Download Study Guide Spring 2017

Spring 2017
NURSING DEPARTMENT
NURSING 221 STUDY GUIDE
Instructors
Beth Smith
Leann Kennedy
Jennifer Hirzel
Julie Withrington
Office
5-365
5-371
Lectures: Monday and Thursday: 1030-1245 in 5-390
LECTURE
January 19, Thursday
Overview of N221 Syllabus
Introduction to Child Health
Nursing

Demographics

Role of the Nurse in
Pediatrics

Application of the Nursing
Process to Pediatrics

Growth & Development
READINGS (*Required)

CLINICAL/LAB FOCUS
Preclinical Skills Lab
London, Ladewig, Ball, & Bindler. 5th ed.
London, Ch. 33
Maternal & Child Nursing Care. Ch. 1, 31, 34, 35, ATI: Chapter 2
36.
See separate preclinical schedule in syllabus for Preclinical Lab

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ATI Readings: Nursing Care of Children, Edition
10.0: Ch. 1 & 2
Nurs 225 Lab #1: Practice Math Test (Review pediatric material
in Dimensional Analysis for Meds)
Gill, V. and Edelman, M. (2012). Pediatric
Hypertension: A Cause for Concern. Nursing
Video: Pediatric Medication Administration
2012. Mar. pp. 54-57.

ATI Readings: Chapter 8.
Harvey, P. & Ahmann, E. (2014). Validation: A
Clinical Lab Focus Week of 01/19
Family Centered Communication Skill.
1. Orient yourself to the clinical area. Become familiar with the
May/June. pp. 143-147.
charting system used and the medication administration system.
DVD: Beginning Pediatric Nursing, Parts 1-4.
2. Describe the admission procedure on your unit.
View in Open Lab.
3. Describe 2 methods for reducing a young child’s anxiety during
a physical exam.
DVD-The Role of Play-View in Open Lab
4. What equipment does your unit/clinical have for measuring
blood pressure in very young children? What is the normal
blood pressure for a two-year-old?
5. Describe the structure of your patient’s family. Identify the
person who takes the lead role in family interactions.
6. Compare your patient’s family to another of a different culture.
How does their attitude towards children and health care
differ?
7. During assessment of your patient, try to find out if the family
uses any alternative health practices, such as acupuncture.
8. Compare the patient’s normal wt. to their current wt.
9. Plot your patient’s ht and wt on a growth chart that is
appropriate for age. What percentile does your patient graph?
Nursing 221 Study Guide
2
LECTURE
January 23, Monday
Child Health Promotion –
Part I
 Culture and the family

Parenting and the family

The effects of divorce on
children and family function

The role of play
READINGS (*Required)

London, Ch. 2, & 37.
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ATI Readings: Ch. 3, 4, 5, 6, & 7


Ahmann, E. (2013). Cline & Greene’s Parenting
Children with Health Issues: Essential Guidance.
Pediatric Nursing. Jan./Feb. pp. 43-49.
Meadows-Oliver, M. & Hendrie, J. (2013).
Expanded Back to Sleep Guidelines. Pediatric
Nursing, Jun./Feb. pp. 40-42.
January 26, Thursday
Child Health Promotion –
Part II

Injury Prevention

Poisoning

Nutrition
MATH TEST #1 IN LECTURE
January 30, Monday
Care of the Child with
Cardiovascular Dysfunction.

London, pp. 1034-1041, Ch. 32, 34, 35, & 36

ATI Readings: Ch. 43

CLINICAL/LAB FOCUS
Clinical Lab Focus Week 01/23
1. What safety measures did you employ today with your
patient?
2. Did you see any safety hazards or unsafe practices today?
(nurses or parents)
3. Observe the dietary habits of the pediatric patient you cared
for this week. How would you counsel the mother to
improve her child’s nutrition?
4. Determine your patient’s favorite food from home.
5. Check the immunization record of your patient. Is he/she
up to date in all of his/her immunizations?
Nurs 225 Lab #2:
Video: IV Therapy for Pediatric Patients
Practice diluting Medications for IV administration through a
syringe pump
Demo and Practice using a syringe pump
Practice scenarios with IV meds
Discuss Competency Testing
Smith, T. (2014). Decreased Solid Food Intake in
a Toddler: Is That a Problem? Pediatric Nursing.
Jul./Aug. pp. 199-200.

London. Ch. 47.

ATI Readings: Ch. 20 & 21

Boyle, L., Kelly, M., Reynolds, K., Conlan, M., &
Taylor, F. (2015). The School Age Child with
Congenital Heart Disease. MCN. Jan/Feb.
pp. 16-22

Meakins, L., Ray, L., Hegadoren, K., Rogers, L.,
Clinical Lab Focus Week of 01/30
1. What objective data might be obtained from the history and
physical exam of a child where a cardiac defect or disease is
suspected? What are the major areas of patient teaching necessary
for preparing the child and family procedures or surgery?
2. Identify the major medications used to treat cardiac dysfunction.
What side effects should the nurse assess?
3. What is post pericardotomy syndrome? How is it assessed?
4. Identify the normal values for complete blood count.
Nursing 221 Study Guide
3
LECTURE
READINGS (*Required)
CLINICAL/LAB FOCUS
& Rempel, G. (2015). Parental Vigilance in
Caring for their Children with Hypoplastic Left
Heart Syndrome. Pediatric Nursing. Jan/Feb.
pp. 31-41
February 2, Thursday
Care of the Child with Cardiovascular Dysfunction. Part II.

Nurs 225 Lab #3:
Immunization & Communicable Disease. ATI Ch. 35 & 36.
London, Ch. 48
Video: Vaccine Administration Techniques
Ramjattan, K. & Allen, P. (2013). Pulse Oximetry Practice injection on dolls.
Discuss immunization schedules.
Screening for Critical Heart Disease in the
Newborn. Pediatric Nursing. Sept/Oct. pp. 250253.
February 6, Monday

London. Ch. 38, 39, 40 & 41
TEST #1

MATH TEST #2 AFTER
LECTURE (IF APPLICABLE)

Nursing Care of
the Hospitalized
Child
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
February 9, Thursday



Nursing Care of the
Hospitalized Child (cont’d.)
Nursing Care of the Family of
a Dying Child
Pain Management
MATH TEST #3 AFTER
LECTURE (IF APPLICABLE)

Clinical Lab Focus Week of 02/06
1. Discuss the major stressors your patient faces during
ATI Readings: Ch. 9, 10, & 11.
hospitalization based on his/her developmental level. What is
his/her behavioral response to his illness and hospitalization?
Lash, M. (2013). Brain Injury: Helping Brothers
What nursing interventions could you utilize to minimize these
and Sisters. Pediatric Nursing. Nov/Dec.
pp.
stressors?
309-310.
2. How can you use play to minimize the stress of hospitalization for
your patient?
Kellogg, M., Barker, M. & McCune, N. The Lived
3. In what ways might a family's anger be displayed in the hospital
Experience of Pediatric Burn Nurses Following
setting? How can the nurse help the family deal with anger?
Patient Death. Pediatric Nursing 2014. Nov./Dec.
4. Identify ways to assess pain in infants and young children who are
Vol. 40, No. 6. pp. 297-301.
nonverbal.
5.
What would be an appropriate home care plan for your patient?
Dokken, D. Making Meaning After the Death of
a Child: Bereaved Parents. Pediatric Nursing
2013. May/June. Vol. 39, No. 3. p. 147.
Nursing 225 Lab #4 Respiratory
ATI: Chapter 16
Postural Drainage; Chest PT; O2 Sats; Oxygen Administration in
Children
Nursing 221 Study Guide
4
LECTURE
February 13, Monday
Care of the Child with
Respiratory Dysfunction
February 16, Thursday
Care of the Child with
Gastrointestinal Dysfunction
READINGS (*Required)

London. Ch. 45 & 46

ATI Readings: Ch. 16, 17, 18, & 19.

London. Ch. 51

ATI Readings: Ch. 22 & 23.

Allen, P. (2015). Gluten Related Disorders:
Celiac Disease, Gluten Allergy, Non-Celiac
Gluten Sensitivity. Pediatric Nursing. May/Jun.
pp. 146-149
CLINICAL/LAB FOCUS
Clinical Lab Focus Week of 02/13
1. What signs and symptoms are manifested by the child with
an acute respiratory dysfunction of an obstructive origin?
2. How is respiratory failure defined? What signs and
symptoms would a nurse note on an assessment?
3. What are the major diagnostic tests the M.D. might order to
assess respiratory function? What complications might the
nurse assess for during and after each procedure?
4. Identify the pertinent points to be covered in the history of a
child with a respiratory dysfunction. What are possible
nursing diagnoses?
5. Identify common drugs used in the care of children with
respiratory dysfunction.
Clinical Lab Focus Week of 02/13
6. Identify the commonly used blood, urine, and radiologic
tests used to diagnose GI problems in children.
7. Discuss the preparation of a child of two years, 5 years
and 10 years for invasive diagnostic tests related to the GI
system.
8. Obtain a diet history from your patient or parent. Identify
suggestions to change or improve the diet.
Nursing 225 Lab #5 NG Placement and GT Feeds
ATI: Corresponding Chapter/s
February 20, Monday
Holiday!!
Nursing 221 Study Guide
5
LECTURE
February 23, Thursday
Care of the Child with Cerebral
or Neuromuscular Dysfunction
READINGS (*Required)
London. Ch. 54.

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February 27 Monday
Test #2
Care of the Child with a
Neoplasm
ATI Readings: Ch. 12, 13, 14, & 29.
Geyer, K., Meller, K., Kulpan, C. & Mowery, B.
(2013). Traumatic Brain Injury in Children:
Acute Care. Pediatric Nursing. pp. 283-289.
Norton, C., Feltz, S., Brocker, A., & Granitto, M.
(2013). Tackling the Long Term Consequences of
Concussion. Nursing 2013. Jan. pp. 50-55.
Clinical Lab Focus Week of 02/20
1. Identify the assessment data indicating increased
intracranial pressure.
2. Identify common anticonvulsants used in children
with seizure disorders. List side effects.
3. Discuss the equipment used to monitor increased
intracranial pressure in PICU.
Rivera, R., Roberson, S., Whelan, M., & Rohan,
A. (2015). Concussion: Evaluation and
Management in Pediatrics. MCN. Mar/Apr.
pp. 76-85

London. Ch. 49 & 50.

ATI Readings: Ch. 39, 40, & 41.

CLINICAL/LAB FOCUS
Clinical Lab Focus Week of 02/27
1. Identify 3 pain medications used to control pain in the
pediatric patient with cancer. Discuss preventing the
Aburn, G. & Gott, M. (2014). Education Given to
undesirable side effects of those meds.
Parents of Children Newly Diagnosed with ALL.
2. Review the CBC of a patient with leukemia and discuss the
Pediatric Nursing. Sept./Oct. pp. 243-248.
resulting symptoms.
3. Describe the underlying pathology of the anemia, bone pain,
fever & pallor which occur with leukemia.
4. Observe and describe the behavioral response of the parents
of a child with cancer.
N225 Lab #6: Case Studies
March 2, Thursday
Care of the Child with a
Neoplasm (continued)
Nursing 221 Study Guide
6
LECTURE
March 6, Monday
READINGS (*Required)


Care of the Child with
Genitourinary Dysfunction

CLINICAL/LAB FOCUS
London. Ch. 52.
Clinical Lab Focus of 03/06
1. Review your patient’s electrolyte status. Identify abnormal
ATI Readings: Ch. 24, 25, & 26.
lab values. What is being done to correct imbalances?
Simmons, T. What’s That Smell? Pediatric
2. Identify commonly used blood, urine, and radiologic tests
Nursing 2013. Vol. 39, No. 1. Jan./Feb. pp. 37-38.
used to diagnose GU problems in children.
3. Discuss the preparation of a child of two years, 5 years, and
10 years for invasive diagnostic tests related to the GU
system.
4. What nursing care is involved in the initiation of CAPD?
March 9, Thursday
Child Maltreatment

Neglect

Physical abuse

Sexual abuse

London. Ch. 42.

ATI Readings: Ch. 44.


Parsh, B. and Jacoby, S. (2013). Clinical
Inquiries: All Eyes on Shaken Baby Syndrome.
Nursing 2013. May. p. 66.
Required completion of ATI Pediatric Practice
test
ATI Pediatric Test at 0900
March 13, Monday
Ethical and Legal Issues in
Pediatrics

Caitlin, A. (2014). Some Thoughts on the Achane
Case. Pediatric Nursing. March/April. pp. 99102.
ATI Pediatric Test: March 9: 0900-1000
Nursing 225 Lab #7: Critical Thinking Game
Nursing 221 Study Guide
LECTURE
March 16, Thursday
7
READINGS (*Required)
FINAL
EXAM
CLINICAL/LAB FOCUS