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NURSING 1202 STUDY GUIDE/SYLLABUS 2007 UNIT 1-MEDICATION ADMINISTRATION
LECTURE CONTENT
1. Describe the ways drugs are identified
/classified. (pregnancy, safety,
controlled substances)
LAB CONTENT
LAB #1/ CLINICAL #1
1. Discuss the methods of drug delivery.
2. State the factors to consider in choosing
the various routes of drug administration.
CLINICAL ACTIVITIES
1. Demonstrate ability to accurately
calculate dosages for all routes of
medication administration.
2. Identify and compare resource
materials available for gaining
knowledge of medications.
3. Interpret a drug order and the nursing
responsibilities involved.
3. Describe the nurse's legal
responsibilities in drug administration.
4. List the steps of setting up patients'
medications.
4. Describe the physiological
mechanisms of drug action, including
absorption, distribution, metabolism,
and excretion.
5. State and practice the "RIGHTS" of drug
administration.
4. Properly record all drugs administered.
6. State the steps required to administer oral
meds safely to any age group.
5. Safely dispose of contaminated
medication equipment used in the
administration procedure.
7. Discuss important nursing considerations
for safe drug administration via oral,
topical, ophthalmic, otic, nasal, inhalation,
vaginal, and rectal.
6. Be prepared to relate the drug
information that was discussed in class
to clinical patient care.
5. Describe the effects & the interactions
of drugs which nurses need to assess.
6. List and explain the variables
influencing drug actions.
7. Discuss the involvement of the
nursing process in the administration
of medication.
8. Discuss measure to prevent
medication errors.
TEST ONE MATERIAL WILL
COVER ALL LAB, LECTURE
MATERIAL EXCEPT
INFORMATION ON INJECTIONS.
TEST ONE MATERIAL ENDS HERE
2. Prepare to correctly identify any drug
administered to your assigned patients
in clinical.
3. Assess each patient's need for and
response to drug therapy across the life
span.
7. Give complete nursing care to one
patient, including all medications except
intravenous.
INDEPENDENT ACTIVITIES
KEY:
 Required
 Suggested
NOTE: For required computer assisted
instruction students must complete each
program and record date completed on
computer list. Those dealing with
medication administration are due prior to
the first hospital clinical and all other are
due before the related unit test.
Read Kozier, Erb, Berman & Snyder
Fundamentals of Nursing (FON): Ch. 35:
p. 829-900. Exclude pages 878-885 (IV
section).
Read Kee & Hayes Pharmacology: pp. 2
– 118. Chapter 5 pp. 120-128.
 Video: Medicating Children (KIT.
RJ560.M4P3)
 CAI - Delmar’s: Administering Oral
Sublingual, and Buccal Medications
 CAI - Delmar’s: Administering Eye
and Ear Medications
 CAI - Delmar’s: Administering
Skin/Topical Medication
 CAI - Delmar’s: Administering Nasal
Medication
 CAI - Delmar’s: Administering Rectal
Medication
 CAI - Delmar’s: Administering
Vaginal Medication
 CAI - Delmar’s: Administering
Nebulized Medication
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 CAI - Delmar’s: Administering an
Intradermal Medication
 CAI - Delmar’s: Administering a
Subcutaneous Medcation
 CAI - Delmar’s: Administering an
Intramuscular Medication
 CAI - Delmar’s: Administering
Medications via Z-Track Injection
 CAI - Delmar’s: Withdrawing
Medication from anVial
 CAI - Delmar’s: Withdrawing
Medication from an Ampule
 CAI – Delmar’s: Mixing Medications
from Two Vials into One Syringe
Complete FON Study Guide: Ch 35.
Complete Pharmacology Study Guide: p.
1-54.
 CAI – PDS: Clinical Nursing
Concepts - Pharmacodynamics
Parenteral Routes
 CAI – PDS: Clinical Nursing
Concepts - Pharmacodynamics Nonparenteral Routes
2
UNIT 2-SPECIFIC DRUG CATEGORIES
LECTURE CONTENT
1. Insulin:
a. State the method by which insulin
is given and why.
b. Identify the classifications of
insulin & some of the common
types used.
c. Discuss the dosages, storage, and
administration of insulins.
d. Discuss what you would do when
an insulin reaction occurs.
2. Pain relievers / Anti-Inflammatories
a. Identify the 3 classifications of
analgesics.
b. Identify how narcotics are
controlled.
c. Identify the classifications,
actions, side effects, and nursing
implications of the most common
narcotic analgesics.
d. Identify the classifications,
actions, common side effects, and
nursing implications of the most
common agonist-antagonists.
e. Describe patient-controlled
analgesia and the nursing
implications.
f. Describe epidural pain control and
the nursing implications.
LAB CONTENT
LAB #2/ CLINICAL #2
TEST TWO MATERIAL BEGINS
HERE:
1. Identify the correct equipment required
for injections.
CLINICAL ACTIVITIES
1. Be prepared to relate the drug
information to patient care that was
discussed in class.
2. State the essential steps in mixing
selected drugs from vials & ampules.
2. Read Nurse’s Drug Guide handbook for
the drugs discussed in this unit and those
ordered for patients care for in the
hospital setting.
3. Precisely locate the sites for ID, subQ,
& IM injections.
* REVIEW INJECTION MATERIAL
PRIOR TO TEST 2.
4. Demonstrate how to correctly assess for,
draw up, & administer insulins.
5. State the rationales of the steps necessary
to safely administer injections to any age
group.
6. Discuss case studies, according to
instructor's preference.
INDEPENDENT ACTIVITIES
Read Pharmacology:
Ch. 50: p. 775-783.
Ch. 21: p. 321-338.
Ch. 27: p. 403-422.
Ch. 28: p. 423-438.
Ch. 29: p. 439-453.
Ch. 30: p. 454-459.
Ch. 31: p. 464-471.
 CAI - Delmar’s: Administering
Patient-Controlled Analgesia
 CAI - Delmar’s: Administering
Epidural Analgesia
 CAI - Delmar’s: Administering
Medication via a Cartridge System
 CAI - Delmar’s: Managing
Controlled Substances
 CAI - Delmar’s: Assisting with the
Insertion and Maintenance of an
Epidural Catheter
Complete Pharmacology Study
Guide: Ch. 50, 21, 27, 28, 29, 30, 31.
 Video: Pain Management:
Pharmacologic Treatment Strategies
(KIT.RB 127.P37 2002v2)
 CAI:
Medication Administration
Nursing Process:
Patient Controlled Analgesia
Epidural Analgesia
Chart Smart
Mastering Clinical Skills:
Epidural Analgesia
PCA
g. Describe the use of NSAIDs, side
effects, & the nursing
implications.
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h. Discuss the types adjuvants & the
purposes of using them.
i. Apply the nursing process to the
use of pain relievers.
3. Anti-Infectives
a. Define terms related to antiinfectives
b. Discuss how an anti-infective is
chosen.
c. Nursing implications with antiinfectives.
d. Know the 5 ways antibiotics are
grouped based on their
mechanism of action.
e. Identify the actions, common side
effects, and nursing implications
of the following classifications of
anti-infectives:
i. Beta-lactam antibiotics
ii. Cephalosporins
iii. Vancomycin
iv. Fluoroquinolones
v. Aminoglycosides
vi. Sulfonamides
vii. Tetracyclines
viii. Macrolides
ix. Common miscellaneous
anti-infectives
f. Identify the actions, common side
effects, and nursing implications
of common antifungals.
TEST #2 INCLUDES
INJECTION MATERIAL,
INSULIN, PAIN MEDS,
ANTIBIOTIC INFORMATION
g. Complementary anti-infectives
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UNIT 3-ELIMINATION
LECTURE CONTENT
TEST 3 MATERIAL
1. Urinary elimination
a. State several factors that affect
normal elimination.
b. Compare and contrast common
alterations in urinary elimination
patterns.
c. List and explain the data needed
to assess a person's urinary
function: nursing history,
physical assessment and urine
assessment.
d. Describe some common
diagnostic measures and nursing
implications to assess the urinary
system.
LAB CONTENT
LAB #3 TEST 3 MATERIAL
1. Describe how to collect a urine specimen
that is a clean-catch and from a foley.
2. Describe how to apply an external
catheter.
3. Discuss types of urinary catheters and
their purposes:
a. straight
b. foley catheter
c. 3-way catheter
4. Discuss the following procedures:
a. Inserting a urinary catheter.
b. Care of the catheters
c. Removing a urinary catheter.
d. Self-catheterization
CLINICAL ACTIVITIES
1. Describe the functions of: nephron,
glomerular filtrate, bladder, urethra,
urinary meatus.
2. Understand the physiological process of
urine production.
3. Routinely assess assigned patients for
normal urinary elimination.
4. Identify nursing diagnoses appropriate
for alterations in urinary elimination.
5. Appropriately apply nursing measures
to attain normal urinary elimination.
6. When given the opportunity, properly
obtain urine specimens for the lab.
5. Discuss urinary irrigations.
e. Describe some common
interventions to maintain normal
urinary elimination and to assist
patients with urinary problems of
urinary incontinence and
retention.
f. Discuss nursing measures to
reduce UTI in the catheterized
patient.
LAB #4 TEST 3 MATERIAL
6. Using 100% aseptic technique,
demonstrate the insertion of a urinary
catheter.
7. Provide good catheter care to all
patients with retention catheters.
8. Provide good catheter care to all
patients with retention catheters.
9. Understand the physiological aspects of
normal defecation.
STUDENT ACTIVITIES
Read FON: Ch 48.
*CAI - Delmar’s: Applying a Condom
Catheter
 CAI - Delmar’s: Inserting an
Indwelling Catheter :Male
 CAI - Delmar’s: Inserting an
Indwelling Catheter: Female
*CAI - Delmar’s: Routine Catheter
Care
 CAI - Delmar’s: Obtaining a
Residual Urine Specimen from an
Indwelling Catheter
 CAI - Delmar’s: Irrigating a Urinary
Catheter
 CAI - Delmar’s: Irrigating the
Bladder Using a Closed-System
Catheter
 CAI - Delmar’s: Removing an
Indwelling Catheter
*CAI - Delmar’s: Testing Urine for
Specific Gravity, Ketones, Glucose, and
Occult Blood
*CAI - Delmar’s: Collecting a CleanCatch, Midstream Urine Specimen
*CAI – Mastering Clinical Skills:
Urinary Catheters
Complete FON Study Guide: Ch. 48.
5
2. Fecal elimination
a. Discuss factors which influence
fecal elimination.
b. Describe some common fecal
elimination problems.
c. List and explain the data needed
to assess fecal elimination
function: history, physical
assessment, fecal characteristics,
and diagnostic tests.
d. Describe some nursing measures
that promote regular defecation
and relieve problems.
LAB #4 TEST 3 MATERIAL
7. Explain the steps to perform the
following:
a. Guaiac test for occult blood.
b. Administer an S.S. or saline enema
c. Adminster a Fleets enema.
d. Remove a fecal impaction
8. Describe what a rectal tube is and its
purposes.
10. Routinely assess assigned patient’s
fecal elimination patterns for
malfunctions.
11. Identify nursing diagnoses related to
alterations in elimination.
12. When given the opportunity, properly
obtain fecal specimens for the lab.
13. Appropriately apply nursing measures
that will maintain or attain normal fecal
elimination.
Read FON: Ch 49.
*CAI - Delmar’s: Testing for Occult
Blood with a Hemoccult Slide
 CAI - Delmar’s: Administering an
Enema
 CAI - Delmar’s: Digital Removal of
a Fecal Impaction
 CAI - Delmar’s: Inserting a Rectal
Tube
Complete FON Study Guide: Ch 49
TEST #3 URINE AND FECAL
ELIMINATION MATERIAL
6
UNIT 4-FLUIDS AND ELECTROLYTES/ACID BASE BALANCE
CLASSROOM
1. Describe body fluid distribution and
composition.
2. Define the terms: isotonic,
hypotonic, and hypertonic fluids.
3. Explain the various types of fluid
movement: diffusion, osmosis,
filtration, and active transport.
4. Discuss the factors which affect the
body's fluid balance.
5. List the clinical features of
evaluating a patient's fluid status:
history, physical assessment, &
diagnostic tests.
6. Discuss the assessment of a patient
in hypovolemic shock.
7. Discuss fluid deficits and excesses in
various age groups.
8. Differentiate the major electrolytes
of the body and the importance of
each.
9. Discuss some major factors which
affect the body's electrolyte balance.
10. List and explain the data needed to
assess a patient for an electrolyte
imbalance: history, physical
assessment, and lab tests.
11. Discuss some clinical cases of
electrolyte imbalances.
LAB CONTENT
.
LAB #5 TEST1.4 MATERIAL
1. Identify and describe the essential parts
of IV infusion equipment.
2. Discuss the physiological and
psychological considerations that are
important in parenteral administration.
3. Demonstrate the following parenteral
procedures:
a. Change primary IV solutions.
b. Change primary IV tubing.
c. Maintain the IV infusion.
d. Regulate the infusion flow rates.
e. Change IV dressings.
f. Discontinuing IV infusions.
4. Discuss the procedures:
a. Administrating an IVPB.
b. Administrating an IVP.
5. Identify the types of mechanical
problems that are commonly
encountered with IV infusion systems
and the appropriate nursing measures to
cope with them.
LAB #6 TEST 4 MATERIAL
1. Demonstrate ability to evaluate IV drip
rate.
2. Spike IV bag, prime tubing, and regulate
IV flow rate by gravity.
(SEE NG/GT SECTION IN UNIT 5)
CLINICAL ACTIVITIES
STUDENT ACTIVITIES
1. Accurately assess your assigned patients
for fluid and electrolyte imbalances.
Read FON: Ch 52, Ch. 35- pp. 875, 878885.
Read Pharmacology: Ch. 14- pp. 203220.
2. Determine if your patients are in an
acid-base imbalance.
3. When the opportunity arises, be
prepared to:
a. Assemble the proper equipment &
solutions for IV administration.
b. Change IV tubing as indicated
using aseptic technique.
c. Change IV dressings as indicated
using aseptic technique.
d. Discontinue IV infusions.
4. Routinely calculate assigned patients' IV
flow rates & regulate as indicated.
5. Routinely observe for any patient
complications or mechanical
malfunctions during parenteral therapy
and apply the correct nursing measures.
6. Accurately document initiation of IV
procedures, nursing interventions
related to IV therapy, and assessment
of the patient receiving an IV infusion.
 CAI – Mosby’s: Fluids and
Electrolytes
 CAI - Delmar’s: Preparing an IV
Solution
 CAI - Delmar’s: Administering
Medications via Secondary
Administration Sets (Piggyback)
 CAI - Delmar’s: Administering
Medications via IV Bolus or IV Push
 CAI - Delmar’s: Preparing the IV
Bag and Tubing
 CAI - Delmar’s: Setting the IV Flow
Rate
 CAI - Delmar’s: Assessing and
Maintaining an IV Insertion Site
 CAI - Delmar’s: Changing the IV
Solution
 CAI - Delmar’s: Discontinuing the
IV and Changing to a Saline or
Heparin Lock
 Clinical Nursing Concepts: Fluid
and Electrolyte Balance, Acid/Base
Balance
Found in:
Clinical Ed. Software, then Clinical
Nursing Concepts, then
Fl. & Electrolyte Balance (2
scenarios), then Acid-Base Balance (4
scenarios)
 Video: Signs & symptoms of fluid &
electrolyte imbalances. RD52.F59
S54 2002
7
12. Describe pH as related to the body's
acid-base balance.
13. Discuss the 3 major body regulators
for acid-base balance.
14. Discuss the 4 major acid-base
imbalances and how to assess a
patient's status.
15. Discuss some clinical cases of acidbase imbalances.
*CAI - Delmar’s: Changing the IV
Gown
* CAI - Delmar’s: Adding
Medications to an IV Solution
* CAI - Delmar’s: Administering
Medications via Volume-Control Sets
Complete FON Study Guide: Ch 52,
Ch.35 related to IV therapy.
Complete Pharmacology Study Guide:
Ch 14.
16. Identify the purpose, uses, and legal
implications of IV therapy.
17. Differentiate the types of isotonic,
hypotonic, & hypertonic solutions
commonly used in IV therapy.
18. Discuss some common IV
medications and how to administer
them.
TEST #4 MATERIAL ON
FLUIDS, SHOCK, IV
THERAPY, ACID BASE
BALANCE
8
UNIT 5-PERIOPERATIVE CARE, WOUNDS, & OXYGENATION- *SEE COURSE SCHEDULE FOR WHEN UNIT 5 CONTENT
WILL BE COVERED IN CLASS
LECTURE CONTENT
1. Preoperative Care
a. Describe the ways surgeries are
classified.
b. Discuss factors that increase
surgical risks in patients.
c. List and explain the data to
include in the preop assessment
of a surgical patient: history,
physical assessment, and
diagnostic tests.
d. Identify the essential features of
an informed consent for a
surgical procedure.
e. List and explain the nursing
responsibilities for the patient
prior to surgery.
f. Discuss the required content of
preop teaching.
g. Discuss the importance of the
universal protocol for patient
safety.
h. Identify the common types of
anesthesia that may be used in
surgery.
i. Describe the effects of general and
regional anesthesia.
LAB CONTENT
1. 5 MATERIAL
.
LAB # 6 TEST
1. Discuss the reasons for GI intubation.
2.
Explain the uses of the commonly used
types of GI intubations.
3.
Discuss the following procedures:
Inserting an N/G tube.
Charting, nursing Dx & nursing orders
Removing an N/G tube.
Irrigating an N/G or feeding tube.
Maintaining an N/G or feeding tube.
Administering meds per NG/GT.
Avoiding complications that commonly
occur with NG/GT.
CLINICAL ACTIVITIES
1. When the opportunity arises, be
prepared to use the techniques of GI
intubation, irrigation, and feeding.
2. With the opportunity, be prepared to :
a. Provide appropriate preop teaching.
b. Prepare pt's skin before surgery.
c. Adequately prepare & record
patient’s care on the day of surgery.
d. Accompany patients to surgery.
e. Accompany patients to the PAR.
3. When given the opportunity, be
prepared to:
a. Assess pertinent data of the patient's
postop condition and accurately
record it.
b. Prepare a postop nursing care plan.
c. Provide nursing measures to relieve
postop discomfort and prevent
complications.
INDEPENDENT ACTIVITIES
Read FON: Ch. 36, Ch. 37, Ch. 47: p.
1265-1276, and Ch. 35: p. 856-857.
Read nutrition book on postop diets.
*CAI – Delmar’s: Applying
Antiembolic Stockings
*CAI – Delmar’s: Applying Pneumatic
Compression Device
*CAI – Delmar’s: Assisting with a
Continuous Passive Motion Device
 CAI – Delmar’s: Administering
Preoperative Care
 CAI – Delmar’s: Preparing A
Surgical Site
 CAI – Delmar’s: Assessing
Immediate Post-operative Care
 CAI – Delmar’s: Postoperative
Exercise Instruction
 CAI – Delmar’s: Inserting and
Maintaining a Nasogastric Tube
 CAI – Delmar’s: Assessing
Placement of a Large Bore Feeding
Tube
 CAI – Delmar’s: Assessing
Placement of a Small Bore Feeding
Tube
 CAI – Delmar’s: Removing a Naso
Gastric Tube
 CAI – Delmar’s: Feeding and
Medicating via a Gastrostomy Tube
 CAI – Delmar’s: Maintaining
Gastrointestinal Suction Devices
j. Discuss the SN role in the OR.
k. List the nursing responsibilities
involved in the immediate postop
period and the significance of
9
each.
l. Identify postoperative
complications, their causes, and
the nursing interventions to
prevent them.
m. Define types of wounds and the
phases of the healing process.
LAB # 7 TEST 5 MATERIAL
GUEST SPEAKER:
n. Identify factors that inhibit wound
healing and measures to promote
the healing process.
1.
Identify the assessment data pertinent
to wounds.
2.
Discuss appropriate treatment,
including dressings and other wound
coverings of wounds.
Discuss different types of wounds.
o. Describe the nursing process
involved with the care of wounds.
3.
p. Describe the complications of
wound healing.
q. Discuss the types of drains most
often seen with wounds.
4. When given the opportunity, be
prepared to:
a. Identify & gather proper dressing
materials.
b. Appropriately assess a wound.
c. Change a dressing using aseptic
technique, securing it well.
d. Irrigate or pack a wound using
aseptic technique.
e. Remove skin sutures.
f. Accurately record observations of
wound care and nursing care.
5. Demonstrate the proper applications of
bandages and binders.
6. In the clinical setting, use appropriate
safety measures when applying heat or
cold applications to patients.
 CAI – Delmar’s: Irrigating a Wound
 CAI – Delmar’s: Packing a Wound
 CAI – Delmar’s: Cleaning and
Dressing a Wound with an Open
Drain
 CAI – Delmar’s: Dressing a Wound
with Retention Sutures
 CAI – Delmar’s: Maintaining a
Closed Wound Drainage System
 CAI – Delmar’s: Care of the
Jackson-Pratt Drain Site and
Emptying the Drain
 CAI – Delmar’s: Removing Skin
Sutures and Staples
 CAI – Delmar’s: Preventing and
Managing the Pressure Ulcer
 CAI – Delmar’s: Applying a Pouch
to a Draining Wound
 CAI – Delmar’s: Applying ABD, Tor Breast Binders
*CAI – Delmar’s: Applying Moist Heat
*CAI – Delmar’s: Applying Dry Heat
*CAI – Delmar’s: Applying Cold
Treatment
 CAI -Mastering Clinical Skills:
GI tubes
Enteral Feedings
Complete FON Study Guide: Ch 35, 36,
37, 47.
 CAI – PDS-Clinical Nursing
Concepts: Perioperative Care,
Inflammation, Infection, and Wound
Healing.
10
2. Oxygenation
a. Define terms related to
oxygenation.
b. Describe factors which affect
oxygenation.
c. Describe the nursing assessment
data that determines a patient's
oxygen needs.
d. Identify common diagnostic tests
for oxygen deficits and explain
their value in developing a
nursing care plan.
e. List and provide the rationales for
measures to maintain or attain
normal respiratory function.
f. Discuss the procedures of:
Oximetry
Oropharyngeal / nasopharyngeal
suctioning
Incentive spirometer
Caring for a pt c a nasal cannula
Caring for a pt c a simple face
mask
Using the Venturi mask
CPAP/BiPAP
LAB #8 TEST 5 MATERIAL
1. Discuss the principles related to oral
suctioning.
2. Demonstrate correct procedure for oral
suctioning.
3. Complete bedside scenarios related to
oxygen needs.
4. View video on oral suctioning.
7. Routinely assess and properly record
your assigned patients' oxygen needs.
8. When given the opportunity,
a. Collect and send sputum specimens
to the lab.
b. Take oximetry readings.
c. Perform adequate suctioning for
assigned patients.
d. Teach correct use of spirometry.
e. Provide nursing measures for
patients with oxygen
administration.
Read FON: Ch 50. Except pages 13791381, and 1386-1395.
 CAI - Delmar’s: Administering
Oxygen Therapy
 CAI - Delmar’s: Assisting a Client
with Controlled Coughing and Deep
Breathing
 CAI - Delmar’s: Assisting a Client
with an Incentive Spirometer
*CAI - Delmar’s: Administering Pulse
Oximetry
Complete FON Study Guide: Ch 50.
*CAI - Delmar’s: Administering
Pulmonary therapy and Postural
Drainage
 CAI - Delmar’s: Administering
Intermittent Positive-Pressure
Breathing
 CAI - Mastering Clinical Skills:
Oxygen Administration
Pulse Oximetry
e. Utilize the nursing process in
planning the care of the patient
with oxygenation.
FINAL TEST! SURGICAL
CARE, WOUNDS, NG/GT,
AND OXYGENATION
MATERIAL

9/24/07
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