Download NRS 170 - Citrus College

Requisite Approval must be attached
CITRUS COMMUNITY COLLEGE DISTRICT
CREDIT COURSE OUTLINE
DEPARTMENT Health Occupations
COURSE NUMBER NRS 170
TITLE Medical-Surgical Nursing II
THIS COURSE IS CLASSIFIED AS:
DEGREE APPLICABLE
UNIT VALUE
7
LECTURE HOURS PER WEEK BASED ON 18 WEEK SEMESTER
7
ENTRANCE SKILLS, PREREQUISITES, OR CO-REQUISITES
Prerequisite: NRS 160.
Corequisite: Concurrent enrollment required in NRS 171L.
CATALOG COURSE DESCRIPTION
Advanced nursing students the theory needed to perform skills and procedures
for the adult in NRS 171L. By consistently emphasizing the nursing process and
rationale, the format with each body system includes basic assessment or data
collection, planning, implementation, evaluation and documentation.
Basic
nursing skills are reinforced. Advanced skills include those related to the
following body systems: cardiovascular, respiratory, neurological, genitourinary,
endocrine, special senses. Seven hours lecture per week.
CLASS SCHEDULE COURSE DESCRIPTION
Skills and procedures for the adult in NRS 171L. Includes basic assessment,
data collection, planning, evaluation, and documentation. Advanced skills related
to: cardiovascular, respiratory, neurological, genitourinary, endocrine, special
senses.
COURSE OBJECTIVES
Upon successful completion of this course, the student should be able to:
1.
use the nursing process to perform basic and advanced nursing skills in a
clinical setting offered in 171 Medical-Surgical Nursing Lab
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
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2.
describe how to perform a beginning level assessment of patients with
diseases or disorders affecting the cardiovascular, respiratory,
neurological, endocrine, genitourinary, and special senses systems
3.
plan for care of patients by integrating basic and advanced care for
patients with the above conditions, providing medications and meeting
client’s needs for health care information and rehabilitation in a simulated
lab setting
4.
discuss how to implement care in a clinical setting for patients who require
care with disorders affecting the above body systems
5.
evaluate care with instructor, and add to the simulated plan of care
6.
document care in the style appropriate to a simulated clinical facility using
acceptable medical terminology
7.
define safe, ethical and legal principles of nursing in compliance with the
Nurse Practice Act and the rules and regulations of the Board of
Vocational Nurses and Psychiatric Technician Examiners
REQUIRED TEXTS AND MATERIALS
Introductory Medical-Surgical Nursing, & workbook, Scherer/Timby
Success in Practical Nursing, Hill
Your Attitude is Showing, Chapman
The reading for this course is:
PRIMARILY COLLEGE LEVEL
REQUIRED ASSIGNMENTS OUTSIDE OF CLASS
Over an 18 week presentation of the course three hours per week are required
for each unit of credit. Two hours of independent work done out of class are
required for each hour of lecture. Students will be required to complete the
following types of assignments outside of the regular class time:
Study
Answer questions
Practice skills
Read required materials
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
CREDIT COURSE OUTLINE
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DEGREE APPLICABLE COURSE:
2 hours of independent work done out of class per each hour of lecture or class
work, or 3 hours lab, practicum, or the equivalent, per unit.
COURSE CONTENT
I.
Respiratory System
A.
Identify the anatomy and physiology of the respiratory system
B.
Define pertinent vocabulary terms related to the respiratory system
terminology worksheet
C.
Differentiate between external and internal respiration
D.
List 2 components of the nursing process of physical assessment findings,
related to respiratory system disorders, giving 3 examples of each
component
E.
Discuss prevention of transmission of communicable respiratory diseases
F.
Describe rehabilitation of the respiratory patient
G.
Identify 3 diagnostic studies/procedures for respiratory system disorders
H.
State purpose for sputum studies and nursing intervention/responsibility
for obtaining sputum specimen
I.
Define bronchoscopy and identify 3 post procedure nursing interventions
J.
State purpose for pursed-lip breathing
K.
Define thoracentisis and identify 2 nursing interventions/responsibilities
during the procedure
L.
Define tracheostomy and identify 3 nursing interventions/responsibilities
for patient care
M.
State the purpose for chest tubes with closed water-seal drainage
N.
Describe the psychosocial impact of Respiratory System Disorders
O.
Differentiate between modifiable and non-modifiable risk factors in the
development of a respiratory system disorder
P.
Identify 2 actual and 2 potential nursing diagnoses for a patient with a
respiratory system disorder
Q.
State 4 clinical manifestations for a patient with laryngeal cancer
R.
Indicate 2 patient/family postoperative teaching goals for a patient with
laryngectomy
S.
State 4 medical nursing interventions/responsibilities for a patient with
emphysema
T.
Indicate 4 patient/family teaching goals for a patient with AIDS and
prevention of transmission
U.
State 4 medical/surgical nursing interventions/responsibilities for a patient
with pneumothorax
V.
Indicate 4 patient/family teaching goals for a patient with tuberculosis and
prevention of transmission
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
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II.
Cardiovascular System
A.
Identify the anatomy and physiology of the cardio vascular system
B.
Define pertinent vocabulary terms related to cardiovascular system
technology worksheet
C.
List two components of the nursing process of physical assessment
findings related to the cardiovascular system disorders, giving 3 examples
of each component
D.
Describe rehabilitation of the cardiovascular patient
E.
Identify 3 diagnostic studies/procedures for cardiovascular system
disorders
F.
State
purpose
for
laboratory
studies
and
nursing
interventions/responsibilities
G.
Identify/define 4 disorders of rate and rhythm of the heart
H.
Describe the psychosocial impact of cardiovascular system disorder
I.
Identify 2 actual and potential nursing diagnoses for a patient with
cardiovascular system disorder
J.
Discuss the difference between Arteriosclerosis/Atherosclerosis
K.
Indicate 2 potential family teaching goals for a patient with hypertension
L.
State 2 nursing interventions for a patient with coronary artery disease
M.
Indicate 4 patient/family teaching goals for a patient with myocardial
infarction
N.
State 2 complications of rheumatic fever/rheumatic heart disease
O.
State 4 nursing interventions for a patient with congestive heart failure
(CHF)
P.
List 5 symptoms of congestive heart failure (CHF)
Q.
Differentiate between thrombophlebtis and varicose veins
R.
Identify the anatomy and physiology of the blood
S.
Discuss the importance of the blood components as a measure of health
and illness
T.
Describe the common diagnostic tests for blood disorders
U.
Discuss prevention of blood disorders
V.
Describe rehabilitation for the patient with blood disorder
W.
Identify 2 actual and 2 potential nursing diagnoses for a patient with a
disease affecting the blood system
X.
State 3 clinical manifestations for a patient with Hodgkin’s disease
Y.
Indicate 2 patient/family discharge teaching goals for a patient with
Hemophilia
III.
Neurological System
A.
Identify the anatomy and physiology of the neurological system
B.
Define pertinent vocabulary terms related to the neurological system
terminology worksheet
C.
List 2 components of physical assessment findings related to neurological
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
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system disorders, giving 3 examples of each component
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
R.
S.
T.
U.
V.
W.
X.
Y.
Z.
IV.
Identify 3 diagnostic studies/procedures for neurological system disorders
State purpose for lumbar puncture
Describe prevention of transmission of communicable neurological
diseases
Describe rehabilitation of the neurological patient
Identify and list the different levels of consciousness
Identify 2 actual and 2 potential nursing diagnoses for a patient with
increased intracranial pressure
State 3 nursing interventions/responsibilities for a patient with a head
injury
Indicate 2 potential family teaching goals for a patient with a head injury
State 3 nursing interventions for a patient with meningitis
Indicate 2 patient/family teaching goals for a patient with encephalitis
Describe the psychosocial impact of multiple sclerosis
Identify 2 actual and 2 potential nursing diagnoses for a patient with
Parkinson’s disease
Identify 2 actual and 2 potential nursing diagnoses for a patient with
cerebrovascular accident
State 2 clinical manifestations for a patient with cerebrovascular accident
Differentiate between neuritis and neuralgia
State 3 nursing interventions/responsibilities for a patient with
neuritis/neuralgia
State 3 nursing interventions/responsibilities for a patient with spinal cord
injury
Indicate 2 potential family teaching goals for a patient with a spinal cord
injury
List 3 complications of spinal cord injuries
State 3 nursing interventions for a patient with seizure disorder
State 3 clinical manifestations for a patient with seizures
Define craniotomy and identify 3 preoperative nursing interventions
Indicate 2 patient/family post-operative teaching goals for a patient with
craniotomy
Special Senses
A.
Identify the anatomy and physiology of the eye and ear
B.
Define pertinent vocabulary terms related to special senses
C.
List 2 components of physical assessment findings related to special
senses, giving 3 examples of each component
D.
Describe prevention of transmission of communicable diseases of the eye
and ear
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
E.
V.
Describe rehabilitation of the patient with eye/ear disorders
Endocrine System
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
R.
S.
VI.
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Identify the anatomy and physiology of the endocrine system
Define pertinent vocabulary terms related to the endocrine system
terminology worksheet
List 2 components of physical assessment findings related to endocrine
system disorders, giving 3 examples of each component
Describe rehabilitation of the patient with endocrine system disorders
Identify 3 diagnostic studies/procedures for endocrine system disorders
State purpose for glucose tolerance test (GTT)
Define ACTH and state purpose for ACTH stimulation test
Describe the psychosocial impact of endocrine system disorders
Identify 2 actual and 2 potential nursing diagnoses for a patient with an
endocrine system disorder
State 3 nursing interventions/responsibilities for a patient with diabetes
insipidus
Indicate 2 patient/family teaching goals for a patient with post
hypophysectomy
State 4 nursing interventions for a patient with hyperthyroidism
Indicate 4 patient/family teaching goals for a patient with thyroidectomy
State 3 nursing interventions for a patient with diabetes mellitus – IDDM
Indicate 4 patient/family teaching goals for a patient with diabetes mellitus
–IDDM
Differentiate between hyperglycemia and hypoglycemia
List 4 complications of diabetes mellitus
State 3 nursing interventions for a patient with Cushing’s Syndrome
Identify 3 nursing implementations for a patient with pheochromocytoma
Genitourinary System
A.
Identify the anatomy and physiology of the genitourinary system
B.
Define pertinent vocabulary terms related to the genitourinary system
terminology worksheet
C.
List 2 components of physical assessment findings related to genitourinary
system disorders and give 3 examples of each
D.
Describe prevention of transmission of communicable urinary diseases
E.
Describe rehabilitation of the patient with genitourinary system disorders
F.
Identify 3 diagnostic studies/procedures for genitourinary system disorders
G.
State definition/purpose for IVP
H.
Define cystoscopy and identify 3 post procedure nursing implementations
I.
Describe the psychosocial impact of genitourinary disorders
J.
Identify 2 actual and 2 potential nursing diagnoses or a patient with a
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
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K.
genitourinary system disorder
State 3 nursing interventions for a patient with pyelonephritis
L.
M.
Indicate 3 patient/family teaching goals for a patient with dialysis
State 4 surgical nursing implementations for a patient with nephrectomy
METHODS OF INSTRUCTION
Lecture/Discussion
METHODS OF ASSESSMENT
FOR DEGREE APPLICABLE COURSES:
Students will be graded, at minimum, in at least one of the following categories.
If "essay" is not checked, it must be explained why essays are an inappropriate
basis for at least part of the grade in the course.
ESSAY OR SUBSTANTIAL WRITING ASSIGNMENT
Includes not only "blue book" examinations but any written assignment of
sufficient length and complexity to require students to select and organize ideas
as well as to explain them.
COMPUTATIONAL OR NON-COMPUTATIONAL PROBLEM-SOLVING
Critical thinking should be demonstrated by the solution of unfamiliar problems
that admits various solutions or various strategies for achieving the solution.
SKILL DEMONSTRATION
A course grade may not be based solely on attendance.
Adopted: May 15, 1990
Revised: October, 1991
Revised & Classified: June, 1993
Revised: March, 1995
Revised: March, 1996
Revised: May, 1997
Revised: September, 1998
CITRUS COMMUNITY COLLEGE DISTRICT
REQUISITE APPROVAL
The Requisite Approval form must be completed for any course that carries a
prerequisite, corequisite, or limitation on enrollment as indicated on the Course
Approval form.
Department: Health Occupations
Course number: 170
I.
Title: Medical-Surgical Nursing II
RECOMMENDED REQUISITE(S):
Prerequisite: NRS 160.
Corequisite: Concurrent enrollment required in NRS 171L.
II.
TYPE OF REQUISITE AND THE APPROPRIATE LEVEL OF SCRUTINY.
CIRCLE THE APPROPRIATE LETTER:
B.
SEQUENTIAL/CONCURRENT
Include in the content review a comparison of the skills, concepts and
information taught in the first or concurrent course to those required at
entrance for success in the second course.
III.
CONTENT REVIEW. FACULTY SHOULD BASE CONTENT REVIEW ON THE
SYLLABUS AND OUTLINE OF RECORD, TESTS, RELATED INSTRUCTIONAL
MATERIALS, TESTS, AND GRADING CRITERIA.
CHECK THE
APPROPRIATE BOX TO INDICATE THAT THE CONTENT REVIEW HAS BEEN
COMPLETED:
þ
For courses to be used as requisites or advisories, compare the
knowledge and/or skills needed at entry with those taught in the requisite,
concurrent, or advisory course.
A.
LIST THE SPECIFIC SKILLS, CONCEPTS
REQUIRED FOR SUCCESS IN THE COURSE:
B.
AND
INFORMATION
1.
Medical-surgical nursing with clinical practice.
2.
Theory of care for patients with alterations of respiration,
circulation, the blood, the elimination of liquid waste, endocrine
function, neurological function, vision, and hearing.
LIST THE SPECIFIC SKILLS, CONCEPTS AND INFORMATION THE
STUDENT WILL ATTAIN IN THE REQUISITE COURSE OR THAT WILL
CITRUS COMMUNITY COLLEGE DISTRICT
170 Medical-Surgical Nursing II
REQUISITE APPROVAL
Page 2
BE MEASURED WITH THE REQUISITE TEST:
1.
NOTE:
Medical-surgical nursing with clinical practice.
Per District policy and procedures the completed and approved
Requisite Approval form is considered to be part of the official
course outline of record.