Behavioral Objectives



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

|Apply the terms listed in the content |Application of terms | |Readings: |

|column appropriate to the patient |Polydipsia | |McKinney |

|situations involving the endocrine system. |Polyphagia | |Adams |

| |Polyuria | |Lewis |

| |Sensorium | | |

| |Kussmal respirations | |TVCC Library – Nursing Education on Video |

|Compare and contrast the normal anatomy and|Euglycemia | | |

|physiology to the pathophys-iology of | | | |

|selected endocrine system disease processes|Anatomy & Physiology of Endocrine System | |Diabetes in Clinical Practice |

|in the content column. |Developmental considerations | | |

| |Infant | | |

| |Child | | |

| |Adolescent | |Medcom Videos: cc |

| |Adult | | |

| |Older adult | | |

| |Pathophysiology of endocrine | | |

|Analyze factors included in the assessment |system | |Medcom Videos: cc |

|of the patient experiencing commonly |Fluid & electrolyte imbalance | |VCR: |

|occurring endocrine system problems, | | | |

|including the developmental and cultural |Selected commonly occurring endocrine | | |

|considerations. |Problems | | |

| |Interview | | |

| |Chief complaint | | |

| |Precipitating event | | |

| |Medical history | | |

| |Family/ Social/occupational | | |

| |history | | |

| |Medication history | | |

| |(prescription/nonprescription) | | |

| |Knowledge of health | | |

| |maintenance | | |

| |Risk factors | | |

| |Physical exam – pancreatic endocrine system | | |

| |Skin turgor | | |

| |Buccal mucosa | | |

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| |Intake & output | | |

| |Level of consciousness | | |

| |Feet | | |

| |Diagnostic tests | | |

| |Laboratory studies | | |

| |Electrolytes | | |

| |Glycosylated hemoglobin | | |

| |Blood glucose | | |

| |Urine | | |

| |Ketones | | |

| |Specific gravity | | |

| |Other | | |

| |Cultural influences | | |

| |Hereditary | | |

| |Environmental | | |

| |Health beliefs/practices | | |

| |Developmental | | |

| |Age specific assessment data | | |

| |Vital signs | | |

| |Fluid /electrolytes | | |

| |Nutritional | | |

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

|Differentiate between the etiology, | | | |

|pathophysiology, and clinical |Commonly Occurring Endocrine Problems | | |

|manifestations of selected commonly |Pancreatic endocrine | | |

|occurring endocrine disease processes. |Diabetes Mellitus | | |

| |Insulin Dependent Diabetes Mellitus (IDDM) (Type 1) | | |

| |Non-Insulin Dependent Diabetes Mellitus (NIDDM) (Type | | |

| |2) | | |

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|Discuss analysis, planning, implementation,|Selected Nursing Diagnoses / Implementation / Evaluation| | |

|and evaluation for the nursing management | | | |

|of patients with commonly occurring |Fluid / Electrolyte Imbalance | | |

|selected endocrine disease processes. |Independent interventions | | |

| |Age related hydration status | | |

| |Monitor pertinent diagnostic | | |

| |tests | | |

| |Maintain skin integrity | | |

| |Intake and output | | |

| |Weight | | |

| |Vital signs | | |

| |Sensorium | | |

| |Adhere to standard | | |

| |precautions | | |

| |Collaborative interventions | | |

| |Administer replacement | | |

| |fluids | | |

| |Oral replacement solutions | | |

| |Intravenous fluids | | |

| |Electrolytes | | |

| |Administer medications and monitor for | | |

| |desired/side/adverse effects | | |

| |Insulin preparations | | |

| |Oral antidiabetic agents | | |

| |Recognition of complications | | |

| |Hypoglycemia | | |

| |Hyperglycemia | | |

| |Long term complications of | | |

| |diabetes | | |

| |Microvascular | | |

| |Macrovascular | | |

| |Neuropathic | | |

| |Infection/sepsis | | |

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| |Evaluation of Outcomes: The patient will have improved | | |

| |fluid and electrolyte balance as evidenced by: | | |

| |Hydration status | | |

| |Improved laboratory studies | | |

| |Intake and output | | |

| |Bowel/urinary elimination | | |

| |Vital signs | | |

| |Altered health maintenance: Knowledge deficit regarding| | |

| |diabetes | | |

| |Patient teaching | | |

| |Assess readiness to learn, | | |

| |ability, and knowledge | | |

| |level | | |

| |Reportable signs / symptoms | | |

| |Hypoglycemia | | |

| |Hyperglycemia | | |

| |Medication | | |

| |Insulin injection techniques | | |

| |Oral agents | | |

| |Exercise | | |

| |Foot care | | |

| |Sick day management. | | |

| |rules/ | | |

| |Dental care | | |

| |Blood glucose monitoring | | |

| |American Dietary Association | | |

| |(meal planning) | | |

| |Safety precautions | | |

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| | | | |

| | | | |

| |Community Resources | | |

| |a. American Diabetes | | |

| |Association | | |

| |b. Podiatrist | | |

| |Home Health | | |

| |Diabetes Educator | | |

| |3. Evaluation of Outcomes: The patient will have | | |

| |improved health maintenance as evidenced by: | | |

| |Identifying reportable | | |

| |signs and symptoms | | |

| |Hypoglycemia | | |

| |Hyperglycemia | | |

| |Describing the purpose, | | |

| |correct administration and side effects of medications | | |

| |Demonstrate insulin injection administration | | |

| |Demonstrate use of blood | | |

| |glucose monitor | | |

| |Demonstrate proper foot care | | |

| |Adheres to prescribed diet | | |

| |Utilizes appropriate members of health care team | | |

| |Participates in prescribed exercise program | | |

| |Utilizes community resources | | |

N:\ADN \Unit IV Part E - Endocrine Revised 11/12

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