Behavioral Objectives



|Behavioral Objectives |Content Outline |Clinical Objectives |Learning Opportunities |

|Apply the terms listed in the content column |Application of terms |Identify short and long-term |Readings: |

|appropriate to the client’s situations. |Adrenal cortex |goals/outcomes, select interventions, and |Lewis 8th ed (2011) |

| |Amyloidosis |establish priorities for care in | |

| |Cretinism |collaboration with the client. |Adams 3rd ed (2011) |

| |Endocrine glands | | |

| |Exopthalmus |Use current technology and evidence-based |McKinney 3rd ed (2009) |

| |Hashimoto’s thyroiditis |information to | |

|Compare and contrast the normal anatomy and |Anatomy and physiology of the endocrine system |formulate and modify the nursing plan of | |

|physiology to the pathophysiology of the selected |Developmental considerations |care. | |

|disease processes in the endocrine system across the |Infant | | |

|lifespan. |Child |Contribute to the interdisciplinary plan | |

| |Adolescent |of care. | |

| |Adult | | |

| |Older adult |Communicate plan of care to nurses and | |

| |Pathophysiology of the endocrine system. |other | |

| | |interdisciplinary health care | |

|Analyze factors included in the assessment of the |Endocrine system assessment |team members. | |

|client experiencing selected complex problems of the |Interview | | |

|endocrine system, including the developmental and |Chief complaint |Initiate discharge planning in | |

|cultural considerations. |History of present illness. |collaboration with interdisciplinary | |

| |Prior medical history |health care team. | |

| |Medication history (prescription/non-prescription) | | |

| |Family/social/occupational history |Implement plan of care to assist clients | |

| |Knowledge of health maintenance |to meet physiological needs, including: | |

| |Identify risk factors endocrine disease. |circulation, nutrition, oxygenation, | |

| |Physical exam |activity, elimination, comfort, pain | |

| |Eyes |management, rest and sleep. | |

| |Level of consciousness | | |

| |Vital signs |Implement nursing care to promote health | |

| |Body shape |and manage acute and chronic health | |

| |Skin/hair/nails |problems and disabilities. | |

| |Muscle weakness/wasting | | |

| |Hydration status/I&O |Adjust priorities and implement nursing | |

| |Weight gain/loss |interventions in emergency situations. | |

| |Fatigue | | |

| |Menstrual disturbance | | |

| |Sleep pattern | | |

| |Respiratory status | | |

| |Bowels | | |

| |Diagnostic tests | | |

| |Radiology | | |

| |Thyroid scan | | |

| |Radioactive iodine uptake | | |

| |Computerized axial tomography (CT) | | |

| |Magnetic resonance imaging (MRI) | | |

| |Sonogram | | |

| |Laboratory studies | | |

| |Serum T4 | | |

| |Serum T3 | | |

| |T3 resin uptake | | |

| |Thyroid Stimulating Hormone (TSH) | | |

| |Cholesterol | | |

| |Muscle enzymes | | |

| |ALT | | |

| |SGPT | | |

| |LDH | | |

| |CK | | |

| |Urine osmolality | | |

| |Urinalysis | | |

| |Electrolytes | | |

| |Blood glucose | | |

| |White blood cell count (WBC) | | |

| |Cortisol | | |

| |17 hydroxycorticosteroids | | |

| |ACTH stimulation | | |

| |Dexamethasone suppression | | |

| |17 ketosteroids | | |

| |ACTH radioimmunassay | | |

| |Renin level | | |

| |Other | | |

| |Achilles tendon reflex | | |

| |ECG | | |

| |Fluid Challenge Test | | |

| |Cultural influences | | |

| |Hereditary | | |

| |Environmental | | |

| |Health beliefs/practices | | |

| |Developmental | | |

| |Age specific assessment data | | |

| |Muscle tone | | |

| |Vital signs | | |

| |Fluid/electrolytes | | |

| |Height, body structure | | |

| |Nutritional | | |

| |Behavioral/emotional response to health care providers | | |

|Differentiate between the etiology, pathophysiology, |Selected complex endocrine problems | | |

|and clinical manifestations of selected complex |Thyroid | | |

|endocrine problems. |Hyperthyroid | | |

| |Hypothyroid | | |

| |Diabetes insipidus | | |

| |Syndrome of Inappropriate Diuretic Hormones (SIADH) | | |

| |Addison’s disease | | |

| |Cushing’s disease | | |

|Discuss analysis, planning implementation and |Selected nursing diagnoses/implementation/ evaluation | | |

|evaluation for the nursing management of clients with|Altered thought processes | | |

|selected complex endocrine problems. |Independent interventions | | |

| |Level of awareness assessment | | |

| |Age related hydration status | | |

| |Intake & output | | |

| |Monitor pertinent diagnostic tests | | |

| |Maintain skin integrity | | |

| |Orient to time, place, date and events | | |

| |Provide appropriate stimulation | | |

| |Teach about change in cognitive processes | | |

| |Fall/safety precautions | | |

| |Collaborative interventions | | |

| |Administer replacement fluids | | |

| |Oral | | |

| |IV | | |

| |Administer medications and monitor for desired effects/adverse/side | | |

| |effects/drug interactions | | |

| |Thyroid hormones | | |

| |Antithyroid | | |

| |Beta adrenergic blocking agents | | |

| |Steroids | | |

| |Radioactive iodine | | |

| |Anti-diuretic hormone | | |

| |Thiazide diuretics | | |

| |Restraints | | |

| |Recognition of complications | | |

| |Excessive vasoconstriction | | |

| |Chronic rhinopharyngitis | | |

| |Lipodystrophy | | |

| |Dehydration | | |

| |Addisonian crisis | | |

| |Coma/death | | |

| |Psychosis | | |

| |Osteoporosis | | |

| |Peptic ulcer | | |

| |Pancreatitis | | |

| |Hypertension | | |

| |Shock | | |

| |Metabolic alkalosis | | |

| |Impotence | | |

| |Sepsis/infection | | |

| |Impaired wound healing | | |

| |Body changes | | |

| |Skin/hair/nail changes | | |

| |Dysrhythmias | | |

| |Depression | | |

| |Hallucinations | | |

| |Thyrotoxic crisis | | |

| |Iodism | | |

| |The client will have improved thought processes as evidenced by: | | |

| |Oriented to person, place, time and events | | |

| |Demonstrate no sign and symptoms of dehydration | | |

| |Improved laboratory studies | | |

| |Stable vital signs | | |

| |High risk for postop complications | | |

| |Surgical modalities | | |

| |Adrenalectomy | | |

| |Thyroidectomy | | |

| |Intra-cranial surgery | | |

| |Transsphenoidal hypophysectomy | | |

| |Independent interventions | | |

| |Review all pertinent assessments | | |

| |Nasal care/precautions | | |

| |I&O | | |

| |Vital signs | | |

| |Antiembolic stockings | | |

| |Ankle exercises; ROM | | |

| |Monitor IV/site care | | |

| |Position appropriate for surgery | | |

| |Wound assessment/care | | |

| |See NCP for pain | | |

| |Encourage activity as tolerated | | |

| |Deep breathing | | |

| |Safety considerations | | |

| |Monitor lab values | | |

| |Report unexpected observations | | |

| |Observe for thyroid crisis | | |

| |Collaborative interventions | | |

| |Administer medications and monitor for desired/effects/adverse | | |

| |effects/side effects | | |

| |Antibiotics | | |

| |Narcotics | | |

| |Pain medication | | |

| |Recognition of complications | | |

| |Hemorrhage | | |

| |Infection/wound and systemic | | |

| |Addisonian crisis | | |

| |Delayed wound healing | | |

| |Thyroid storm | | |

| |Community resources | | |

| |Home Health | | |

| |The client will not experience postop complications as evidenced by:| | |

| |Wound healing | | |

| |Vital signs | | |

| |Tolerates diet | | |

| |Laboratory studies | | |

| |No signs/symptoms of cortisone | | |

| |deficit | | |

| | | | |

| | | | |

N:Spring\RNSG 2414 Unit IV-Endocrine System Reviewed 06/11

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