C. Sex
D. Race
IV. Modifiable Risk Factors
A. Obesity
B. Lifestyle
C. Stress
D. Psychosocial factors
E. Carcinogens
V. Laboratory Testing Procedures
A. Complete blood count
B. Hemoglobin
C. Hematocrit
D. White blood count and differential
E. Fasting plasma glucose
F. Two-hour postprandial blood glucose
G. Glucose tolerance test
H. Glycosylated hemoglobin
I. Hormone levels
VI. Non-Invasive Diagnostic Procedures
A. Radioscans, e.g., Radioactive Iodine Uptake (RAIU), thallium scan
B. Radiological studies
C. Computed tomography
D. Ultrasound
E. Magnetic resonance imaging
VII. Invasive Diagnostic Procedures
A. Biopsy
B. Endoscopy
C. Exploratory surgery
VIII. Diagnostic Laboratory Studies
A. Hormone levels
B. Serum amylase and lipase
C. Electrolytes
D. Complete blood count
E. Hemoglobin and hematocrit
F. Glycosylated hemoglobin
G. Urine acetone
H. Cytology
I. Tumor markers
J. Frozen sections
IX. Disorders: Etiology, Pathophysiology, Signs and Symptoms
A. Thyroid
1. Hyperthyroidism: Graves’ disease
2. Hypothyroidism: cretinism / myxedema
B. Parathyroid
1. Hyperparathyroidism
2. Hypoparathyroidism
C. Pituitary
1. Anterior lobe: giantism / acromegally
2. Posterior lobe: syndrome of inappropriate antidiuretic hormone (SIADH), diabetes insipidus
3. Neoplasms
D. Adrenal gland
1. Adrenal cortex: Cushing’s syndrome, primary aldosteronism
2. Addison’s disease
3. Adrenal medulla: neoplasms
E. Pancreas
1. Diabetes mellitus
X. Nursing Observations for Data Collection
A. Pain
B. Vital signs and changes
C. Polyuria, polydipsia, polyphagia
D. Level of consciousness
E. Dysrhythmias
F. Aphasia / dysphagia
G. Height / weight appropriate for age
H. Pallor
I. Weakness, muscle cramps
J. Fatigue / dyspnea
K. Cough
L. Nausea, vomiting or diarrhea
M. Diaphoresis
N. Edema
O. Personality changes
P. Laboratory data documentation
Q. Implantable devices
R. Vascular access devices
XI. Common NANDA Diagnoses
A. Activity intolerance
B. Impaired skin integrity
C. Ineffective individual coping
D. Fatigue
E. Impaired social interaction
F. Sleep pattern disturbance
G. High risk for peripheral neurovascular dysfunction
H. Tissue perfusion alteration
I. Fluid volume excess or deficit
J. Knowledge deficit
K. Pain
L. Self-care deficit
M. Thought process altered
N. Nutrition altered
O. Injury, risk for
P. Body image disturbance
XII. Long-Term Nursing Goals or Objectives
A. Education of client regarding preventative, palliative, and/or curative measures for treatment
B. Improvement in homeostasis mechanisms
C. Maintenance of homeostatic mechanisms
D. Achievement of pharmacodynamic objectives
XIII. Short-term Nursing Goals or Objectives
A. Identify precipitating causes of signs or symptoms
B. Achieve appropriate medical and/or surgical care
C. Acceptance of medical diagnosis
D. Compliance with treatment regimens
XIV. Common Nursing Interventions
A. Observing Universal Precautions
B. Collection of subjective data
C. Collection of objective data
D. Monitoring vital signs
E. Monitoring and controlling pain
F. Providing assistance with ADLs as required
G. Providing active or passive ROM as required
H. Reassurance and support
I. Maintaining pharmaceutical regimen protocol
J. Monitoring and reporting side-effects of medications
K. Preventing complications related to immobility
L. Documentation
M. Communicating status to appropriate personnel
N. Notifying changes in status to appropriate personnel within appropriate time-frame.
O. Maintenance of vascular access devices
XV. Surgical Nursing Interventions
A. Monitoring vital signs
B. Monitoring dressings
C. Providing routine post-operative care such as TCDB, ADLs, rest and exercise
D. Controlling pain
E. Reassurance and support
F. Family and client teaching
G. Discharge planning
H. Providing continuing nursing interventions relating to medical care
XVI. Surgical Interventions
A. Thyroidectomy
B. Hypophysectomy
C. Pancreas transplantation
XVII. Drug Classifications
A. Hormone replacement therapy
B. Antihormone therapy
C. Corticosteroids
D. Electrolyte replacement therapy
E. Antidiabetic drugs
F. Sedatives
G. Analgesics
H. Vitamin replacement or supplementation
I. Antibiotics
J. Chemotherapeutic agents
XVIII. Nursing Responsibilities and Administration of Medications for a client with a disorder of the endocrine system.
A. Monitor and report laboratory levels used to gauge outcomes of therapeutic regimen
B. Monitor and report vital signs
C. Monitor and report intake and output
D. Monitor and report daily weight and signs of edema
E. Monitor and report personality changes
F. Monitor and report discrepancies between height, weight and chronological age
G. Monitor and report skin condition
H. Administer medications within appropriate time-frame
I. Monitor and report idiosyncratic or other untoward medication reactions
J. Participate in client and family teaching regarding medication regimen
XIX. Nursing Responsibilities and Administration of Medications for the client receiving chemotherapy
A. (same as A-J above)
XX. Special Considerations for the Elderly Client
A. Compare normal aging patterns with abnormal signs and symptoms for each client
B. Contrast signs and symptoms of client with other elderly clients
C. Identify physiologic factors that may lead to abnormal signs or symptoms observed in the client
D. Identify psychological factors that affect treatment
E. Monitor behavioral patterns in order to identify changes that may be caused by physiologic sources
F. Monitor pharmaceutical regimens closely to detect complications secondary to polypharmacy, drug interactions, or non compliance
G. Compare and contrast nutritional needs of the elderly client with an adult of less than 60 years of age
XXI. Discharge Planning
A. Client status upon discharge
B. Destination for discharge e.g., home or long-term care center
C. Family and/or care-giver support
D. Client’s physical abilities
E. Client’s mental abilities
F. Client’s motivation
G. Pharmaceutical regimen
H. Nutritional needs
I. Medical needs, e.g., equipment, oxygen, dressings,
XXII. Teaching the Client
A. Knowledge about disorder
B. Learning capabilities of the client
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXIII. Teaching the Family and/or Caregivers
A. Knowledge about disorder
B. Learning capabilities
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXIV. Dietary Considerations
A. Client capabilities for self-care
B. Client physical resources
C. Client emotional resources
D. Client financial resources
E. Caloric needs
F. Nutrient needs
G. Nutrient changes
H. Fluid and electrolytes
I. Processing of food
J. Serving of food
K. Tube feedings
L. Enteral vs. parenteral feedings
XXV. Rehabilitation Therapy
A. Client motivation
B. Client capabilities
C. Realistic expectations
D. Community resources
E. Physical therapy
F. Cardiac rehabilitation
G. Occupational rehabilitation
H. Neurological rehabilitation
I. Emotional rehabilitation
J. Financial influences on rehabilitation
K. Nursing Interventions and rehabilitation
Unit 4 Musculoskeletal
MS 18 HOURS
I. Terminology
A. Key terms
1. ankylosis
2. arthrodesis
3. bursitis
4. callus
5. Colles’ fracture
6. compartment syndrome
7. crepitus
8. dislocation
9. fasciotomy
10. fibromyalgia
11. gout
12. hemiarthroplasty
13. kypohsis
14. lordosis
15. osteomyelitis
16. prosthesis
17. scleroderma
18. scoliosis
19. sequestration
20. subluxation
21. trophi
22. Volkmann’s contracture
II. Overview of the Skeletal System
A. Skeletal functions
B. Bone formation
C. Bone classification
D. Major bones
E. Joints
F. Axial skeleton
G. Appendicular skeleton
III. Overview of the Muscles
A. Structure of muscles
B. Muscle formation
C. Muscle classification
D. Major muscles
IV. Muscle physiology
A. Features of mobility
B. Hazards of immobility
V. Nonmodifiable Risk Factors
A. Family History
B. Age
C. Sex
D. Race
VI. Modifiable Risk Factors
A. Lifestyle
B. Exercise
C. Diabetes mellitus
D. Obesity
E. Stress
F. Psychosocial factors
VII. Laboratory Testing Procedures
A. Complete blood count
B. Hemoglobin
C. Hematocrit
D. White blood count and differential
E. Serum calcium and phosphorus
F. Serum electrolytes
VIII. Non-Invasive Diagnostic Procedures
A. Radiological studies
B. Nuclear scan, e.g., bone scan
C. Computed tomography
D. Ultrasound
E. Magnetic resonance imaging
IX. Invasive Diagnostic Procedures
A. Myelogram
B. Arthrogram
C. Arthrocentesis
D. Arthroscopy
E. Biopsy
F. Fluid aspiration
G. Electromyogram
H. Exploratory surgery
X. Diagnostic Laboratory Studies
A. Rheumatoid factor
B. Latex agglutination
C. Lupus erythematosus (LE)
D. Uric acid
E. Creatine phosphokinase (CPK/CK) and CPK isoenzymes
F. Serum isoenzymes (CK MB, CK MM)
G. Electrolytes
H. Complete blood count
I. Hemoglobin and hematocrit
J. Prothrombin time (PT)
K. Activated partial thromboplastin time (aPTT)
L. Partial thromboplastin time (PTT)
M. Bleeding time
N. Erythrocyte sedimentation rate (ESR)
O. Blood culture
P. Clotting factors
Q. Type and crossmatching blood
R. Cytology
S. Frozen sections
I. Disorders: Etiology, Pathophysiology, Signs and Symptoms
A. Inflammatory disorders
1. Rheumatoid arthritis
2. Osteoarthritis
3. Ankylosing spondylitis
4. Gouty arthritis
5. Osteomyelitis
6. Fibromyalgia syndrome
B. Other disorders
1. Osteoporosis
2. Herniated nucleus pulposus
3. Carpal tunnel syndrome
4. Systemic lupus erythematosus (SLE)
5. Scleroderma
6. Rickets
7. Bone tumors
C. Trauma
1. Contusions
2. Sprains
3. Strains
4. Dislocations
5. Fractures
6. Casts, braces, crutches, and splints
7. Traction
8. Amputation
9. Prosthesis
D. Complications of musculoskeletal disorders
1. Neurovascular pressure
2. Compartment syndrome
3. Amputation
4. Wound infection
5. Bone infection
6. Pulmonary embolism
7. Hemorrhage
8. Hazards of immobility
XII. Nursing Observations for Data Collection
A. Pain
B. Vital signs and changes
C. Circulation, motion, sensation (CMS checks)
D. Cyanosis
E. Pallor
F. Dyspnea / orthopnea
G. Cough
H. Fatigue
I. Type of traction, brace, cast, or splint
J. Diaphoresis
K. Edema
L. Hemorrhage
M. Personality changes
N. Laboratory data documentation
O. Implantable devices
P. Vascular access devices
XIII. Common NANDA Diagnoses
A. Pain
B. Activity intolerance
C. Anxiety
D. Fatigue
E. Impaired social interaction
F. High risk for infection
G. High risk for disuse syndrome
H. Impaired physical immobility
I. Impaired home maintenance management
J. Impaired skin integrity
K. Sleep pattern disturbance
L. High risk for peripheral neurovascular dysfunction
M. Decreased cardiac output
N. Tissue perfusion alteration
O. Fluid volume excess or deficit
P. Knowledge deficit
Q. Self-care deficit
R. Nutrition altered
S. Injury, risk for
T. Body image disturbance
XIV. Long-Term Nursing Goals or Objectives
A. Education of client regarding preventative, palliative, and/or curative measures for treatment
B. Improvement in homeostasis mechanisms
C. Maintenance of homeostatic mechanisms
D. Achievement of pharmacodynamic objectives
XV. Short-term Nursing Goals or Objectives
A. Identify precipitating causes of signs or symptoms
B. Achieve appropriate medical and/or surgical care
C. Acceptance of medical diagnosis
D. Compliance with treatment regimens
XVI. Common Nursing Interventions
A. Observing Universal Precautions
B. Collection of subjective data
C. Collection of objective data
D. Monitoring vital signs
E. Monitoring and controlling pain
F. Providing assistance with ADLs as required
G. Providing active or passive ROM as required
H. Reassurance and support
I. Maintaining pharmaceutical regimen protocol
J. Monitoring and reporting side-effects of medications
K. Preventing complications related to immobility
L. Documentation
M. Communicating status to appropriate personnel
N. Notifying changes in status to appropriate personnel within appropriate time-frame.
O. Maintenance of vascular access devices
XVII. Surgical Nursing Interventions
A. Monitoring vital signs
B. Monitoring dressings
C. Educate client, family, and healthcare staff regarding post surgical hip precautions
D. Monitoring traction, cast, brace, or splint
E. Providing routine post-operative care such as TCDB, ADLs, rest and exercise
F. Controlling pain
G. Reassurance and support
H. Family and client teaching
I. Discharge planning
J. Providing continuing nursing interventions relating to medical care
XVIII. Surgical Interventions
A. External fixation
B. Internal fixation
C. Arthroscopy
D. Arthroplasty
E. Laminectomy
F. Spinal fusion
G. Diskectomy
XIX. Drug Classifications
A. Nonsteroidal antiinflammatory drugs
B. Skeletal muscle relaxants
C. Antidepressants
D. Anticoagulants
E. Sedatives
F. Analgesics
G. Vitamin or mineral replacement or supplementation
H. Antibiotics
I. Chemotherapeutic agents
XX. Nursing Responsibilities and Administration of Medications
A. Monitor and report laboratory levels used to gauge outcomes of therapeutic regimen
B. Monitor and report vital signs
C. Monitor and report intake and output
D. Monitor and report effect of medications
E. Monitor and report signs of edema
F. Administer medications within appropriate time-frame
G. Monitor and report idiosyncratic or other untoward medication reactions
H. Participate in client and family teaching regarding medication regimen
XXI. Nursing Responsibilities and Administration of Medications
for the client receiving chemotherapy
(same as A-H above)
XXII. Special Considerations for the Elderly Client
A. Compare normal aging patterns with abnormal signs and symptoms for each client
B. Contrast signs and symptoms of client with other elderly clients
C. Identify physiologic factors that may lead to abnormal signs or symptoms observed in the client
D. Identify psychological factors that affect treatment
E. Monitor behavioral patterns in order to identify changes that may be caused by physiologic sources
F. Monitor pharmaceutical regimens closely to detect complications secondary to polypharmacy, drug interactions, or non compliance
G. Compare and contrast nutritional needs of the elderly client with an adult of less than 60 years of age
XXIII. Discharge Planning
A. Client status upon discharge
B. Destination for discharge e.g., home or long-term care center
C. Family and/or care-giver support
D. Client’s physical abilities
E. Client’s mental abilities
F. Client’s motivation
G. Pharmaceutical regimen
H. Nutritional needs
I. Medical needs, e.g., equipment, oxygen, dressings, etc.
XXIV. Teaching the Client
A. Knowledge about disorder
B. Learning capabilities of the client
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXV. Teaching the Family and/or Caregivers
A. Knowledge about disorder
B. Learning capabilities
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXVI. Dietary Considerations
A. Client capabilities for self-care
B. Client physical resources
C. Client emotional resources
D. Client financial resources
E. Caloric needs
F. Nutrient needs
G. Nutrient changes
H. Fluid and electrolytes
I. Processing of food
J. Serving of food
K. Tube feedings
L. Enteral vs. parenteral feedings
XXVII. Rehabilitation Therapy
A. Client motivation
B. Client capabilities
C. Realistic expectations
D. Community resources
E. Physical therapy
F. Cardiac rehabilitation
G. Occupational rehabilitation
H. Neurological rehabilitation
I. Emotional rehabilitation
J. Financial influences on rehabilitation
K. Nursing Interventions and rehabilitation
Unit 5A Integumentary
MS 18 HOURS
I. Terminology
A. Key terms
1. allograph
2. angioedema
3. angioma
4. autograft
5. debridement
6. electrodessication
7. eschar
8. heterograft
9. homograft
10. keloid
11. mongolian spots
12. pruritus
13. psoriasis
14. urticaria
15. vitilgo
16. xenograft
II. Overview of the Integumentary System
A. Functions of the skin
B. Epidermis
C. Dermis
D. Subcutaneous tissue
E. Accessory structures
1. hair and nails
2. ceruminous glands
3. sebaceous glands
4. sudoriferous glands
III. Nonmodifiable Risk Factors
A. Family history
B. Age
C. Sex
D. Race
IV. Modifiable Risk Factors
A. Sun exposure
B. Medications
C. Hygiene and hygiene cleansing agents
D. Diabetes mellitus
E. Lifestyle
F. Exposure to specific agents, e.g., poison ivy, scabies
G. Carcinogens
V. Laboratory Testing Procedures
A. Complete blood count
B. Hemoglobin
C. Hematocrit
D. White blood count and differential
E. Serum electrolytes
VI. Non-Invasive Diagnostic Procedures
A. Skin or wound cultures
B. Wood’s light examination
C. Tzanck’s smear
D. Scabies scraping
VII. Invasive Diagnostic Procedures
A. Biopsy
B. Exploratory surgery
VIII. Diagnostic Laboratory Studies
A. Systemic lupus erythematosus
B. Complete blood count
C. Erythrocyte sedimentation rate
D. Skin biopsy
E. Frozen sections
IX. Disorders: Etiology, Pathophysiology, Signs and Symptoms
A. Viral skin disorders
1. herpes simplex
2. herpes zoster (shingles)
B. Bacterial skin disorders
1. impetigo contagiosa
2. folliculitis, furncles, carbuncles, felons
C. Fungal skin disorders
1. tinea capitis
2. tinea corporis
3. tinea cruris
4. tinea pedis
D. Inflammatory skin disorders
1. dermatitis
2. urticaria
3. angioedema
4. eczema
5. acne vulgaris
6. psoriasis
E. Parasitic skin disorders
1. pediculosis
2. scabies
F. Burns
G. Skin tumors
1. keloids
2. angiomas
3. verruca (wart)
4. nevi
5. cancer
H. Appendage disorders
1. hirsutism
2. alopecia
3. paronychia
X. Nursing Observations for Data Collection
A. Skin pigmentation
B. Skin lesions or rashes
C. Pruritus
D. Vital signs and changes
E. CAUTION signs
F. Moles, nevi, tumors, scars, ecchymoses
G. Hair distribution and condition
H. Burns
I. Edema
J. Hemorrhage
K. Pallor
L. Diaphoresis
M. Wounds or surgeries
N. Personality changes
O. Cultural variations
P. Laboratory data documentation
Q. Vascular access devices
XI. Common NANDA Diagnoses
A. Impaired skin integrity
B. Anxiety
C. Pain
D. Alteration in comfort
E. Risk for infection
F. Impaired social interaction
G. Sleep pattern disturbance
H. Tissue perfusion alteration
I. Fluid volume excess or deficit
J. Knowledge deficit
K. Self-care deficit
L. Thought process altered
M. Nutrition altered
N. Risk for injury
O. Body image disturbance
P. Self-esteem disturbance
XII. Long-Term Nursing Goals or Objectives
A. Education of client regarding preventative, palliative, and/or curative measures for treatment
B. Improvement in homeostasis mechanisms
C. Maintenance of homeostatic mechanisms
D. Achievement of pharmacodynamic objectives
XIII. Short-term Nursing Goals or Objectives
A. Identify precipitating causes of signs or symptoms
B. Relieve pain and suffering
C. Achieve appropriate medical and/or surgical care
D. Acceptance of medical diagnosis
E. Compliance with treatment regimens
XIV. Common Nursing Interventions
A. Observing Universal Precautions
B. Collection of subjective data
C. Collection of objective data
D. Monitoring vital signs
E. Application of warm or cold packs
F. Monitoring and controlling pain
G. Providing assistance with ADLs as required
H. Providing active or passive ROM as required
I. Reassurance and support
J. Maintaining pharmaceutical regimen protocol
K. Monitoring and reporting side-effects of medications
L. Preventing complications related to immobility
M. Documentation
N. Communicating status to appropriate personnel
O. Notifying changes in status to appropriate personnel within appropriate time-frame.
P. Maintenance of vascular access devices
XV. Surgical Nursing Interventions
A. Monitoring vital signs
B. Monitoring dressings
C. Providing routine post-operative care such as TCDB, ADLs, rest and exercise
D. Controlling pain
E. Reassurance and support
F. Family and client teaching
G. Discharge planning
H. Providing continuing nursing interventions relating to medical care
XVI. Surgical Interventions
A. Skin and tissue grafts
B. Cosmetic surgery
C. Laser therapies
XVII. Drug Classifications
A. Antiseptics
B. Anti-infectives
C. Anti-inflammatory agents
D. Antihistamines
E. Astringents
F. Emollients
G. Enzymes
H. Sunscreens
I. Chemotherapeutic agents
XVIII. Nursing Responsibilities and Administration of Medications
A. Monitor and report laboratory levels used to gauge outcomes of therapeutic regimen
B. Monitor and report vital signs
C. Monitor and report effectiveness of pain relief
D. Monitor and report effectiveness of medicated creams or lotions
E. Monitor and report signs of pruritus, rashes, or edema
F. Administer medications within appropriate time-frame
G. Monitor and report idiosyncratic or other untoward medication reactions
H. Participate in client and family teaching regarding medication regimen
XIX. Special Considerations for the Elderly Client
A. Compare normal aging patterns with abnormal signs and symptoms for each client
B. Contrast signs and symptoms of client with other elderly clients
C. Identify physiologic factors that may lead to abnormal signs or symptoms observed in the client
D. Identify psychological factors that affect treatment
E. Monitor behavioral patterns in order to identify changes that may be caused by physiologic sources
F. Monitor pharmaceutical regimens closely to detect complications secondary to polypharmacy, drug interactions, or non compliance
G. Compare and contrast nutritional needs of the elderly client with an adult of less than 60 years of age
XX. Discharge Planning
A. Client status upon discharge
B. Destination for discharge e.g., home or long-term care center
C. Family and/or care-giver support
D. Client’s physical abilities
E. Client’s mental abilities
F. Client’s motivation
G. Pharmaceutical regimen
H. Nutritional needs
I. Medical needs, e.g., equipment, oxygen, dressings, etc.
XXI. Teaching the Client
A. Knowledge about disorder
B. Learning capabilities of the client
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXII. Teaching the Family and/or Caregivers
A. Knowledge about disorder
B. Learning capabilities
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXIII. Dietary Considerations
A. Client capabilities for self-care
B. Client physical resources
C. Client emotional resources
D. Client financial resources
E. Caloric needs
F. Nutrient needs
G. Nutrient changes
H. Fluid and electrolytes
I. Processing of food
J. Serving of food
K. Tube feedings
L. Enteral vs. parenteral feedings
XXIV. Rehabilitation Therapy
A. Client motivation
B. Client capabilities
C. Realistic expectations
D. Community resources
E. Physical therapy
F. Occupational rehabilitation
G. Neurological rehabilitation
H. Emotional rehabilitation
I. Financial influences on rehabilitation
J. Nursing Interventions and rehabilitation
Unit 5 B Special Senses
MS 18 HOURS
I. Terminology
A. Key terms
1. astigmatism
2. blepharitis
3. chalazion
4. diplopia
5. ectropion
6. entropion
7. enuclearion
8. hyphema
9. hyperopia
10. miotic
11. mydriatic
12. mypoia
13. presbycusis
14. presbyopia
15. ptosis
16. refracton
17. Snellen’s test
18. strabismus
19. tinnitus
20. vertigo
II. Overview of the Sensory System
A. Eye
1. eyelids, brow, and cilia
2. sclera
3. conjunctiva
B. Eyeball layers and chambers
1. sclera and cornea
2. choroid layer
3. retina
C. Lacrimal glands
D. Vision
1. refraction
2. accommodation
3. constriction
4. convergence
E. Optic nerves
F. Optic muscles
G. Ear
H. External ear
I. Middle ear
J. Inner ear
K. Hearing
L. Balance and equilibrium
M. Other senses
1. taste
2. smell
3. touch
4. temperature
5. pain
6. pressure
7. proprioception
III. Nonmodifiable Risk Factors
A. Family History
B. Age
C. Sex
D. Race
IV. Modifiable Risk Factors
A. Smoking
B. Occupation
C. Recreational activities
D. Diabetes mellitus
E. Lifestyle
F. Stress
G. Psychosocial factors
H. Carcinogens
V. Laboratory Testing Procedures
A. Complete blood count
B. Hemoglobin
C. Hematocrit
D. White blood count and differential
VI. Non-Invasive Diagnostic Procedures
A. Snellen test
B. Audiometry
C. Color vision screening
D. Refractive exam
E. Ophthalmoscopic exam
F. Slit lamp exam
G. Vestibular / Rombert test
H. Tonometry
I. Magnetic resonance imaging
J. Electronystagmography
VII. Invasive Diagnostic Procedures
A. Retinal angiogram
B. Caloric test
VIII. Diagnostic Studies
A. Tonometry for glaucoma testing
B. Thyroid testing
C. Otoscopy
D. Fluorescein angiography
E. Tuning fork test
IX. Disorders: Etiology, Pathophysiology, Signs and Symptoms
A. Eye and vision disorders
1. refraction errors
2. inflammatory and infectious disorders
a) blepharitis
b) stye
c) chalazion
d) trachoma
e) keratitis
3. structural eye disorders
4. glaucoma
5. cataracts
6. trauma
7. foreign bodies
8. burns
9. corneal abrasions
10. detached retina
B. Ear and hearing disorders
1. hearing loss
2. outer ear infections
3. trauma and accidents
4. inner ear infections
5. otosclerosis
6. Menieree’s disease
7. ototoxic drugs
X. Nursing Observations for Data Collection
A. Pain
B. Vital signs and changes
C. Visual or hearing assistive devices
D. Visual acuity
E. Ability to hear and to speak
F. Obvious or stated signs of trauma
G. Neurologic status
H. Cardiovascular status e.g., CVA
I. Edema
J. Personality changes
K. Laboratory data documentation
L. Implantable devices
M. Vascular access devices
I. Common NANDA Diagnoses
A. Impaired verbal communication
B. Impaired social interaction
C. Diversional activity deficit
D. Anxiety / Fear
E. High risk for infection
F. High risk for injury
G. Self-esteem loss
H. Pain
I. Knowledge deficit
J. Self-care deficit
K. Thought process altered
L. Nutrition altered
M. Body image disturbance
II. Long-Term Nursing Goals or Objectives
A. Education of client regarding preventative, palliative, and/or curative measures for treatment
B. Improvement in homeostasis mechanisms
C. Maintenance of homeostatic mechanisms
D. Achievement of pharmacodynamic objectives
III. Short-term Nursing Goals or Objectives
A. Identify precipitating causes of signs or symptoms
B. Achieve appropriate medical and/or surgical care
C. Acceptance of medical diagnosis
D. Compliance with treatment regimens
IV. Common Nursing Interventions
A. Observing Universal Precautions
B. Collection of subjective data
C. Collection of objective data
D. Providing a safe environment
E. Monitoring vital signs
F. Monitoring and controlling pain
G. Providing assistance with ADLs as required
H. Providing active or passive ROM as required
I. Reassurance and support
J. Maintaining pharmaceutical regimen protocol
K. Monitoring and reporting side-effects of medications
L. Preventing complications related to immobility
M. Documentation
N. Communicating status to appropriate personnel
O. Notifying changes in status to appropriate personnel within appropriate time-frame.
P. Maintenance of vascular access devices
V. Surgical Nursing Interventions
A. Providing a safe environment
B. Monitoring vital signs
C. Monitoring dressings
D. Providing routine post-operative care such as TCDB, ADLs, rest and exercise
E. Controlling pain
F. Reassurance and support
G. Family and client teaching
H. Discharge planning
I. Providing continuing nursing interventions relating to medical care
VI. Surgical Interventions
A. Enucleation
B. Cochlear implant
C. Keratoplasty
D. Photocoagulation
E. Laser eye surgery for refractory errors
F. Retinal repair
G. Stapedectomy
H. Tympanoplasty
I. Myringotomy
VII. Drug Classifications
A. Anti-infective agents
B. Analgesics
C. Antihistamines
D. Adrenergics
E. Anti-adrenergics
F. Cholinergics
G. Anticholinesterase agents
H. Anticholinergics
I. Diuretics
J. Osmotic agents
K. Anesthetics
L. Lubricants
M. Corticosteroids
VIII. Nursing Responsibilities and Administration of Medications
A. Monitor and report laboratory levels used to gauge outcomes of therapeutic regimen
B. Monitor and report vital signs
C. Provide safe environment
D. Monitor and report signs of edema
E. Administer medications within appropriate time-frame
F. Monitor and report idiosyncratic or other untoward medication reactions
G. Participate in client and family teaching regarding medication regimen
IX. Special Considerations for the Elderly Client
A. Compare normal aging patterns with abnormal signs and symptoms for each client
B. Contrast signs and symptoms of client with other elderly clients
C. Identify physiologic factors that may lead to abnormal signs or symptoms observed in the client
D. Identify psychological factors that affect treatment
E. Monitor behavioral patterns in order to identify changes that may be caused by physiologic sources
F. Monitor pharmaceutical regimens closely to detect complications secondary to polypharmacy, drug interactions, or non compliance
G. Compare and contrast nutritional needs of the elderly client with an adult of less than 60 years of age
X. Discharge Planning
A. Client status upon discharge
B. Destination for discharge e.g., home or long-term care center
C. Family and/or care-giver support
D. Client’s physical abilities
E. Client’s mental abilities
F. Client’s motivation
G. Pharmaceutical regimen
H. Nutritional needs
I. Medical needs, e.g., equipment, oxygen, dressings, etc.
XI. Teaching the Client
A. Knowledge about disorder
B. Learning capabilities of the client
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XII. Teaching the Family and/or Caregivers
A. Knowledge about disorder
B. Learning capabilities
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XIII. Dietary Considerations
A. Client capabilities for self-care
B. Client physical resources
C. Client emotional resources
D. Client financial resources
E. Caloric needs
F. Nutrient needs
G. Nutrient changes
H. Fluid and electrolytes
I. Processing of food
J. Serving of food
K. Tube feedings
L. Enteral vs. parenteral feedings
XIV. Rehabilitation Therapy
A. Client motivation
B. Client capabilities
C. Realistic expectations
D. Community resources
E. Physical therapy
F. Cardiac rehabilitation
G. Occupational rehabilitation
H. Neurological rehabilitation
I. Emotional rehabilitation
J. Financial influences on rehabilitation
K. Nursing Interventions and rehabilitation
Unit 6 Nervous
MS 27 HOURS
I. Terminology
A. Key terms
1. agnosia
2. aneurysm
3. aphasia
4. apraxia
5. ataxia
6. aura
7. autonomic dysreflexia
8. bradykinesia
9. cephalagia
10. concussion
11. diplopia
12. dysarthria
13. flaccid
14. Glasgow coma scale
15. global cognitive dysfunction
16. hemianopia
17. hemiplegia
18. intracranial pressure
19. neuralgia
20. nystagmus
21. opisthotonnos
22. paraplegia
23. paresis
24. postictal period
25. proprioception
26. quadriplegia
27. spastic
II. Overview of the Nervous System
A. Neurons
B. Central nervous system
1. Brain
2. Spinal Cord
3. Cerebrospinal fluid
C. Peripheral nervous system
1. Cranial nerves
2. Spinal nerves
D. Autonomic nervous system
1. Sympathetic
2. Parasympathetic
E. Reflexes
III. Nonmodifiable Risk Factors
A. Family History
B. Age
C. Sex
D. Race
IV. Modifiable Risk Factors
A. Smoking
B. Hypertension
C. Hyperlipidemia
D. Trauma or accidents
E. Diabetes mellitus
F. Lifestyle
G. Stress
H. Carcinogens
V. Laboratory Testing Procedures
A. Complete blood count
B. Hemoglobin
C. Hematocrit
D. White blood count and differential
E. Blood lipid studies
F. Cholesterol levels
G. Serum electrolytes
VI. Non-Invasive Diagnostic Procedures
A. Radiographs
B. Electroencephalogram
C. Positron emission tomography
D. Computed tomography
E. Electrophysiology study
F. Ultrasound
G. Magnetic resonance imaging
VII. Invasive Diagnostic Procedures
A. Cerebral angiography and arteriography
B. Myelography
C. Brain scan
D. Lumbar puncture
E. Electromyogram
F. Biopsy
G. Exploratory surgery
VIII. Diagnostic Laboratory Studies
A. Complete blood count with differential
B. Cerebrospinal fluid analysis
C. Drug or urine screening
D. Blood or urine cultures
E. Electrolytes
F. Allergy testing
G. Intracranial monitoring
H. Hemoglobin and hematocrit
I. Prothrombin time (PT)
J. Activated partial thromboplastin time (aPTT)
K. Partial thromboplastin time (PTT)
L. Bleeding time
M. Erythrocyte sedimentation rate (ESR)
N. Cytology
O. Frozen sections
IX. Disorders: Etiology, Pathophysiology, Signs and Symptoms
A. Craniocerebral disorders
1. trauma
2. hematoma
3. concussion
4. fracture
5. lacerations
6. brain herniation
7. headaches
8. seizure disorders
B. Nerve Disorders
1. neuralgia
2. carpal tunnel syndrome
3. trigeminal neuralgia (Tic Douloureux)
4. Bell’s Palsy
5. shingles (herpes zoster)
C. Spinal cord disorders
1. congenital
2. tumors
3. trauma
D. Degenerative disorders
1. multiple sclerosis
2. Parkinson’s disease
3. myasthenia gravis
4. Huntington’s disease
5. amyotrophic lateral sclerosis
6. ataxia
E. Inflammatory disorders
1. abscesses
2. meningitis
3. encephalitis
4. Guillain-Barre Syndrome
5. poliomyelitis
F. Neoplasms and Cancers
X. Nursing Observations for Data Collection
A. Pain
B. Headaches
C. Speech pattern alterations
D. Vital signs and changes
E. Pupil reactivity and eye signs
F. Selected cranial nerve functioning
G. Babinski reflex
H. Seizures or postictal state
I. Aphasia
J. Level of consciousness and Glasgow Coma Scale
K. Hemiplegia, paraplegia, quadriplegia
L. Muscle weakness
M. Difficulty with balance and coordination
N. Dysphagia
O. Pallor
P. Dyspnea
Q. Fatigue
R. Syncope
S. Diaphoresis
T. Edema
U. Hemorrhage
V. Personality changes
W. Laboratory data documentation
X. Implantable devices
Y. Vascular access devices
XI. Common NANDA Diagnoses
A. Self-care deficit
B. Social isolation
C. Altered oral mucous membrane
D. Chronic low self-esteem
E. High risk for disuse syndrome
F. Fear
G. Anxiety
H. High risk for infection
I. Hopelessness
J. High risk for injury
K. Altered cerebral tissue perfusion
L. Fatigue
M. Sleep pattern disturbance
N. High risk for peripheral neurovascular dysfunction
O. Tissue perfusion alteration
P. Fluid volume excess or deficit
Q. Impaired gas exchange
R. Knowledge deficit
S. Pain
T. Thought process altered
U. Nutrition altered
V. Body image disturbance
XII. Long-Term Nursing Goals or Objectives
A. Education of client regarding preventative, palliative, and/or curative measures for treatment
B. Improvement in homeostasis mechanisms
C. Maintenance of homeostatic mechanisms
D. Achievement of pharmacodynamic objectives
XIII. Short-term Nursing Goals or Objectives
A. Identify precipitating causes of signs or symptoms
B. Achieve appropriate medical and/or surgical care
C. Acceptance of medical diagnosis
D. Compliance with treatment regimens
XIV. Common Nursing Interventions
A. Observing Universal Precautions
B. Collection of subjective data
C. Collection of objective data
D. Monitoring vital signs
E. Monitoring neurological status
F. Seizure precautions
G. Monitoring and controlling pain
H. Providing assistance with ADLs as required
I. Providing active or passive ROM as required
J. Reassurance and support
K. Maintaining pharmaceutical regimen protocol
L. Monitoring and reporting side-effects of medications
M. Preventing complications related to immobility
N. Documentation
O. Communicating status to appropriate personnel
P. Notifying changes in status to appropriate personnel within appropriate time-frame.
Q. Maintenance of vascular access devices
XV. Surgical Nursing Interventions
A. Monitoring vital signs
B. Monitoring neurological status
C. Monitoring dressings
D. Providing routine post-operative care such as TCDB, ADLs, rest and exercise
E. Controlling pain
F. Seizure precautions
G. Reassurance and support
H. Family and client teaching
I. Discharge planning
J. Providing continuing nursing interventions relating to medical care
XVI. Surgical Interventions
A. Craniotomy
B. Crutchfield tongs
C. Neurectomy, cordotomy, percutaneous cordotomy, rhizotomy
D. Craniectomy
E. Placement of internal monitoring devices e.g., ventricular catheter
XVII. Drug Classifications
A. Corticosteroids
B. Anticonvulsants
C. Anticholinergics
D. Anti-Parkinson’s agents
E. Diuretics
F. Sedatives
G. Analgesics
H. Antibiotics
XVIII. Nursing Responsibilities and Administration of Medications
A. Monitor and report laboratory levels used to gauge outcomes of therapeutic regimen
B. Monitor and report vital signs
C. Monitor and report intake and output
D. Monitor and report daily weight
E. Monitor and report signs of edema
F. Administer medications within appropriate time-frame
G. Monitor and report idiosyncratic or other untoward medication reactions
H. Participate in client and family teaching regarding medication regimen
XIX. Nursing Responsibilities and Administration of Medications for the client receiving chemotherapy
A. (same as A-H above)
XX. Special Considerations for the Elderly Client
A. Compare normal aging patterns with abnormal signs and symptoms for each client
B. Contrast signs and symptoms of client with other elderly clients
C. Identify physiologic factors that may lead to abnormal signs or symptoms observed in the client
D. Identify psychological factors that affect treatment
E. Monitor behavioral patterns in order to identify changes that may be caused by physiologic sources
F. Monitor pharmaceutical regimens closely to detect complications secondary to polypharmacy, drug interactions, or non compliance
G. Compare and contrast nutritional needs of the elderly client with an adult of less than 60 years of age
XXI. Discharge Planning
A. Client status upon discharge
B. Destination for discharge e.g., home or long-term care center
C. Family and/or care-giver support
D. Client’s physical abilities
E. Client’s mental abilities
F. Client’s motivation
G. Pharmaceutical regimen
H. Nutritional needs
I. Medical needs, e.g., equipment, oxygen, dressings, etc.
XXII. Teaching the Client
A. Knowledge about disorder
B. Learning capabilities of the client
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXIII. Teaching the Family and/or Caregivers
A. Knowledge about disorder
B. Learning capabilities
C. Use of equipment and supplies
D. Pharmaceutical regimen
E. Medication side-effects
F. Dietary considerations: changes in nutrients, composition, or eating habits
G. Anxiety levels
H. Realistic expectations
XXIV. Dietary Considerations
A. Client capabilities for self-care
B. Client physical resources
C. Client emotional resources
D. Client financial resources
E. Caloric needs
F. Nutrient needs
G. Nutrient changes
H. Fluid and electrolytes
I. Processing of food
J. Serving of food
K. Tube feedings
L. Enteral vs. parenteral feedings
XXV. Rehabilitation Therapy
A. Client motivation
B. Client capabilities
C. Realistic expectations
D. Community resources
E. Physical therapy
F. Cardiac rehabilitation
G. Occupational rehabilitation
H. Neurological rehabilitation
I. Emotional rehabilitation
J. Financial influences on rehabilitation
K. Nursing Interventions and rehabilitation
METHODS OF INSTRUCTION--Course instructional methods may include but are not limited to
- Other Methods: See attached SVN Semester 3 Curriculum Objectives: Column - Assignments and Methodologies. See also Instructional Plan and Lesson Plan/Outline for Semester 3.
OUT OF CLASS ASSIGNMENTS: Out of class assignments may include but are not limited to
METHODS OF EVALUATION: Assessment of student performance may include but is not limited to
See attached SVN Semester 3 Curriculum Objectives: Column - Assignments and Methodologies. See also Instructional Plan and Lesson Plan/Outline for Semester 3.
TEXTS, READINGS, AND MATERIALS: Instructional materials may include but are not limited to
- Textbooks
-
deWit, Susan. (2009) Medical Surgical Nursing Concepts & Practice, , Saunders Elsevier
- Manuals
-
- Periodicals
-
- Software
-
- Other
-
See attached SVN Semester 3 Curriculum Objectives: Column - Assignments and Methodologies. See also Instructional Plan and Lesson Plan/Outline for Semester 3.
- METHOD OF DELIVERY:
-
- iTV – Interactive video = Face to face course with significant required activities in a distance modality ;Online with some required face-to-face meetings (“Hybrid”);
- MINIMUM QUALIFICATIONS:
- Nursing (Masters Required);
APPROVALS:
- Origination Date
- 10/17/2012
- Last Outline Revision
-
- 03/14/2008
- Curriculum Committee Approval
-
- 03/14/2008
- Board of Trustees
-
- State Approval
-
- UC Approval
-
- UC Approval Status
- CSU Approval
- 50 = Summer 2000
- CSU Approval Status
- Approved
- IGETC Approval
-
- IGETC Approval Status
- CSU GE Approval
-
- CSU GE Approval Status
- Data Element Changes
-
- Data Justification
-
- Course Element Changes
-
- Course Change Justification
-
- Course ID (CB00)
- CCC000333395
- TOP Code (CB03)
- 1230.20 - Licensed Vocational Nursi;
- Course Credit Status (CB04)
- D - Credit - Degree Applicable;
- Course Transfer Status (CB05)
- B = Transferable to CSU only
- Course Units of Credit Maximum High (CB06):
- 8
- Course Units of Credit Minimum Low (CB07):
- 8
- Course Basic Skills (BS) Status (CB08):
- N = Course is not a basic skills course.
- SAM Code (CB09):
- B = Advance Occupational;
- Cooperative Education Course Status (CB10):
- Not part of Coop Work Exp;
- Course Classification Code (CB11):
- Career-Technical Education;
- Course Special Status (CB13):
- N - Not Special;
- CAN Code (CB14):
- CAN-Code Seq (CB15):
- Course Prior to College Level (CB21):
- Not Applicable;
- Course Non-Credit Category (CB22):
- Not Applicable, Credit Course;
- Funding Agency Category (CB23):
- Not Applicable
- Course Program Status (CB24):
- 1 - Program Applicable;