date credits course number co-requisite (s) out of...

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Date Credits

Course Title Medical-Surgical Nursing-Clinical Experience II

Course Number PN 115 Theory Segment

Pre-requisite (s) PN 114 Co-requisite (s) Clinical Segment

Hours 85 Hours Out of Class Work Assignment hours

26 Hours

Place and Time of Class Meeting

Location: Express Training Services, 3911 Newberry Road, Gainesville, FL., 32607 Time: Classroom: Tuesday, Thursday and Friday 5:00PM-10:00PM

Name and Contact Information of Instructor

Brenda Ray RN 1-765-480-1099 [email protected]

Book Required

(Express Training Services recognizes the use of the textbook in the classroom as part of the educational methodology and strategy applied in diverse materials. The textbook is part of the curriculum and is used to reach the student in an effective manner in the classroom. Every student is expected to acquire and use the textbook.) Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 ISBN- 978-0803640689 Understanding Medical Surgical Nursing Workbook, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 ISBN- 978-0803640696

Classroom expectations for students

Attendance Policy

Students are responsible for following school policy on attendance. Students must attend 90% of their class. Students who miss 10% of their class must meet with their instructor before attending the next class session. Students who miss more than 10% of their classes will be dropped from the class, forfeit all equipment fees, and must have written approval from the Director of Admissions to re-enroll. The tuition will be refunded in accordance with the refund policy in the catalog. Clinical days may not be missed and must be made up. Two make up clinical days will be permitted per class unless there are extenuating circumstances.

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Students with extenuating circumstances, including but not limited to, hospital confinement, personal problems, and extended illness, may appeal to the Director of Admissions for any exceptions to the absence rule. Documentation of the extenuating circumstances may be required

Student Tardiness Policy

A student is considered tardy/late if he/she comes to class five minutes late. With three tardies the student accumulates one full absence. If the student misses half of the class period, it is a full absence. When a student has more than three tardies, the instructor will contact the Director of Education and request and intervention session with the student. The goal of the intervention session is to develop and implement an intervention program to help students learn new ways to save and manage time. NOTE: Plagiarism is defined as the use, without proper acknowledgment, of the ideas, phrases, sentences, or larger units of discourse from another writer or speaker. Plagiarism includes the unauthorized copying of software and the violation of copyright laws. Students who commit plagiarism will obtain a grade of “Failure” on their exam or assignment.

Course Description

The purpose of this course is to provide the student practical nurse with the necessary knowledge to care for clients with disorders and diseases of all the systems of the body. Clinical opportunities within medical and surgical acute care settings will be provided. The practical nurse’s role in assisting with the client care plan and the importance of clear, concise observation, reporting and documentation is stressed. The importance of maintaining the nutritional needs of the medical surgical clients will be learned in the classroom and applied in the clinical setting. Medication theory related specifically to medical surgical nursing will be learned in the classroom and applied to practice in the clinical setting in a progressive manner. An emphasis on a client centered holistic approach to nursing care will be stressed at all times, also to involve the family in education if applicable. Prerequisite: Successful completion (grade of B or better) of PN114

Learning Objectives

Upon completion of the course, students are able to:1. Identify basic needs of medical surgical clients and apply components of the

nursing process to develop a plan of care to meet those needs. 2. Identify nursing care that contributes to the enhancement of the health care

delivery setting and protects clients and health care in collaboration with the healthcare team members in a protective safe environment as related to, intravenous therapy, the surgical client, and medication administration, the study of body systems and related disease processes.

3. Relate the role of the practical nurse in the promotion of physical health and well-being in providing care and comfort, reducing risk potential for clients, and assisting them with the management of health alterations in the performance of activities of daily living, administering medications, monitoring intravenous therapies, reducing the development of complications related to treatments,

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procedures or existing conditions, and providing care in clients with acute, chronic, or life-threatening health conditions

4. Discuss client’s ability to cope, adapt and problem solve health related events. 5. Identify safety and infection control procedures to protect clients and health care

personnel. 6. Use reflective and critical thinking skills used within the nursing process. 7. Identify the legal, ethical, and professional responsibilities of a vocational nurse as

a member of the health care team in a variety of health care settings. 8. Discuss professional behavior, including accountability, responsibility, and honesty. 9. Discuss the responsibilities of the vocational nurse related to documentation of

client care. 10. List examples of attitudes and behaviors that demonstrate caring in nursing. 11. Discuss the components of the nursing process relating to primary nursing

interventions. 12. Identify the scientific rationale necessary to meet the basic physical, psychosocial

and cultural needs of all clients based on evidence-based practice.

Topical Outline and Schedule

DATE Classroom DAY 1

SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015; Chapter 11--Nursing Care of the with Cancer; Chapter 12—Nursing Care of the Patient Having Surgery From each chapter the student will be able to respond to Course Objectives

and: Chapter 11

Explain the normal structures and functions of the cell.

Describe changes that occur in a cell when it becomes malignant

Identify commonly used chemotherapeutic agents.

Discuss the special nursing needs of the patient receiving chemotherapy or radiation therapy.

Identify data to collect when caring for patients with cancer.

Recognize common oncological emergencies and related nursing care.

Discuss how you will know if your nursing interventions have been effective.

Describe the role of hospice in providing care for patients with advanced cancer.

Chapter 12

Describe the factors that influence surgical outcomes.

Identify the LPN/LVN role in each perioperative phase.

Explain the LPN/LVN role in obtaining informed patient consent.

Develop a teaching plan to enhance learning for the older preoperative

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patient.

Identify nursing interventions used for common postoperative patient needs.

Describe how to evaluate effectiveness of nursing interventions.

List signs and symptoms of common postoperative complications.

List the criteria for ambulatory discharge.

Describe the role of the home health nurse in caring for postoperative patients.

TOPIC (S) Library Orientation Chapter 11--Nursing Care of the with Cancer; Chapter 12—Nursing Care of the Patient Having Surgery; Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

LEARNING ACTIVITIES

Discussion of Syllabus –

Cover assignments for Day 2

Lecture over Chapters 11 & 12 topics

Open discussion over Chapters 11 & 12 topics and assignment for Day 2

OUT OF CLASS WORK ASSIGNMENTS

Homework:

Review readings from Textbook covered in class today Chapter 11--Nursing Care of the with Cancer; Chapter 12—Nursing Care of the Patient Having Surgery in preparation of QUIZ on Day 2

Read and be prepared for classroom Day 2 discussion of Textbook Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

Chapter 18—Immune System Function, Assessment, and Therapeutic Measures; pp 324-338

Chapter 19—Nursing Care of Patients with Immune Disorders; Chapter; pp 339-361

20—Nursing Care of the Patient with HIV Disease and AIDS, pp 362-387


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 Chapter 18

Identify the type of immunity that is obtained with a vaccine.

Describe the two mechanisms of immunity.

Discuss the function of each class of immunoglobulin and how each behaves in a particular immune response.

Describe how aging affects the immune response.

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Explain subjective data that are collected when caring for a patient with a disorder of the immune system.

Explain the objective data that are collected when caring for a patient with a disorder of the immune system.

Describe nursing care provided for patients undergoing diagnostic tests for the immune system.

Discuss common therapeutic measures used for disorders of the immune system.

Chapter 19

Explain the immunological mechanism for the four types of hypersensitivities.

Explain the pathophysiology of disorders of the immune system.

Identify the etiologies, signs, and symptoms of immune system disorders.

Plan nursing care for patients undergoing tests for immune disorders.

Describe current medical treatments for immune system disorders.

List data collected when caring for patients with disorders of the immune system.

Plan nursing care for patients with disorders of the immune system.

Evaluate effectiveness of nursing interventions. Chapter 20

Define human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS).

Explain how HIV is transmitted.

List how HIV is diagnosed.

Describe the prognosis for HIV and acquired immunodeficiency syndrome (HIV).

Develop a teaching plan for prevention of an HIV infection.

Identify prevention measures used to decrease infection and opportunistic diseases for patients with HIV.

Develop a teaching plan for a patient with HIV receiving antiretroviral therapy.

Plan nursing care for patients with HIV/AIDS related to medications, coinfection prevention, and maintaining nutritional status.

Topics Quiz on Chapters 11 and 12

Lecture on Chapter 18—Immune System Function, Assessment, and

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Therapeutic Measures; pp 324-338

Lecture on Chapter 19—Nursing Care of Patients with Immune Disorders; Chapter; pp 339-361

Lecture on Chapter 20—Nursing Care of the Patient with HIV Disease and AIDS, pp 362-387

LEARNING ACTIVITIES

Cover assignments for classroom Day 3

Lecture over Chapters 18-20 pp 324-387

Open discussion over Chapters 18-20

Assignment for classroom Day 3


Homework:

Review readings from Textbook covered in class today Chapters 18-20; pp 324 thru 387 in preparation for QUIZ on classroom Day 3:

Read and be prepared for class discussion for classroom Day 3 Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015;

Chapter 21—Cardiovascular System Function, Assessment, and Therapeutic Measures, pp 388 thru 416;

Chapter 22—Nursing Care of the Patient with Hypertension, pp 417 thru 431

Chapter 23—Nursing Care of Patients with Valvular, Inflammatory, and Infectious Cardiac and Venous Disorders, pp 432-461


SPECIFIC OBJECTIVES

Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

Chapter 21

Identify normal anatomy of the cardiovascular system.

Explain the normal function of the cardiovascular system.

List data to collect when caring for a patient with a disorder of the cardiovascular system.

Identify diagnostic tests commonly performed to diagnose disorders of the cardiovascular system.

Plan nursing care for patients undergoing diagnostic tests for cardiovascular disorders.

Describe current therapeutic measures for disorders of the cardiovascular system.

Describe preoperative and postoperative care of patients undergoing cardiac surgery.

Chapter 22

Explain the pathophysiology of hypertension.

Identify causes and risk factors for hypertension.

List signs and symptoms of hypertension.

Describe therapeutic measures for hypertension.

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Define classification and treatment recommendations for hypertension in adults.

Define hypertensive emergency.

List common complications of hypertension.

Plan nursing care for patients with hypertension.

Evaluate effectiveness of nursing interventions. Chapter 23

Explain the pathophysiology, etiology, signs and symptoms, and diagnostic tests for each of the valvular disorders.

Plan nursing care for a patient with a valvular disorder.

Compare and contrast the differences between commissurotomy, annuloplasty, and valve replacement.

Identify postoperative complications that can occur for the two types of cardiac valve replacement.

Explain the pathophysiology, etiology, signs and symptoms, diagnostic tests, therapeutic measures, and nursing care for infective endocarditis, pericarditis, and myocarditis.

Explain the pathophysiology, etiology, signs and symptoms, diagnostic tests, therapeutic measures, and nursing care for dilated, hypertrophic, and restrictive cardiomyopathy.

Explain the pathophysiology, etiology, signs and symptoms, diagnostic tests, and therapeutic measures for thrombophlebitis.

List risk factors and prevention measures for thrombophlebitis.

Plan nursing care for thrombophlebitis.

TOPIC (S) Quiz on Chapter 18—Immune System Function, Assessment, and Therapeutic Measures; pp 324-338; Chapter 19—Nursing Care of Patients with Immune Disorders; Chapter; pp 339-361;20—Nursing Care of the Patient with HIV Disease and AIDS, pp 362-387 Discuss List of Topics/Objectives

Lectures on:

Chapters: Chapter 21—Cardiovascular System Function, Assessment, and Therapeutic Measures, pp 388 thru 416;

Chapter 22—Nursing Care of the Patient with Hypertension, pp 417 thru 431

Chapter 23—Nursing Care of Patients with Valvular, Inflammatory, and Infectious Cardiac and Venous Disorders, pp 432-461

Open discussion of Chapters 21,22, and 23.

LEARNING ACTIVITIES


Lecture over Chapter 21-23 topics

Open discussion over Chapter 21-23 topics

OUT OF CLASS WORK

Homework: Review Chapters readings from Textbook covered in class today: Chapters 21, 22, and 23; pp 388 thru 461 in preparation for QUIZ on Day 4

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ASSIGNMENTS Read and be prepared to discuss from the text: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 the following chapters:

Chapter 24-Nursing Care of Patients with Occlusive Cardiovascular Disorders, pp 462-498

Chapter 25-Nursing Care of Patients with Cardiac Dysrhythmias, pp499-520

Chapter 26-Nursing Care of Patients with Heart Failure, pp 545


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 Chapter 24

Explain the etiologies, signs, symptoms, and therapeutic measures of coronary artery disease, angina pectoris, and myocardial infarction.

List data to collect for patients with coronary artery disease, angina pectoris, or myocardial infarction.

Describe what therapeutic measures are used to treat coronary artery disease, angina pectoris, and myocardial infarction.

Explain the etiologies, signs, and symptoms for each of the peripheral vascular disorders.

Identify therapeutic measures used to treat peripheral vascular disorders.

Plan nursing care for patients with a peripheral vascular disorder

Chapter 25

Describe how electrical activity flows through the heart.

List the six steps used for dysrhythmia interpretation

Identify types of cardiac pacemakers and implantable cardioverter defibrillators and their uses.

Plan nursing care for patients with a dysrhythmia.

Plan nursing care for a patient with an implanted device. Chapter 26

Describe the pathophysiology of left- and right-sided heart failure.

Define acute heart failure.

List causes of acute and chronic heart failure.

Identify signs and symptoms of acute and chronic heart failure.

Plan nursing care for patients undergoing diagnostic tests for heart failure.

Explain medical treatments used for acute and chronic heart failure.

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Plan teaching for patients with heart failure and their families.

TOPIC (S)

LEARNING ACTIVITIES

Lecture over Chapters:

24-Nursing Care of Patients with Occlusive Cardiovascular Disorders

Chapter 25-Nursing Care of Patients with dysrhythmias

Chapter 26-Nursing of the Patient with Heart Failure

Open discussion over Chapters 24, 25, and 26. Cover preparation for Class Day 5


Homework:

Review readings from Textbook covered in class today Chapters 24,25, and 26, pp 462-545 preparing for QUIZ on Day 5

Read and be prepared to discuss in classroom on Day 5: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

Chapter 27-Hematological and Lymphatic System Function, Assessment, and Therapeutic Measures, pp 548-589

Chapter 28-Nursing Care of Patients with Hematological and Lymphatic Disorders, pp 562-589


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 From each chapter the student will have an understanding and be able to respond to Course Objectives regarding: Chapter 27

List the components of blood.

List the components of the lymphatic system.

Describe how components in the blood and lymph system manifest as disease processes.

Describe the sequence of events in the process of blood clotting

Identify data to collect when caring for a patient with a disorder of the hematological or lymphatic systems.

Identify laboratory and diagnostic studies that are used when evaluating the hematological and lymphatic systems.

List common therapies measures used for patients with hematological and lymphatic disorders.

Discuss the role of the LPN/LVN in administering blood products. Chapter 28

Explain the pathophysiology of each of the hematological and lymphatic disorders discussed in this chapter.

Describe the etiologies, signs, and symptoms of each disorder.

Identify tests used to diagnose each of the disorders.

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Describe current therapeutic measures for each disorder.

List data you should collect when caring for patients with disorders of the hematological or lymphatic systems.

Plan nursing care for patients with hematologic disorders.

Plan nursing care for patients with lymphatic disorders.

Explain how you will know if your nursing interventions have ben effective.

Describe precautions you should institute to prevent bleeding in patients with clotting disorders.

Identify nursing care and teaching you will provide for patients undergoing a splenectomy.

TOPIC (S) QUIZ on Chapters 24,25, and 26 Discuss topics of objectives for this class

LEARNING ACTIVITIES


Lecture over Chapters 27 and 28.

Open discussion over Chapter 27 and 28 topic

Discuss assignment for Day 6


Homework:

Review readings from Textbook covered in class today Chapter 27-Hematological and Lymphatic System Function, Assessment, and Therapeutic Measures, pp 548-589 and Chapter 28-Nursing Care of Patients with Hematological and Lymphatic Disorders, pp 562-589 in preparation for Quiz in Class 6

Read and be prepared for class discussion for classroom Day 6 Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015;

Chapter 29-Respiratory System Function, Assessment, and Therapeutic Measures; pp. 592-624

Chapter 30-Care of the Patient with Upper Respiratory Tract Disorders; pp 625-640

Chapter 31-Nursing Care of Patients with Lower Respiratory Tract Disorders; pp641-683


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015; From each chapter the student will be able to respond to Course Objectives and: Chapter 29

Describe the normal structures and functions of the respiratory system.

Identify how aging affects the respiratory system.

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List data to collect when caring for a patient with a respiratory disorder.

Recognize expected findings when inspecting, palpating, percussing, and auscultating the chest.

Identify common diagnosis tests performed to diagnose disorders of the respiratory system.

Plan nursing care for patients undergoing each of the diagnostic tests.

Discuss therapeutic measures used to help patients with respiratory disorders.

. Chapter 30

Explain the pathophysiology of disorders of the upper respiratory tract.

Describe etiologies, signs and symptoms of disorders of the upper respiratory tract.

Describe current therapeutic measures for disorders of the upper respiratory tract.

Plan nursing care for the patient with an upper respiratory disorder

Discuss how you will know if your care has been effective.

Identify the special needs of the patient who has undergone a laryngectomy.

Chapter 31

Explain the pathophysiology of each of the disorders of the lower respiratory tract.

Describe etiologies, signs and symptoms of disorders.

Identify tests that are used to diagnose lower respiratory disorders.

Describe therapeutic measures used for disorders of the lower respiratory tract.

List data to collect when caring for patients with disorders of the lower respiratory tract.

Plan nursing care for patients with disorders of the lower respiratory tract.

Identify interventions for patients experiencing impaired gas exchange, ineffective airway clearance, or ineffective breathing patterns.

Explain how you will know if your nursing interventions have been effective.

TOPIC (S) QUIZ on Chapters 27 and 28: pp 548-589 Discuss topics an objectives for this class

LEARNING ACTIVITIES


Lecture over Chapters 29, 30, and 31

Open discussion over Chapters 29, 30, and 31

OUT OF CLASS Homework:

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WORK ASSIGNMENTS

Review readings from Textbook covered in class today—Chapters 29, 30, and 31 for Midterm on Day 7 in addition to all previously covered chapters (Days 1 through 6)

Read and be prepared for classroom Day 7: Textbook Chapter 37 –Hematologic and Lymphatic Systems pp 1115-1145-

Foundations of Nursing, 3rd Ed Prepare for MIDTERM DAY 21 covering Chapters 32, 33, 34, 44, 45, 47, 35, and 36.

DATE Classroom MIDTERM DAY 7

SPECIFIC OBJECTIVES

Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 Chapter 32

List the structures of the gastrointestinal tract and of the accessory glands: liver, gallbladder, and pancreas

Describe the functions of each organ of the gastrointestinal tract and of the accessory glands: liver, gallbladder, and pancreas.

Discuss how age affects the gastrointestinal tract and the accessory glands.

List data to collect when caring for a patient with a disorder of the gastrointestinal system, liver, gall bladder, or pancreas.

Differentiate normal and abnormal data collection findings.

Explain techniques used to conduct a physical examination of the abdomen.

Plan nursing care for patients having diagnostic tests of the gastrointestinal tract.

Explain types of nasogastric tubes and their uses.

Plan nursing care for insertion and maintenance of nasogastric tubes.

Describe therapeutic measures used for patients with gastrointestinal diseases.

Chapter 33

Explain nausea, vomiting, anorexia, anorexia nervosa, and bulimia nervosa.

Describe therapeutic measures and nursing care for nausea, vomiting, anorexia, anorexia nervosa, and bulimia nervosa.

Describe medical, surgical, and nursing management for obesity.

Plan nursing care for a patient with stomatitis

Plan nursing care for patients with acute or chronic gastritis.

Explain the pathophysiology, signs and symptoms, and diagnostic testing for hiatal hernia, peptic ulcer disease, gastric bleeding, and gastric cancer.

List current pharmacological treatments used for peptic ulcer disease.

Plan nursing care for patients with hiatal hernia, peptic ulcer disease,

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gastric bleeding, and gastric cancer.

TOPIC (S) MIDTERM covers Chapters 11,12,18-31 from Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

LEARNING ACTIVITIES

Take Midterm Exam

Lecture over Chapters 32 and 33; pp 686-743

Open discussion over 32 and 33 topics

Review assignments for Day 8


Homework:

Review readings from Textbook covered in class today Chapter 32 and 33 and be prepared for quiz on Chapters 32 and 33; pp. 686-743

Read and be prepared for classroom Day 8 by reading and being prepared to discuss Chapters 34 and 35; pp 744-808


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 From each chapter the student will be able to respond to Course Objectives and: Chapter 34

List data to collect when caring for patients with gastrointestinal disorders.

Identify the causes, signs and symptoms, and therapeutic measures of constipation and diarrhea.

Plan nursing care and teaching for patients with constipation and diarrhea.

Describe pathophysiology, therapeutic measures, nursing care, and teaching for patients with inflammatory and infectious disorders of the lower gastrointestinal tract.

Describe pathophysiology, therapeutic measures, nursing care, and teaching for patients with inflammatory bowel disease.

Plan nursing care for an abdominal hernia.

Plan nursing care and teaching for patients with absorption disorders.

Describe cause, signs and symptoms, therapeutic measures, and nursing care for intestinal obstruction.

Plan nursing care for anorectal problems.

Describe cause, signs and symptoms, therapeutic measures, and nursing care for gastrointestinal bleeding.

Describe cause, signs and symptoms, therapeutic measures, and nursing care for colon cancer.

Plan nursing care and teaching for a patient with an ostomy.

Discuss how to know if nursing care for various lower gastrointestinal disorders is effective.

Chapter 35

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Explain the causes, risk factors, and pathophysiology of the various types of liver disease.

Describe therapeutic measures used for patients with liver disease.

Plan nursing care for the patient experiencing a liver disorder.

Explain the causes, risk factors, and pathophysiology of the various types of pancreatic disorders.

Plan nursing care for a patient experiencing a pancreatic disorder.

Explain the causes, risk factors, and pathophysiology of gallbladder disorders.

Describe therapeutic measures used for patients with gallbladder disorders.

Plan nursing care for the patient with a gallbladder disorder.

TOPIC (S) Quiz on Chapters 32 and 33; pp 686-742 from Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 Chapters 34-Nursing Care of the Patient with Lower Gastrointestinal Disorders; pp744-778 and Chapter 35-Nursing Care of the Patient with Liver, Pancreatic, and Gallbladder Disorders from Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

LEARNING ACTIVITIES


Lecture over Chapter 34 and 35

Open discussion over Chapter 34 and 35

Topics and assignment for Day 9


Homework:

Review readings from Textbook covered in class today; be prepared for quiz on Chapters 34- and 35- from Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015

Read and be prepared to discuss Chapters 36 and 37


SPECIFIC OBJECTIVES

From each chapter of Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015 the student will be able to respond to Course Objectives and:

Identify the normal anatomy of the urinary system.

Describe the normal function of the urinary system.

Discuss the effects of aging on the urinary system.

List data to collect when caring for a patient with a disorder of the urinary system.

Plan preparation and postprocedure care for the patient undergoing diagnostic testing of the urinary system.

Plan nursing care for patients with incontinence.

Discuss nursing actions to describe the risk of infections in the urinary catheterized patients. Chapter 37

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Explain the predisposing causes, symptoms, laboratory abnormalities, and treatment of urinary tract infections (UTIs).

Explain the predisposing causes, symptoms, treatment, and teaching for kidney stones.

List risk factors and signs and symptoms of cancer of the bladder.

List risk factors and signs and symptoms of cancer of the kidneys.

Discuss nursing care for a patient with an ileal conduit or continent reservoir.

Explain the pathophysiology and nursing care for diabetic nephropathy, nephrosclerosis, hydronephrosis, and glomerulonephritis.

Describe the signs and symptoms for patients with acute kidney injury.

Describe the signs and symptoms for patients with chronic kidney disease.

Plan nursing care for patients with chronic kidney disease.

Discuss nursing care for a vascular blood access site.

Plan nursing care for patients on hemodialysis.

Plan nursing care for patients on peritoneal dialysis.

TOPIC (S) Quiz on Chapters quiz on Chapters 34- and 35; pp 744-808 in Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,

.Chapters 36 and 37 pp 810-869

LEARNING ACTIVITIES


Lecture over Chapter 36 and 37 topics

Open discussion over Chapter 36 and 37

Assignment for Day 10


Homework:

Review readings from Textbook covered in class today in preparation for quiz on Chapters 36 and 37; pp 810-869 in Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015

Read and be prepared for classroom Day 10 by reading Chapters 38; Endocrine System Function and Assessment pp 872-886 and Chapter 39; Nursing Care of the Patient with Endocrine Disorders; pp 887-913


SPECIFIC OBJECTIVES

From Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015: Chapter 38

Explain the glands of the endocrine system.

Explain the function of each of the hormones in the endocrine system.

Describe the effects of aging on the endocrine system function.

List data to collect when caring for a patient with a disorder of the endocrine system.

Plan nursing care for patients undergoing testing for an endocrine disorder.

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Chapter 39

Identify disorders caused by variations in the hormones of the pituitary, thyroid, parathyroid, and adrenal glands.

Explain the pathophysiology of each of the endocrine disorders presented.

Describe the etiologies, signs, and symptoms of each of the endocrine disorders.

Describe current therapeutic measures used for each of the selected endocrine disorders.

List data to collect when caring for patients with each of the endocrine disorders discussed.

Plan nursing care for patients with each of the disorders.

Explain how you will know if nursing interventions have been effective.

TOPIC (S) Quiz on Chapters 36 and 37; pp 810-869 in Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015.

Cover Chapters 38; Endocrine System Function and Assessment pp 872-886 and Chapter 39; Nursing Care of the Patient with Endocrine Disorders; pp 887-913

LEARNING ACTIVITIES


Lecture over 38 and 39 topics

Open discussion over Chapters 38 and 39 topics and assignment for Day 11.


Homework:

Review and prepare for quiz on Chapters 38; Endocrine System Function and Assessment pp 872-886 and Chapter 39; Nursing Care of the Patient with Endocrine Disorders; pp 887-913 from in Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015.

Read and be prepared for classroom Day 11: Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S.

Williams and Paula D. Hopper, F.A. Davis,2015; Chapters 40-Nursing Care of Patients with Disorders of the Endocrine Pancreas-pp 914-939


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015; Chapter40

Explain the pathophysiology of type I and type II diabetes mellitus.

Identify risk factors for type I and type II diabetes mellitus.

Describe the signs and symptoms of diabetes mellitus.

Describe causes, signs and symptoms, and treatment of high and low blood glucose levels.

Discuss how diabetes increases risk of complications such as heart disease, blindness, and kidney failure.

Identify diagnostic test used to diagnose and monitor diabetes mellitus and

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its complications.

Identify therapeutic measures to help patients with diabetes control blood glucose levels.

Differentiate the action of insulin and oral hypoglycemic agents in lowering blood glucose levels.

Plan nursing care and education for the patient with diabetes mellitus.

List measures to increase the safety of the patient with diabetes who is undergoing surgery.

Explain reactive hypoglycemia and its treatment.

TOPIC (S) Quiz on Chapters 38; Endocrine System Function and Assessment pp 872-886 and Chapter 39; Nursing Care of the Patient with Endocrine Disorders; pp 887-913 Discuss List of Topics/Objectives Review study preparation for class12

LEARNING ACTIVITIES

Lecture over Chapter 40 topics

Open discussion over Chapter 40


Homework:

Review readings from Textbook covered in class today and be prepared for quiz on chapter 40 Chapter 40-Nursing Care of Patients with Disorders of the Endocrine Pancreas-pp 914-939 on Day 12

Read and be prepared to discuss the objectives of chapter 41-Genitourinary and Reproductive Function and Assessment; pp 942-967 and Chapter 42- Nursing Care of Women with Reproductive System Disorders;-pp 968-1003 in Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015;


SPECIFIC OBJECTIVES

Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015: Chapter 41

Explain the normal structures and functions of the reproductive system.

Identify the effects of aging on the reproductive system.

List data you should collect when caring for a patient with a disorder of the reproductive system.

Identify commonly performed tests used to diagnose disorders of the reproductive system.

Plan nursing care for patients undergoing each of the diagnostic tests. Chapter 42

Explain the pathophysiology of each of the disorders of the female reproductive system.

Describe the etiologies, signs, and symptoms of each disorder.

Identify tests used to diagnose female disorders.

Describe current therapeutic management for each disorder.

List data to collect when caring for patients with disorders of the female

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reproductive system.

Plan nursing care for female patients with reproductive disorders.

Explain how you will know if nursing interventions have been effective.

Compare different form of contraceptives and their effectiveness.

TOPICS Quiz on Chapter 40- Nursing Care of Patients with Disorders of the Endocrine Pancreas-pp 914-939 from textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015

Cover assignment for Day 13

LEARNING ACTIVITIES

Lecture over Chapter 41 and 42 topics

Open discussion over Chapter 42 and 42 topics

Review assignment for Day 13


Homework:

Review readings from Textbook covered in class today and be prepared for Quiz on Chapter 41-Genitourinary and Reproductive Function and Assessment; pp 942-967 and Chapter 42- Nursing Care of Women with Reproductive System Disorders; -pp 968-1003 in Textbook:

Read and be prepared to discuss for classroom Day 13:Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015; Chapter 43-Nursing Care of Male Patients with Genitourinary Disorders; pp 1004-1024 and Chapter 44-Nursing Care of Patients with Sexually Transmitted Infections


SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015; Chapter 43

Explain the pathophysiology associated with each male genitourinary and reproductive disorder discussed in this chapter.

Describe the etiologies, signs and symptoms, and treatments of prostate disorders

Plan nursing care for men with genitourinary and reproductive disorders.

Describe disorders of the testicles and the penis and how they affect sexual function.

List selected physical and emotional causes of erectile dysfunction.

Discuss the nurse’s role in helping men cope with loss of sexual function.

Identify disorders of the male reproductive system that might interfere with fertility.

List treatment options available for male infertility. Chapter 44

Identify the pathogens involved with each of the common sexually transmitted infections (STIs).

Describe the signs and symptoms of the common STIs.

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Plan teaching to promote STI prevention.

Describe treatment options for common STIs.

Plan nursing care for patients with STIs.


TOPIC (S) Chapter 43-Nursing Care of Male Patients with Genitourinary Disorders; pp 1004-1024 and Chapter 44-Nursing Care of Patients with Sexually Transmitted Infections

Assignments for Day 14

LEARNING ACTIVITIES

Lecture over Chapters 43 and 44 topics

Open discussion over Chapter 43 and 44 topics and assignment for Day 14


Homework:

Review readings from Textbook covered in class today and be prepared for Quiz on Day 14: Chapter 43-Nursing Care of Male Patients with Genitourinary Disorders; pp 1004-1024 and Chapter 44-Nursing Care of Patients with Sexually Transmitted Infection pp 1025-1042

Read and be prepared to discuss from Textbook Chapter 45-Musculoskeletal Function and Assessment; pp1044-1058 and Chapter 46-Nursing Care of Patients with Musculoskeletal and Connective Tissue Disorders; pp1059-1094

DATE Classroom 14

SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015: Chapter 45

Explain normal anatomy and function of the musculoskeletal system.

Describe the effects of aging on the musculoskeletal system.

List subjective data that are collected when caring for a patient with a disorder of the musculoskeletal system.

List objective data that are collected when caring for a patient with a disorder of the musculoskeletal system.

List areas included in a neurovascular assessment that relate to the musculoskeletal system.

Identify diagnostic tests for musculoskeletal problems.

Describe the nursing care provided for patients undergoing diagnostic tests of the musculoskeletal system.

Chapter 46

Explain the pathophysiology, signs and symptoms, and complications of fractures.

Plan nursing care interventions for a patient in a cast, traction, or external fixation.

Describe the causes and prevention of osteomyelitis.

Plan nursing care for osteomyelitis.

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Describe risk factors, pathophysiology, treatment, and nursing care for osteoporosis.

Describe pathophysiology, signs and symptoms, treatment and nursing care for Paget’s disease.

Describe the pathophysiology, treatment, and nursing care for gout.

Compare the care for osteoarthritis and rheumatoid arthritis.

Plan care for the patient with a fractured hip.

Plan care for a patient undergoing a total joint replacement.

Explain the patient education that would be included for a patient with a lower extremity amputation and prosthesis.

TOPIC (S) Quiz on: Chapter 43-Nursing Care of Male Patients with Genitourinary Disorders; pp 1004-1024 and Chapter 44-Nursing Care of Patients with Sexually Transmitted Infection pp 1025-1042 Cover assignments for Class 15

LEARNING ACTIVITIES)

Lecture on Chapter 45-Musculoskeletal Function and Assessment; pp1044-1058 and Chapter 46-Nursing Care of Patients with Musculoskeletal and Connective Tissue Disorders; pp1059-1094

Open discussion on Chapters 45 and 46

Review preparation for Class 25


Read and review in preparation for quiz on Chapter 45-Musculoskeletal Function and Assessment; pp1044-1058 and Chapter 46-Nursing Care of Patients with Musculoskeletal and Connective Tissue Disorders; pp1059-1094

Read and be prepared to discuss in Class 15: Chapter 47-Neurologic System Function, Assessment, and Therapeutic Measures; pp 1096-1117 and Chapter 48-Nursing Care for Patients with Central Nervous System Disorders; pp 1118-1170

DATE Classroom 15

SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015 Chapter 47

Describe the normal structures and functions of the nervous system.

Identify the effects of aging on the nervous system.

List data to collect when caring for a patient with a disease of the nervous system.

Identify tests used to diagnose disorders of the nervous system.

Plan nursing care for patient undergoing each of the diagnostic tests for disorders of the nervous system.

Describe common therapeutic measures that are used for patients with disorders of the nervous system.

Chapter 48

Explain causes, risk factors, and pathophysiology of central nervous

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system infections, including meningitis and encephalitis.

Plan nursing care for a patient with a central nervous system infection.

Differentiate between the various types of headaches.

Identify teaching you will provide for a patient experiencing headaches.

List the causes and types of seizures.

Describe appropriate interventions for an individual experiencing seizures.

Recognize a patient who is developing increased intracranial pressure.

Identify nursing interventions that can help prevent increased intracranial pressure.

Explain the causes, risk factors, and pathophysiology of injuries to the brain and spinal cord.

Plan nursing care for a patient with an injury to the brain and spinal cord.

Explain causes, risk factors, and pathophysiology associated with neurodegenerative disorders such as Parkinson’s, Huntington’s, and Alzheimer’s diseases.

Plan nursing care for a patient with a neurodegenerative disorder.

Plan nursing care interventions for the patient with dementia.

TOPIC (S) Quiz on Chapter 45-Musculoskeletal Function and Assessment; pp1044-1058 and Chapter 46-Nursing Care of Patients with Musculoskeletal and Connective Tissue Disorders; pp1059-1094

Discussion of Class 16


Lecture on Chapters 47 and 48

Open discussion of Chapters 47 and 48


Read and review in preparation for quiz on Chapter 47-Neurologic System Function, Assessment, and Therapeutic Measures; pp 1096-1117 and Chapter 48-Nursing Care for Patients with Central Nervous System Disorders; pp 1118-1170. and be prepared to discuss

Read Chapters 49-Nursing Care of Patients with c; pp 1171-1191 and Chapter 50-Nursing Care of Patients with Peripheral Nervous System Disorders; pp 1192-1210

DATE Classroom 16

SPECIFIC OBJECTIVES

Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis, 2015: Chapter 49

Describe the causes, risk factors, and pathophysiology of transient ischemic attack, ischemic stroke, and hemorrhagic stroke.

Identify emergency interventions for transient ischemic attack, ischemic stroke, and hemorrhagic stroke.

Plan therapeutic measures for transient ischemic attack, ischemic stroke, and hemorrhagic stroke.

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Identify outcomes that can be expected for a stroke victim.

Plan nursing care for a patient with a patient with a cerebrovascular disorder.

Chapter 50

Identify disorders that are caused by disruption of the peripheral nervous system.

Explain the pathophysiology, major signs and symptoms and complications of selected peripheral nervous system disorders.

Identify therapeutic measures used for selected peripheral nervous system disorders.

List common nursing diagnosis associated with peripheral nervous system disorders.

Plan prioritized nursing interventions for patients with peripheral nervous system disorders.

Evaluate the effectiveness of nursing care.

TOPIC (S) Quiz on Chapter 47-Neurologic System Function, Assessment, and Therapeutic Measures; pp 1096-1117 and Chapter 48-Nursing Care for Patients with Central Nervous System Disorders; pp 1118-1170.

Discuss Class 17


Lecture on Chapters 49 and 50

Open discussion on Chapters 49 and 50


Read and review in preparation for quiz on Chapters 49-Nursing Care of Patients with Cerebrovascular Disorders; pp 1171-1191 and Chapter 50-Nursing Care of Patients with Peripheral Nervous System Disorders; pp 1192-1210

DATE Classroom 17

TOPIC (S) Textbook: Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015 Chapter 51

Describe the normal anatomy of the sensory system.

Explain the normal function of the sensory system.

List data to collect when caring for a patient with a disorder of the sensory system.

Plan nursing care for patients undergoing diagnostic tests for sensory disorders.

Describe therapeutic measures for patients with disorders of the sensory system

Chapter 52

Explain the pathophysiology of each of the disorders of the sensory system.

Define blindness and the refractive errors of vision.

Explain the etiologies, signs, and symptoms of each sensory disorder.

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Plan nursing care for patients undergoing tests for sensory disorders.

Identify therapeutic measures for each sensory disorder.

Identify medications contraindicated for patients with acute angle-closure glaucoma.

List three ototoxic drugs.

List data to collect when caring for patients with disorders of the sensory system.

Plan nursing care for patients with disorders of the eye or ear.

Plan nursing care interventions for the patient with a hearing impairment.

Discuss how to know if nursing interventions for sensory disorders have been effective.

Chapter 53

Explain the normal structures and functions of the integumentary system.

Identify the effects of again on the integumentary system.

List data to collect when caring for a patient with an integumentary system disorder.

Identify laboratory and diagnostic tests commonly performed to diagnose integumentary disorders.

Describe therapeutic measures that are used for patients with integumentary disorders.

Chapter 54

Explain the pathophysiology of each of the skin disorders listed in this chapter.

Describe the etiologies, signs, and symptoms of each of the skin disorders.

Describe current therapeutic measures that are used for patients with disorders of the integumentary system.

Plan nursing care for patients with each of the skin disorders.


Chapter 55

Explain the pathophysiology of burns.

Describe current therapeutic measures used for burns.

List data to collect for patients with burns.

Plan nursing care for patients with burns.


TOPIC (S) Quiz on Chapters 49-Nursing Care of Patients with Cerebrovascular Disorders; pp 1171-1191 and Chapter 50-Nursing Care of Patients with Peripheral Nervous System Disorders; pp 1192-1210

Read and prepare for Final Exam, which will include: Chapters 34

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thru 55.

TOPIC (S) Discuss final exam and course objectives

DATE Classroom 18

TOPIC (S) Final today on Chapters 34 thru 55

Discuss Final and course objectives prior to test.

Instructional Methods

The following strategies may be used in this class:

Lecture/Discussion

Textbook Assignments

Performance Objectives

Audio/visuals with study guides

Worksheets

Power point presentations (ppt)

Demonstration of skills with return demonstration

Group assignments/projects

Instructional Materials and References

Understanding Medical Surgical Nursing, 5th Ed, by Linda S. Williams and Paula D. Hopper, F.A. Davis,2015

Mosby's Nursing Video Skills - Student Version DVD: Basic, Intermediate, and Advanced Skills, 4th Edition – Published 09 May 2013 - ISBN-10: 0323090842 | ISBN-13: 978-0323090841

Clinical Decision Making: Case Studies in Medical-Surgical Nursing by Gina M. Ankner – Published @ 2012 - ISBN-10: 1111138575 | ISBN-13: 9781111138578

Nursing 2014 Drug Handbook (Nursing Drug Handbook) by Lippincott Williams & Wilkins – Published @2013 - ISBN/ISSN: 9781451186352

Mosby’s Dictionary of Medicine, Nursing and Health Professions, 8th ed., Mosby-Year Book, Inc., St. Louis, MO, 2009

Assessment Criteria and Methods of Evaluating Students

A= 90-100 % B= 80-89% C= 70-79% D= 60-69% F= 0-59% W= Withdrawn I= Incomplete

Generally, the grades “A” through “B” are considered passing grades. Grades "W" and "I" indicate that no grades were earned for the course. A "W" grade indicates that the student withdrew from the course. An "I" grade indicates that the student was passing the course, but failed to complete all the required course work. The instructor, in his/her discretion may grant an "I" grade instead of an "F", pending completion of the course work by the student within a specified time arranged by the instructor and told to the student. It is the student's responsibility to follow-up with the instructor to complete the

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course work. If the course work is not completed by the arranged time, the “I” grade becomes an “F".

Distribution of Grade Elements

Quizzes 25% of total grade Mid-Term 25% of total grade Final 50% of total grade

Minimum passing grade for this course is 80%

A separate Dosage Final Exam will be administered. In order to continue past Med-Surg II, a score of 100% must be met. Each student will be allowed three attempts

Date Syllabus Was Last Reviewed – 9/1/2016

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Acknowledgement of receipt of PN115-Medical-Surgical Nursing Syllabus

I have received the syllabus for PN115-Medical-Surgical Nursing which includes the grading

policy, weekly reading, assignments, quiz schedule, test schedule, etc. The grading policy was

reviewed and I was given the opportunity to ask questions regarding the grading policy and

other times in the syllabus. My signature below acknowledges that I understand the PN115-

Medical-Surgical Nursing syllabus, as well as having received the grading policy.

_______________________________ _________________

Student Name (Print) Date

_______________________________ _________________

Student Signature

This form will be maintained in the student’s file

date credits course number co-requisite (s) out of...

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