VNSG 1400 Nursing in Health and Illness I
VNSG 1500 Nursing in Health and Illness I
Unit III – Health Restoration for Commonly Occurring Illnesses
|Behavioral Objectives |Content |Learning Opportunities |
|Discuss the assessment of clients with commonly occurring cardiac |Assessment | |
|illnesses. |History | |
| |Physical exam | |
| |Risk factors | |
| |Developmental variations | |
|Identify clinical significance and nursing implications of various tests|Diagnostic tests | |
|and procedures used for diagnosis of commonly occurring cardiac |Other | |
|illnesses. |Blood pressure | |
| |Diagnostics | |
|Differentiate between the etiology, pathophysiology and clinical |Commonly Occurring Cardiac Illnesses |Hopper… Chapter 21, 22 |
|manifestations of selected commonly occurring cardiac problems. |Hypertension | |
|Discuss the planning, implementation, and evaluation in nursing |Nursing management of cardiac problems | |
|management of clients with commonly occurring cardiac health problems. |Independent interventions | |
| |Assist with stress relief | |
| |Encourage maintenance of exercise regimen | |
| |Encourage smoking cessation | |
| |Encourage weight control | |
| |Patient teaching | |
| |Refer to American Heart Association | |
| |Dependent interventions | |
| |Medications | |
| |Diuretics | |
| |Beta-blockers | |
| |Calcium antagonists | |
| |Angiotensin converting enzyme | |
| |Interdependent interventions | |
| |Encourage compliance with sodium restricted diet | |
|Define the terms associated with commonly occurring respiratory |Terms Associated with Commonly Occurring Respiratory Illnesses | |
|illnesses listed in the content column. |Status athmaticus | |
|Discuss the assessment of clients with commonly occurring respiratory |Assessment | |
|illnesses. |History | |
| |Physical exam | |
| |Risk factors | |
| |Developmental variations | |
|Identify clinical significance and nursing implications of various tests|Diagnostic tests | |
|and procedures used for diagnosis of commonly occurring respiratory |Radiology |ABG Worksheet |
|illnesses. |Chest x-ray | |
| |Laboratory studies | |
| |Arterial blood gases | |
| |Other | |
| |Pulmonary function tests | |
| |Pulse oximetry | |
|Differentiate between the etiology, pathophysiology and clinical |Commonly Occurring Respiratory Illnesses |Hopper… Chapter 29, 30, 31 |
|manifestations of selected commonly occurring respiratory problems. |Chronic obstructive pulmonary disease (COPD) | |
| |Asthma |Video |
| |Bronchitis |#1158 “Asthma, Emphysema, & Chronic Bronchitis” |
| |Emphysema | |
|Discuss the planning, implementation, and evaluation in nursing |Nursing management of respiratory problems | |
|management of clients with commonly occurring respiratory health |Independent interventions | |
|problems. |Deep breathing exercises | |
| |Teach pursed lip breathing | |
| |Encourage annual influenza vaccine | |
| |Encourage smoking cessation | |
| |Patient teaching to avoid exposure to infections, irritants, change of | |
| |temperature | |
| |Incentive spirometry | |
| |Positioning for optimal breathing | |
| |Provide humidification | |
| |Encourage fluids | |
| |Provide emotional support | |
| |Refer to American Lung Association | |
| |Dependent interventions | |
| |Medications | |
| |Bronchodilators | |
| |Corticosteroids | |
| |Expectorants | |
| |Low flow oxygen therapy | |
| | | |
| |Interdependent interventions | |
| |Monitor ABGs | |
| |Chest physiotherapy | |
|Define the terms associated with commonly occurring neurological |Terms Associated with Commonly Occurring Neurological Illnesses | |
|illnesses listed in the content column. |Aphasia | |
| |Dysphagia | |
| |Hemiplegia | |
| |Hemiparesis | |
| |Increased intracranial pressure | |
|Discuss the assessment of clients with commonly occurring neurological |Assessment | |
|illnesses. |History | |
| |Physical exam | |
| |Risk factors | |
| |Developmental variations | |
|Identify clinical significance and nursing implications of various tests|Diagnostic tests | |
|and procedures used for diagnosis of commonly occurring neurological |Radiology | |
|illnesses. |Cerebral arteriogram | |
| |Other | |
| |Basic neurological exam | |
| |Carotid Doppler studies | |
|Differentiate between the etiology, pathophysiology and clinical |Commonly Occurring Neurological Illnesses |Hopper… Chapter 49 |
|manifestations of selected commonly occurring neurological problems. |Cerebrovascular accident |Video |
| |Thrombolytic/embolic stroke |#999 “CVA” |
| |Hemorrhagic stroke | |
| |Transient ischemic attack (TIA) | |
|Discuss the planning, implementation, and evaluation in nursing |Nursing management of neurological problems | |
|management of clients with commonly occurring neurological health |Independent interventions | |
|problems. |Perform frequent neurochecks | |
| |Monitor for signs of increasing intracranial pressure (ICP) | |
| |Prevent contractures, pressure ulcers, thrombosis | |
| |Proper positioning/turning | |
| |Range of motion exercises | |
| |Implement guidelines for communicating with patient with aphasia | |
| |Implement guidelines for working with patient with dysphagia, | |
| |hemianopsia, unilateral neglect, and perceptual problems | |
| |Prevent aspiration | |
| |Assist with bowel & bladder retraining | |
| |Patient teaching to prevent CVA | |
| |Dependent interventions | |
| |Medications | |
| |Anticoagulant therapy if indicated | |
| |Antihypertensive therapy | |
| |Interdependent interventions | |
| |Assist interdisciplinary team with rehabilitation plan | |
| | | |
| | | |
| | | |
| | | |
|Discuss nursing care for clients having surgeries involving commonly |Surgeries | |
|occurring neurological health problems. |Carotid endarterectomy | |
|Define the terms associated with commonly occurring endocrine illnesses |Terms Associated with Commonly Occurring Endocrine Illnesses | |
|listed in the content column. |Hyperglycemia | |
| |Hypoglycemia | |
| |Polydipsia | |
| |Polydysphagia | |
| |Polyuria | |
|Discuss the assessment of clients with commonly occurring endocrine |Assessment | |
|illnesses. |History | |
| |Physical exam | |
| |Risk factors | |
| |Developmental variations | |
|Identify clinical significance and nursing implications of various tests|Diagnostic tests | |
|and procedures used for diagnosis of commonly occurring endocrine |Laboratory studies | |
|illnesses. |Blood glucose monitoring –glucometer | |
| |Fasting blood sugar | |
| |Glycosylated hemoglobin | |
| |Oral glucose tolerance test | |
| |Urine ketone testing | |
| | | |
| | | |
|Differentiate between the etiology, pathophysiology and clinical |Commonly Occurring Endocrine Illnesses |Hopper… Chapter 40 |
|manifestations of selected commonly occurring endocrine problems. |Diabetes mellitus |VIDEO TVCC Website |
| |Type I diabetes | |
| |Type II diabetes |Diabetes in Clinical Practice |
|Discuss the planning, implementation, and evaluation in nursing |Nursing management of endocrine problems | |
|management of clients with commonly occurring endocrine health problems.|Independent interventions | |
| |Patient teaching | |
| |Foot care | |
| |Promoting proper hygiene | |
| |Promoting exercise regimen | |
| |Promote compliance | |
| |Assist with individual/family coping |VIDEO TVCC Website |
| |Weight control | |
| |Refer to community resources |Diabetes in Clinical Practice |
| |American Diabetes Association | |
| |Living Well with Diabetes | |
| |Juvenile Diabetes Foundation | |
| |Diabetes self management |** Required Drug Card Comparison ** |
| |Monitor for signs/symptoms of complications |Insulin Comparisons |
| |Diabetic ketoacidosis |Humalog |
| |Hyperglycemic, hyperosmolar, nonketotic coma |Regular |
| |Dependent interventions |NPH |
| |Medications |Lente |
| |Insulin therapy |Protamine Zinc Insulin |
| |Oral hypoglycemic agents | |
| |Replacement fluids/electrolytes | |
| |Interdependent interventions | |
| |Dietary management | |
|Discuss the assessment of clients with commonly occurring |Assessment | |
|musculoskeletal illnesses. |History | |
| |Physical exam | |
| |Risk factors | |
| |Developmental variations | |
|Identify clinical significance and nursing implications of various tests|Diagnostic tests | |
|and procedures used for diagnosis of commonly occurring musculoskeletal |Radiology | |
|illnesses. |X-ray of hip | |
|Differentiate between the etiology, pathophysiology and clinical |Commonly Occurring Musculoskeletal Illnesses |Hopper… Chapter 46 |
|manifestations of selected commonly occurring musculoskeletal problems. |Fractured hip | |
| | | |
|Discuss the planning, implementation, and evaluation in nursing |Nursing management of musculoskeletal problems |Video: |
|management of clients with commonly occurring musculoskeletal health |Independent interventions | |
|problems. |Frequent neurovascular checks |#1151 “Impaired Mobility:The Nurses Role” |
| |Prevent external rotation | |
| |Avoid adduction |#1152 “Impaired Mobility:Physical Consequences” |
| |Maintain affected extremity in alignment | |
| |Proper positioning & turning |#1148 “Pre & Post-op Care of the Orthopedic Patient – Hip Fracture" |
| |Prevent complications of immobility | |
| |Turn, cough, & deep breathing |#1149 “Pressure, Shear, & Friction: Prevention & Intervention” |
| |Provide trapeze | |
| |Monitor for complications |#1150 “Pressure, Shear, & Friction: Assessing Risks” |
| |Dependent interventions | |
| |Traction |#1109 “Assisting with Casts & Traction” |
| |Dressing changes after surgery | |
| |Interdependent interventions | |
| |Pain management | |
| |Assist with physical therapy plan | |
|Discuss nursing care for clients having surgeries involving commonly |Surgeries | |
|occurring musculoskeletal health problems. |Open reduction/internal fixation of hip | |
|Define the terms associated with commonly occurring oncologic illnesses |Terms Associated with Commonly Occurring Oncological Illnesses | |
|listed in the content column. |Alopecia | |
| |Anorexia | |
| |Carcinogen | |
| |Cytology | |
| |Extravasation | |
| |Leukocytosis | |
| |Leukopenia | |
| |Metastasis | |
| |Stomatitis | |
| |Thrombocytopenia | |
| | | |
| | | |
|Discuss the assessment of clients with commonly occurring oncologic |Assessment |Hopper… Chapter 11 |
|illnesses. |History | |
| |Physical exam | |
| |Risk factors | |
| |Developmental variations | |
|Identify clinical significance and nursing implications of various tests|Diagnostic tests | |
|and procedures used for diagnosis of commonly occurring oncologic |Radiology | |
|illnesses. |Computed tomography (CT) | |
| |Magnetic Resonance Imaging (MRI) | |
| |Mammogram | |
| |Laboratory studies | |
| |Papanicolaou test (Pap) | |
| |CA-125 | |
| |Prostate Screening Antigen (PSA) | |
| |Complete blood count | |
| |Other | |
| |Breast self exam (BSE) | |
| |Biopsy | |
| |Testicular self-exam (TSE) | |
| |Rectal digital exam | |
|Differentiate between the etiology, pathophysiology and clinical |Commonly Occurring Oncologic Illnesses |Hopper… Chapter 11, 28, 42, 43, |
|manifestations of selected commonly occurring oncologic problems. |Breast cancer | |
| |Vaginal cancer | |
| |Cervical cancer | |
| |Ovarian cancer | |
| |Prostate cancer | |
| |Testicular cancer | |
| |Hodgkin’s disease | |
|Discuss the planning, implementation, and evaluation in nursing |Nursing management of oncologic problems | |
|management of clients with commonly occurring oncologic health problems.|Independent interventions | |
| |Patient teaching about prevention/ warning signs | |
| |Assist with individual/family coping | |
| |Assist with maintaining nutritional status | |
| |Prevention of infection | |
| |Refer to community resources | |
| |Reach to Recovery | |
| |American Cancer Society | |
| |Living with Cancer | |
| |I Can Cope | |
| |Hospice | |
| |Interdependent interventions | |
| |Radiation therapy | |
| |External | |
| |Internal | |
| |Nursing implications | |
| |Safety precautions | |
| |Managing side effects of radiation | |
| |Chemotherapy | |
| |Managing side effects | |
| |Leukopenia | |
| |Thrombocytopenia | |
| |Nausea/vomiting | |
| |Stomatitis | |
| |Alopecia | |
| |Care of implanted venous ports | |
| |Pain management | |
|Discuss nursing care for clients having surgeries involving commonly |Surgeries | |
|occurring oncologic health problems. |Hysterectomy | |
| |Mastectomy | |
| |Prostatectomy | |
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