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LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
COURSE:
Medical Surgical Nursing I - Respiratory Nursing
PLACEMENT:
SEMESTER 2
TIME ALLOTMENT:
25 HOURS
PURPOSE: The purpose of this course is to introduce the student to respiratory nursing care concepts
that will enhance their ability to provide care for the patient with respiratory diseases and disorders
utilizing nursing principles (34.06)
COURSE DESCRIPTION: This course will review respiratory structure and function (28.02), identify
signs and symptoms of diseases/disorders of the respiratory system (34.01), identify diagnostic tests and
medications used in the treatment of respiratory diseases/disorders (34.02, 34.03), and identify
nutritional needs of patients with respiratory diseases/disorders (34.04)
SUMMARY OF UNITS:
Unit 1: A & P Review; Common Respiratory Diagnostic Tests and Treatments
Unit 2: Acute Respiratory Diseases and Disorders
Unit 3: Chronic Respiratory Diseases and Disorders
METHODS OF EVALUATION:
Evaluation will be based upon written objective tests and quizzes
as well as instructor assigned projects/assignments, class participation and preparedness.
COURSE REQUIREMENTS:
For successful completion of this course, the student must have an
average grade of 80% based on the three unit exams/quizzes and other unit assignments. Additionally,
the student must maintain an average score of 80% from all methods of evaluation which includes a
Respiratory Pharmacology Calculations Quiz.
METHODS OF INSTRUCTION:
Required readings
Written Assignments
Lecture/Discussion
Guest lecturers
Cooperative learning
Multimedia presentations
Laboratory Experiences
REFERENCES:
Castaldi, PA Study Guide for Christensen and Kockrow Foundations of Nursing, St. Louis:
Mosby/Elsevier, 2006.
Christensen, BL and Kockrow, EO, Foundations of Nursing, 5th edition, St. Louis: Mosby/Elsevier,
2006.
Deglin, J and Vallerand, A., Davis’s Drug Guide for Nurses, 10th ed., Philadelphia: FA Davis Company,
2007.
FA Davis, Taber’s Cyclopedia Medical Dictionary, Philadelphia: FA Davis Company, 20th ed., 2005.
Linton, AD, Introduction to Medical Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007.
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Rev. 6/08 JP/FA/MC/ML
Section E, Page 1 of 5
Maebius, NK, Study Guide for Linton Introduction to Medical-Surgical Nursing, Philadelphia:
Saunders/Elsevier, 2007.
Myers, E and Hopkins, T., LPN Notes, 2nd ed., Philadelphia: FA Davis Company, 20th ed., 2007.
Ogden, S, Calculation of Drug Dosages, 8th ed., St. Louis: Mosby/Elsevier, 2007.
Pagano, KD and Pagano, TJ, Mosby’s Diagnostic and Laboratory Test Reference, 8th ed. 2008.
Scanlon, Valerie and Sanders, Tina, Essentials of Anatomy and Physiology, 5th ed. Philadelphia: F.A.
Davis Company, 2007.
Scanlon, Valerie and Sanders, Tina, Student Workbook for Essentials of Anatomy and Physiology, 5th
ed. Philadelphia: F.A. Davis Company, 2007.
Silvestri, LA, Saunders Comprehensive Review for NCLEX-PN, 3rd ed., Philadelphia:WB Saunders
Co., 2007.
Sparks, Sheila and Taylor, Cynthia, Nursing Diagnosis Reference Manual, 7th ed. Pennsylvania:
Lippincott, Williams and Wilkins, 2008.
Virtual Clinical Excursions – Skilled Nursing; for Christensen and Kockrow Foundation of Nursing 5th
ed., 2007
Virtual Clinical Excursions – Medical Surgical; for Linton Introduction to Medical Surgical Nursing, 4th
ed., 2007.
Instructor selected handouts/multimedia
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Section E, Page 2 of 5
Unit 1 - A & P Review; Common Respiratory Diagnostic Tests and Treatments
OBJECTIVES:
At the completion of this unit, the student will be able to:
1.
Describe the structure and function of the respiratory system.
2.
Identify the nursing implications of age related changes in the respiratory system.
3.
Describe diagnostic tests and procedures for respiratory system diseases and disorders to
include: arterial blood gas analysis, pulse oximetry, sputum analysis, chest radiograph,
ventilation-perfusion scan, CT scan, MRI, pulmonary function tests, bronchoscopy and
thoracentesis.
4.
Interpret arterial blood gas measurements to determine acidosis verses alkylosis and
respiratory verses metabolic processes.
5.
Identify nursing interventions related to respiratory diagnostic tests and procedures.
6.
Identify data to be collected in the nursing assessment of the patient with a respiratory
disease/disorder.
7.
Describe possible abnormal findings of a respiratory assessment including altered breathing
patterns and abnormal lung sounds.
8.
Describe common therapeutic measures used in respiratory nursing including breathing
exercises, chest physiotherapy, suctioning, humidification and aerosol therapy, oxygen
therapy, artificial airways and chest tubes.
9.
Identify nursing interventions related to respiratory therapeutic measures.
10.
Describe nursing care and principles for the patient following thoracic surgery.
11.
Identify the major classifications and actions of respiratory medications as well as
appropriate nursing care in the administration of these medications.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance
learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive
Review Tex
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Rev. 6/08 JP/FA/MC/ML
Section E, Page 3 of 5
Unit 2 - Acute Respiratory Diseases and Disorders
OBJECTIVES:
At the completion of this unit, the student will be able to:
1.
Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and
medical treatment of the following acute respiratory disorders:
Sinisitis
Epistaxis
Acute Viral Rhinitis
Pharyngitis
Tonsillitis
Influenza
Laryngitis
Acute Bronchitis
Pneumonia
Empyema
Pleurisy
Chest Trauma
Pneumothorax
Hemothorax
Rib Fracture
Flail Chest
Pulmonary Embolism
Respiratory Arrest
Adult Respiratory Distress Syndrome
2.
Describe nursing principles that relate to the care of the patient with acute respiratory
diseases/disorders including nutritional considerations.
3.
Discuss nursing diagnoses, goals and interventions that are related to the care of the patient
with acute respiratory diseases/disorders.
4.
Identify commonly used medications and their action in the treatment of acute respiratory
diseases and disorders.
5.
Demonstrate auscultation of the lungs.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance
learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive
Review Text.
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Rev. 6/08 JP/FA/MC/ML
Section E, Page 4 of 5
Unit 3 – Chronic Respiratory Diseases and Disorders
OBJECTIVES:
At the completion of this unit, the student will be able to:
1.
Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and
medical treatment of the following chronic respiratory disorders:
Snoring
Sleep Apnea
Allergic Rhinitis
Bronchial Asthma
Bronchiectasis
Chronic Bronchitis
Emphysema
Cystic Fibrosis
Tuberculosis
Occupational Lung Diseases
Lung Cancer
Cancer of the Larynx
2.
Describe nursing principles that relate to the care of the patient with chronic respiratory
diseases/disorders including nutritional considerations.
3.
Discuss nursing diagnoses, goals and interventions that are related to the care of the patient
with chronic respiratory diseases/disorders.
4.
Identify commonly used medications and their action in the treatment of chronic respiratory
diseases and disorders.
5.
Explain special nursing considerations in the care of the laryngectomy patient including
tracheostomy care.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance
learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive
Review Text.
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Rev. 6/08 JP/FA/MC/ML
Section E, Page 5 of 5