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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