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WALLA WALLA COMMUNITY COLLEGE
NURSING EDUCATION
BEGINNING NURSING CONCEPTS I
NURS 101
Winter Quarter 2010
Every effort is made to ensure accuracy in the syllabus at the time of printing.
However, the Walla Walla Community College Nursing Education Program
reserves the right to change any provision or requirement that is necessitated by
circumstances arising during the course. All changes will be provided in writing.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
1
COURSE OUTLINE
Course Identifier:
NURS 101
Title:
Beginning Nursing Concepts I
Credits:
6
Class Hrs Per Wk:
6
Catalog Description:
A continuation of the principles of nursing care introduced in NURS 100.
The focus is on providing care for clients of all ages who are experiencing
normal life processes or common/chronic disease processes in selected
systems.
Prerequisites:
NURS 100 and 110
Corequisite:
NURS 111
Teaching Format:
Lecture/Discussion
Critical Thinking Activities
Small Group Activities
Audio-visual
Computer-based Learning Activities
Location:
Walla Walla Campus – Room 1706
Clarkston Campus – Room 2107
Course Topics:
Introduction to Care of the Child
Perioperative Nursing
Fluid, Electrolytes, Acid-Base Balance I
Cancer I
Men's Health
Integumentary
Musculoskeletal
Diabetes
Respiratory I
Evaluation Devices:
Activities
Unit Tests
Comprehensive Final
ATI Tests
NURS 101 Syllabus
Winter 2010 Final 12.15.09
2
COURSE COMPETENCIES:
Critical Thinking
1.
2.
Demonstrate critical thinking in the use of the nursing process.
Demonstrate use of management/leadership principles in the delivery of
client/patient care.
Caring
3.
4.
Perform interventions in a safe and effective manner.
Use therapeutic communication.
Professional Behaviors
5.
Demonstrate professional behaviors.
FACULTY CONTACT LIST
NOTE: Students are encouraged to contact the faculty member responsible for the
content area or clinical experience that they have a question about. Contact your faculty
advisor for academic concerns and advising.
Walla Walla Campus:
Clarkston Campus:
Nursing Office:
Nursing Office:
509-527-4240
509-758-1702
Director of Nursing Education: Marilyn D. Galusha, RN, MSN
Walla Walla-based Instructors
Kathy Adamski, RN, MN
(Level I Lead Instructor)
Brenda Anderson, RN, MSN
Grace Hiner, RN, MN
Office
Number
527-4244
Email addresses
527-4421
[email protected]
Cell: 200-0904
[email protected]
Cell: 240-4084
[email protected]
758-1728
[email protected]
758-1787
[email protected]
527-4327
Clarkston-based Instructors
Carol McFadyen, RN, Ph.D.
(Clarkston Lead Instructor)
Todd Carpenter, RN, BSN
Office Hours for instructors may be found on the Level I Bulletin Board
NURS 101 Syllabus
Winter 2010 Final 12.15.09
3
BEGINNING NURSING CONCEPTS I
NURS 101
Grading Criteria & Distribution of Points:
CONTENT
POINTS
Perioperative Nursing
Fluids, Electrolytes, Acid-Base Balance I (2 classes)
Introduction to Care of the Child
Diabetes (3 classes)
Cancer I
Respiratory I (4 classes)
Integumentary
Musculoskeletal (3 classes)
Men's Health
4 unit tests (9 questions per 3-hour lecture period)
Final Test (5 questions per 3-hour lecture period)
ATI PN Fundamentals of Nursing comprehensive test
Total Points available
3
6
3
9
3
12
3
9
3
153
85
30
319
(All content will be taught via ITV. Faculty will travel part of the time weather permitting.)
**Students must attain 75% or greater cumulative score on tests to achieve a passing
grade in NURS 101. Activity points will accumulate as achieved, however, they will not
be added to the grade until the end of the quarter and will be added only if the test score
is a minimum of 75%.
Group testing - following each of the four (4) unit tests, a small-group test will be given.
If a 90% is achieved on this group test, the members of the group shall receive 2
additional points. If the group receives a score of 81-89% each member shall receive 1
additional point. Any group scoring 80% or below shall receive no points. All points
achieved through group testing shall be documented as bonus activity points.
Course Expectations:
1.
2.
Follow all policies as outlined in Nursing Student Handbook
If absent from class, no points shall be awarded for missed in-class learning
activities
3. All assignments must be accounted before progression regardless of score
achieved.
4. Late papers will receive a one-point deduction per school day when turned in after
the due date and /or time (i.e. beginning of class or as stated).
Testing: Failure to take a test at the scheduled time will result in an automatic reduction
of 5% of the available score from the earned score. (See p. 18 of the WWCC Nursing
Student Handbook).
Grading Scale – See Nursing Student Handbook
NURS 101 Syllabus
Winter 2010 Final 12.15.09
4
Assessment Technologies Institute (ATI) Testing

One (1) proctored computerized mastery examination will be administered this
quarter: PN Fundamentals for Nursing Practice.

Prior to taking this content mastery examination, each student must complete a
non-proctored, online practice test and achieve a score of 90%. This nonproctored, online practice test can be taken more than once however, a 90%
must be achieved. You will not be allowed to take the proctored exam if you
do not complete the online practice exam by the due date. Access and Test ID
codes will be provided.

In order to be admitted to the proctored exam, you will need to submit a copy
of your non-proctored, online practice test individual score to
Kathy/Carolyn/Carol (front page only).

An ATI “Proficiency Level II” must be achieved. This is considered minimum
competency.

Failure to achieve a “Proficiency Level II” on the first proctored exam shall
require remediation prior to retesting. A student has a maximum of five (5)
attempts to meet the minimum proficiency on the proctored exam.

Failure to achieve a “Proficiency Level II” prior to the end of winter quarter will
result in an Incomplete “I” grade contract.

Failure to clear the “I” grade contract by the end of the first two weeks of the
next quarter will result in the conversion of the “I” grade to a C- and the student
will not be allowed to progress.

The points available on the ATI Content Mastery Test will be allocated on a
curved scale basis. Points will be prorated with the highest percentage score
earning 100% of the available points.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
5
PERIOPERATIVE NURSING
Topic
Perioperative
Nursing
Objectives
1. Explain the concept of perioperative nursing
Assignments/Comments
Lewis, et al (7th ed.)
Ch. 18, pp. 343-357
2. Describe essential components of preoperative nursing
(assessment, relevant diagnostic tests, teaching, informed consent, etc.)
ative Nursing C
cute
3. Develop a preoperative teaching plan for a client undergoing open abdominal
surgery.
4. Describe the action, therapeutic effect, and nursing implications of medications
administered during the perioperative period.
Intraoperative
Nursing Care
5. Identify the surgical team and describe their role in client safety.*
Lewis, et al (7th ed.)
SCAN Ch. 19, pp. 359-373
6. Compare and contrast types of anesthesia.
7. Describe the role of the nurse related to conscious sedation and explain potential
risk factors.
[Objectives marked with (*) are also
covered in the Perioperative
Experience Reaction Paper, NURS
111].
8. Discuss measures used to maintain client safety during the intraoperative phase.*
Postoperative
Nursing Care
9. Explain the role of the PACU nurse related to patient safety immediately after
surgery (assessment/interventions).
10. Describe the role of the nurse caring for hospitalized surgical clients, including
assessment, potential complications, interventions, and evaluation.
Acute Pain
Lewis, et al (7th ed.)
Ch. 20, pp. 376-395
11. Differentiate acute from chronic pain.
12. Review methods of assessing acute pain and describe common responses to
pain.
Lewis, et al (7th ed.)
Ch. 10, pp. 125-148
13. Explain the mechanisms whereby non-narcotic and narcotic analgesics relieve
pain. Discuss rationale and teaching requirements for the use of a PCA.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
6
FLUID AND ELECTROLYTES, ACID-BASE BALANCE I (CLASS #1)
Topic
Fluid and
Electrolyte
Imbalances
Objectives
1. Describe the normal physiology of fluid balance
 Fluid compartments
 Functions of body fluids
 Types of electrolytes
 Role of proteins
Assignment/Comments
Potter. & Perry (7th ed.)
Ch. 41, pp. 966-970, 981-992, 10041021 (unexpected outcomes)- stop
at Blood Replacement
Laboratory &
Diagnostic Testing
2. Identify the significance of abnormal laboratory values related to fluid
imbalances:
 Serum electrolytes
 Serum albumin
 Hematocrit
 Blood Urea Nitrogen (BUN)
Silvestri (4th ed.),
Ch. 11, pp. 100-104 and 107
 Albumin,
 Protein,
 Electrolytes,
 Renal function studies,
 Hemoglobin and hematocrit
3. Describe the etiology, clinical manifestations and nursing management of clients
at risk for or with:
 Fluid volume deficit/shock
 Fluid volume excess
 Fluid volume shifts
IV Fluid Therapy
4. Compare the actions of IV solutions in the body
 Hypotonic
 Isotonic
 Hypertonic
Silvestri, (4th ed.)
Ch. 9, pp 74 - 89
5. Identify legal/ethical principles that guide the practice of IV therapy in providing
care for children and adults.
 Assessments
o Site
o Rate
o Solution
 Documentation
NURS 101 Syllabus
Winter 2010 Final 12.15.09
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FLUID AND ELECTROLYTES, ACID-BASE BALANCE I (CLASS #2)
Topic
Assessment and
Management of
the Client with
Electrolyte
Imbalances
Objectives
1. Describe the etiology, clinical manifestations, medical management and nursing
interventions for the following imbalances:
 Sodium (Na)
 Chloride (Cl)
 Potassium (K)
 Calcium (Ca)
 Phosphorus (P)
Assignment/Comments
Potter & Perry (7th ed.)
Ch. 41, pp. 970-981
Silvestri, (4th ed.)
Ch. 10, pp 90-99
2. Describe the role of the chemical buffers in the lungs and kidneys in the
maintenance of acid-base balance.
3. Describe laboratory test results indicating acid base imbalance.
 Arterial Blood Gases (ABGs)
 Serum CO2
Assessment and
Management of
the Client with
Acid-Base
Imbalances
4. Identify the four types of acid-base imbalances by ABG analysis.
 Metabolic acidosis and alkalosis
 Respiratory acidosis and alkalosis
5. Describe the etiology, risk factors, clinical manifestations, medical management
and nursing interventions for the client with metabolic acidosis /alkalosis
NURS 101 Syllabus
Winter 2010 Final 12.15.09
8
INTRODUCTION TO CARE OF THE CHILD
Topic
Objectives
Assignment/Comments
Nurse’s Role
1. Discuss the nurse’s role in health maintenance and health promotion for children
Leifer (5th ed.)
SCAN Ch. 15, pp. 345-379
Health
Maintenance &
Health Promotion
2. Discuss the use of the nursing process in health maintenance and health
promotion activities for children of each age group
 Assessment of normal growth & development
 Erikson and Piaget
 Play, toys or activities
Leifer (5th ed.)
Ch. 16 (Infants), “Key Points”,
p. 397
3. Discuss common learning needs for parents in regards to health promotion and
maintenance for children of each age group
Ch. 18 (Pre-Schooler), “Key Points”,
pp. 426-427
Learning Needs
Assessment
Care of Child in
Hospital
4. Describe variations in techniques of physical assessment based on the child’s
age and level of development
5. Describe nursing interventions to provide age appropriate care to the ill child and
family in the hospital
Ch. 17 (Toddlers), “Key Points”,
p. 412
Ch. 19 (School-Age), “Key Points”,
p. 442
Ch. 20 (Adolescent), “Key Points”,
pp. 461-462
Ch. 21 (Hospitalization), pp. 472479
Appendix K, “Normal Vital Signs of
Infants and Children”, p. 773
NURS 101 Syllabus
Winter 2010 Final 12.15.09
9
DIABETES (CLASS #1)
Topic
Pathophysiology
and Etiology
Objectives
1. Differentiate between the etiology and pathophysiology of Type I and Type II
Diabetes
 Criteria for Diagnosis
Laboratory &
diagnostic testing
2. Describe the significance of findings from laboratory and diagnostic testing in
caring for the client with diabetes
 Blood glucose monitoring
 Urine testing for ketones
 Glycosylated hemoglobin
Management
3. Discuss the medical/nursing management of the client with diabetes
 Nutrition
 Exercise
 Medications
 Care during illness and surgery
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 49
Silvestri (4th ed.)
Ch. 33, pp. 387-390
Ch. 44, pp. 553-560
Silvestri (4th ed.)
Ch. 44, pp. 558, Box 44-20
10
DIABETES (CLASS #2)
Topic
Medications
Acute
Complications
Collaborative Care
Nursing
Management
Objectives
1. Identify the action, therapeutic effect, and nursing implications for the use of:
 Insulin
 Oral hypoglycemic agents
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 49
Silvestri (4th ed.)
Ch. 45, pp. 553-555
2.
Identify steps/measures for safe administration of diabetic medications.
3.
Identify the s/s of diabetic ketoacidosis (DKA).
4.
Interpret ABG results r/t DKA.
Lewis, et al (7th ed.)
Ch. 17, pp. 334-337 (Alterations in
Acid-Base Balance and Clinical
Manifestations)
Discuss assessment and nursing interventions for a client with diabetes in an
acute care facility
Silvestri (4th ed.)
Ch. 44, pp. 556-557 (Acute
Complications of Diabetes Mellitus)
5.
Doenges (11th ed.)
“Fluid Volume, Deficient”, pp. 320327
“Tissue Perfusion, Ineffective”, pp.
705-714
NURS 101 Syllabus
Winter 2010 Final 12.15.09
11
DIABETES (CLASS #3)
Topic
Long Term
Complications
Health Promotion
Objectives
1. Discuss health promotion activities to prevent the long term complication of
diabetes
 Macrovascular
 Microvascular
 Nephropathy
 Neuropathy
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 49
Teaching Plan
2. Develop an age appropriate teaching plan for management of diabetes including
learning needs, readiness to learn & documentation.
Doenges (11th ed.)
“Deficient Knowledge” regarding
disease process/treatment and
individual care needs, pp. 433-437
Management
3. Describe the psychosocial needs of a client newly diagnosed with Diabetes
Mellitus
 Adjustment to life with a chronic disease
 Developmental needs of children with diabetes
Potter & Perry (7th ed.)
Ch. 11, pp. 138-140
Review Erikson’s developmental
stages and Piaget’s Cognitive
developmental stages
4. Identify community resources available to meet the needs of clients with diabetes
NURS 101 Syllabus
Winter 2010 Final 12.15.09
12
CANCER I
Topic
Introduction to
Cancer Concepts
Objectives
1. Describe the biology of cancer.
2. Compare and contrast benign and malignant neoplasms.
3. Explain how a diagnosis is made and the importance of the various classification
systems related to diagnosis and outcome.
4. Describe prevalence, incidence, survival rates and mortality rates of common
cancers in the US.
Assignment/Comments
Expect to use vocabulary in class
activity
Silvestri (4th ed.)
Ch. 42, p. 496 (vocabulary)
Bring markers, colored pencils,
crayons for drawing (crayons
available in WW)
5. Describe the role of the nurse in prevention and/or early detection of cancer.
Silvestri (4th ed.)
Ch. 42, pp. 498-521
6. Discuss the psychological responses and coping mechanisms related to a
diagnosis of cancer.
Doenges (11th ed.)
“Grieving” pp. 345-349
7. Differentiate between treatment modalities and the ethical role of the nurse while
clients are making care choices.
8. Describe nursing management for clients undergoing cancer treatment.
 Patient and environmental safety
 Potential side effects or complications
NURS 101 Syllabus
Winter 2010 Final 12.15.09
13
RESPIRATORY I (CLASS #1)
Topics
Anatomy &
Physiology
Objectives
1. Discuss the anatomy and physiology (A & P) of the respiratory system in relation
to care of the client with respiratory disorders.
 ventilation
 neural control of respiration
 differences between the child and adult respiratory systems
 effects of aging on the respiratory system.
2.
Describe the nursing assessment for a client with a respiratory problem.
 history
 examination of the respiratory system
3.
Describe the clinical manifestations of a client with respiratory dysfunction
 normal versus abnormal breath sounds
 assessment abnormalities and chest examination findings in common
pulmonary problems
Assessment
Laboratory &
diagnostic studies
Nursing
Interventions
4. Describe the nursing responsibilities for preparing and caring for the client
receiving the following laboratory and diagnostic studies; also describe the
significance of the results of the following laboratory and diagnostic studies:
 CBC (Complete Blood Count: Focus on RBC, Hgb, Hct, & platelets)
 ABGs (Arterial Blood Gases)
 Pulse oximetry
 Sputum studies
 Skin test for tuberculosis
 Radiographic studies
 Endoscopic examination
 Pulmonary Function Tests
 Exercise Testing
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 26, pp. 509-532
Pages 509-512 of assigned reading
are a review of A & P. You are
responsible for the material.
Concepts that will be discussed in
class require that you understand the
A & P reviewed in these pages
before coming to class. Please call
Grace Hiner to make an appointment
if you are having difficulty
understanding the A & P.
Silvestri (4rd ed.)
pp. 364 (Tuberculosis & Mantoux
Test)
Graded Assignment:
Video on reserve in library:
“Performing Respiratory
Assessment” by Springhouse (2000)
Written assignment due at the
beginning of Respiratory Class #1
at 0900 (3 points): Briefly (one to
two paragraphs) describe one main
point that you learned from watching
this video. Assignment must be
typed with the title, “Write-up for
Respiratory Assessment Video”.
Please be sure that student name
and instructor name are at the top of
the page.
14
RESPIRATORY I (CLASS #2)
Topics
Disorders of the
Upper Respiratory
system
Assessment and
Management of
the client with
disorders of the
Upper Respiratory
System
Pharmacology
Objectives
1. Review the structures of the upper respiratory system
 differences between child and adult
 effects of aging on the upper respiratory tract
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 27, pp. 533-551
2. Discuss considerations in the care of the pediatric client with disorders of the
upper respiratory system
3. Describe the pathophysiology (etiology, pathogenesis, and clinical
manifestations) nursing interventions, and client learning needs of upper airway
disorders.
 Nasal Fracture
 Expistaxis
 Sinusitis
 Otitis Media
 Tonsillitis
 Allergic Rhinitis, Acute Viral Rhinitis
 Influenza; H1N1
 SARS; West Nile Virus
 Acute Pharyngitis
 Peritonsillar Abscess
 Obstructive Sleep Apnea (OSA)
 Epiglotitis
 LTB (laryngotracheo-bronchitis)—Croup
 Laryngeal cancer
4. Identify the action, therapeutic effects, drug interactions and nursing implications
of medications used to treat upper respiratory problems.

nose drops/nasal steroids

antihistamines

decongestants

expectorants & mucolytic agents

antitussives

alternative therapies: Echinacea, zinc, ascorbic acid (vitamin C)
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Silvestri, (4rd ed.)
pp. 357-360
Review fall lecture (NURS 100)
PowerPoint slides covering
Sympathetic Nervous System and
Parasympathetic Nervous System
from Intro to Pharmacology &
Medication Administration Class #1.
Review the terms: sympathomimetic,
adrenergic, anticholinergic,
parasympathomimetic, muscurinic,
and cholinergic.
Doenges (11th ed.)
Review the following nursing
diagnoses
1. Ineffective Airway Clearance
2. Ineffective Breathing Pattern
Bring Doenges (11th ed) Nursing
Pocket Guide : Diagnoses,
Interventions & Rationales to
class.
15
RESPIRATORY I (CLASS #3)
Topics
Care of the Client
with a
Tracheostomy:
Nursing
Interventions
Disorders of the
Lower Respiratory
System
Nursing
Interventions
Objectives
Assignment/Comments
1. Describe nursing interventions to maintain or restore health for the client with a
tracheostomy
 Assessment
 Suctioning: Complications (Hypoxia, Trauma, Infection, Vagal Stimulation)
 Swallowing; Nutrition
 Communication; Psychosocial considerations
Lewis, et al (7th ed.)
pp. 543-550 (Tracheostomy)
2. Describe the etiology, pathogenesis, clinical manifestations, and nursing
management of the client with:
 Acute Bronchitis; Bronchiolitis (Respiratory Syncytial Virus- RSV)
 Pneumonia
 Atelectasis
 Lung cancer
Lewis, et al (7th ed.)
pp. 561-569 (Acute Bronchitis &
Pneumonia)
pp. 578-585 (Lung cancer)
3. Describe nursing precautions and interventions in caring for the client with a
respiratory infection
 Transmission based guidelines and best practices for drug resistant
infections (Isolation Precautions)
 Laboratory assessment: CBC—focus on WBC & differential;
Culture, Gram stain, & Sensitivity
Silvestri (4rd ed.)
pp. 360-362 (Bronchitis, RSV,
Pneumonia)
Potter & Perry (7th ed.)
pp. 661-667 (Isolation Precautions)
4. Describe the action, therapeutic effects, side effects and nursing implications of
medications used for the treatment of infections.
 Antipyretics
 Antimicrobial therapy
5. Develop a plan for providing information about continuing with antibiotic therapy
after discharge
Lewis, et al (7th ed.)
pp. 640-643 (O2 therapy)
6. Describe the nursing responsibilities in relation to the use of oxygen therapy,
including the assessment for complications.
 Goals of oxygen therapy
 Hazards and complications of oxygen therapy
 Types of oxygen delivery systems
Bring Davis Drug Guide(11th ed.) to
class
NURS 101 Syllabus
Winter 2010 Final 12.15.09
16
RESPIRATORY I (CLASS #4)
Topic
Objectives
Obstructive
Pulmonary
Diseases:
Asthma
1. Discuss the etiology, pathophysiology, clinical manifestations, and nursing
management of the client with asthma.
 Triggers
 Peak flow monitoring
Pharmacology
2. Describe the actions, therapeutic effects, and nursing implications of
pharmacological therapies used to treat and prevent asthma attacks.
 Bronchodilators (short and long acting)
 Corticosteroids
 Methylxanthines
 Mast Cell Stabilizers (Cromolyn Sodium)
 Leukotrienne Modifiers
COPD
th Maintenance
estoration
3. Discuss risk factors, etiology, pathophysiology, clinical manifestations and
nursing management for the client with Chronic Obstructive Pulmonary
Diseases (COPD).
 Chronic Bronchitis
 Emphysema
4.
Cystic Fibrosis
Describe the actions, therapeutic effects, and nursing implications of
pharmacological therapies used to manage COPD
5. Discuss risk factors , etiology, pathogenesis, clinical manifestations and nursing
management for the client with Cystic Fibrosis
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Assignment/Comments
Supplemental Reading Assignment
on Peak Flow Meter—in NURS 101
syllabus
Lewis, et al (7th ed.)
Ch. 29: pp. 607-634; 646-659
Silvestri (4rd ed.)
pp. 362-367 (Asthma and Cystic
Fibrosis)
Review the following lung volume
terms (See Respiratory Class #1
lecture notes and Lewis, 7th ed, p.
531)
1. Peak Expiratory Flow Rate
(PEFR)
2. Forced Vital Capacity (FVC)
3. Forced Expiratory Volume
(FEV)
4. Residual Volume (RV)
Doenges (11th ed.)
Review the nursing diagnosis
“Impaired Gas Exchange”
17
RESPIRATORY SUPPLEMENTAL REFERENCE
Original Article:http://www.mayoclinic.com/health/asthma/AS00022
Asthma: Use a peak flow meter to gain control
A peak flow meter is a simple, hand-held device that measures how efficiently you can move air out of your lungs. Peak flow readings can warn
you of an impending asthma attack hours — or even days — before you experience any signs or symptoms. With time on your side, you can
adjust your asthma medication and take other steps to help prevent an attack.
One day at a time
A peak flow meter allows you to objectively measure day-to-day variations in your breathing. When your asthma is under control, your airways are
open and you can force more air into the peak flow meter. But when your airways are inflamed and constricted, you can't blow as hard into the
meter — making your peak flow rate lower.
Your doctor may recommend using a peak flow meter at least once a day — typically before taking your asthma medication in the morning. Use
the peak flow meter at the same time every day, and record your readings in an asthma diary. These readings will help you and your doctor:





Determine the severity of your asthma
Evaluate the effectiveness of your current treatment
Determine when to add or stop certain medications
Recognize an asthma attack before signs or symptoms appear
Decide when to seek emergency care
Using your peak flow meter
Peak flow meters are available over-the-counter. Better yet, they're easy to use.






Move the marker to the bottom of the numbered scale, and connect the mouthpiece to the peak flow meter.
Stand up.
Take a deep breath, filling your lungs completely.
Place your lips tightly around the mouthpiece. Blow as hard and as fast as you can with a single breath.
Note the final position of the marker. This is your peak flow rate.
Blow into the peak flow meter two more times. Record the highest reading of the three in your asthma diary.
For the most accurate readings, it's important to keep your peak flow meter clean. Follow the manufacturer's instructions.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
18
Determining your personal best
Your "personal best" peak flow rate is the highest peak flow rate you can reach over a two- to three-week period when you feel good and have no
asthma symptoms. This flow rate serves as a benchmark in your daily self-management plan. Because everyone's asthma is different, your
personal best will be unique to you.
Your doctor will help you determine your personal best. Typically, you'll take readings twice a day for two weeks when you're not having
symptoms. Ignoring any outliers, the highest consistent reading during the trial period is your personal best.
Organizing your peak flow zones
Your doctor will use your personal best peak flow rate to organize peak flow zones: green (stable), yellow (caution) and red (alert). If your peak
flow readings fall too far below your personal best, you'll need to take action to prevent or minimize an asthma attack.

Green zone. Your peak flow rates are 80 percent to 100 percent of your personal best, an indication that your asthma is under good
control. You probably have no asthma signs or symptoms. Take your preventive medications as usual. If you consistently stay within the
green zone, your doctor may recommend reducing your asthma medication.

Yellow zone. Your peak flow rates are 50 percent to 80 percent of your personal best, an indication that your asthma is getting worse.
You may have signs and symptoms such as coughing, wheezing or chest tightness. You may need to increase or change your asthma
medications.

Red zone. Your peak flow rates are less than 50 percent of your personal best, an indication of a medical emergency. You may have
severe coughing, wheezing and shortness of breath. Stop whatever you're doing and use a bronchodilator or other medication to open
your airways. Your asthma action plan will help you decide whether to call your doctor, take an oral corticosteroid or seek emergency care.
Taking control
Take charge of your treatment — and your life. Identify the things that trigger your asthma symptoms or make them worse. Meet with your doctor
periodically to review your asthma action plan and revise it as needed. Show your doctor how you're using your peak flow meter, just to make sure
you're doing it correctly.
Your lifestyle matters, too. Eat a healthy diet. Exercise regularly, with your doctor's OK. Don't smoke. Get enough sleep. Taking good care of
yourself can help you handle life with asthma.
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only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo
Foundation for Medical Education and Research.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
19
INTEGUMENTARY
Topic
Anatomy &
Physiology
Assessment/
Documentation
Objectives
1. Discuss the anatomy and physiology of the skin in relation to care of the client
with integumentary disorders.
Assignment/Comments
Lewis et al (7th ed.)
Ch. 23 and 24, pp 449-489
2. Describe assessments to identify integumentary dysfunction and documentation
of assessment findings:
 History & physical examination
 Clinical manifestations & types of lesions
 Diagnostic procedures
3. Describe the risk factors, etiology, and clinical manifestations of the major skin
disorders:
 Infections (Bacterial, fungal, viral)
 Inflammations (Dermatitis)
 Eruptions/Allergic reactions
 Structural Disorders
 Infestations, bites, stings
Pharmacology
4. Describe the actions, therapeutic effect and nursing implications for medications
used to treat integumentary problems
 Oral and parental medications
 Topical medications
 Baths
5. Discuss the nursing responsibility in care of the client undergoing:
 Ultraviolet radiation
 Dermatologic surgical procedures
Learning Needs
6. Discuss nursing interventions and common learning needs for the client and
family with skin disorders.
Health Promotion
7. Discuss health promotion measures to prevent integumentary system disorders
in children, adults, and older adults.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Doenges (11th ed.)
Review the nursing diagnoses
“Body Image Disturbance”
“Impaired Skin Integrity”
20
MUSCULOSKELETAL (CLASS #1)
Topic
Anatomy &
Physiology
Assessment
Sports Injuries
Objectives
Lewis, et al (7th ed.)
Ch. 62, pp. 1614-1621, 1623-1628
2. Describe nursing assessment related to musculoskeletal function:
 Health interview/client history
 Physical assessment/examination
 Significant diagnostic procedures
 Changes in function across the life span
Lewis, et al (7th ed.)
Chap. 62, Table 62-5, p. 1623
3. Discuss cause of soft tissue injuries and usual management
 Strains/sprains
 Dislocations/subluxations
 Injuries to ligaments and tendons
Lewis, et al (7th ed.)
Ch. 62, p. 1628 (Arthroscopy)
Ch. 63, pp. 1629-1651
4. Describe “R.I.C.E.” therapy for soft tissue injury
Management of
Clients with
Fractures
Assignment/Comments
1. Review the anatomy and physiology of the musculoskeletal system in relation to
care of the client with disorders in the musculoskeletal system.
5. Describe clinical manifestations of fractures and identify the stages of healing
6. Discuss the nursing management of a client with a fracture
 Reduction
 Immobilization
 Casts/ Cast Care
 Traction
 External/Internal Fixation
7. Describe assessments and nursing interventions for common complications of
fractures
 Compartment Syndrome
 Avascular necrosis
 Osteomyelitis
 Venous Thrombosis
 Fat Embolism
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Leifer (5th ed.)
pp. 549-551; 563-564
Leifer (5th ed.)
Nursing Tip, p. 552
Lewis, et al (7th ed.)
Chap. 63, pp. 1635-1651
Leifer (5th ed.)
Nursing Tip, pp. 553, 555, NCP 24-1,
p. 558-559
Lewis, et al (7th ed.)
Ch. 64, pp. 1668-1672
21
MUSCULOSKELETAL (CLASS #2)
Topic
Pathophysiology:
Arthritis
Objectives
1. Compare and contrast the etiology, pathophysiology, clinical manifestations,
diagnostic studies and medical management for clients with Arthritis
 Osteoarthritis
 Rheumatoid Arthritis
 Gout
Medications
2. Describe the actions and nursing implications of common medications used in
the treatment of connective tissue diseases
 Salicylates
 Non-steroidal anti-inflammatory drugs (NSAIDS)
 Non opioid/opioid analgesics
 Corticosteroids
 Disease modifying antirheumatic drugs
o
Methotrexate
o
Gold salts
o
Anti-malarial drugs (Plaquinel ®)
 Biologic Therapy
 Specific anti-gout medications
o
Colchicine
o
Benemid ®
o
Zyloprim ®
Pathophysiology:
Connective Tissue
Disorders
3. Compare and contrast the etiology, pathophysiology, clinical manifestations,
diagnostic studies and medical management for clients with connective tissue
disorders
 Systemic Lupus Erythematosus
 Soft tissue rheumatic syndrome
o
Fibromyalgia
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 65, pp. 1693-1711, 1715-1716
Table 65-6, p. 1704
Liefer, (5th ed.)
Chap 24, pp. 561-562
Lewis, et al (7th ed.)
Ch. 65, pp. 1716
22
MUSCULOSKELETAL (CLASS #3)
Topic
Amputation
Objectives
1. Discuss the physiologic, psychosocial and health restoration needs of a client
with an amputation
Assignment/Comments
Lewis, et al (7th ed.)
Ch. 63, pp. 1658-1662
Doenges (11th ed.)
“Disturbed Body Image”
Orthopedic surgery
2. Discuss nursing interventions for the client experiencing orthopedic surgery on
the joints
 Hip pinning (ORIF)
 Total hip arthroplasty (replacement)
 Total knee arthroplasty (replacement)
3. Discuss the manifestations of Ewing’s and osteogenic sarcoma
Congenital
Anomalies
Metabolic bone
disease
Lewis, et al (7th ed.)
Ch. 63, p. 1662-1666
Lewis, et al (7th ed.)
Ch. 64, pp. 1668-1672
Leifer, Chap. 24, p.561
4. Discuss nursing care for clients with disorders of the foot:
 Bunion
 Hammertoe
 Morton’s neuroma
Lewis, et al (7th ed.)
Ch. 64, p. 1684-1686
5. Describe the clinical manifestations, nursing assessment for and treatment of
common congenital anomalies
 Dysplasia of the hip
 Talipes equinovarus (clubfoot)
Liefer, (5th ed.)
Ch. 14, pp. 328-332
6. Compare and contrast the etiology, pathophysiology and medical management
of metabolic bone diseases
 Osteomalacia
 Paget’s Disease
 Osteoporosis
NURS 101 Syllabus
Winter 2010 Final 12.15.09
Lewis, et al (7th ed.)
Ch. 64, p. 1686-1691
23
Health promotion
7. Describe health promotion measures to reduce the incidence and progression
of osteoporosis
 Nutrition
 Exercise
 Medications
Medications
8. Describe the actions, therapeutic effects and nursing implications for the
medications used in the treatment of osteoporosis

Calcium Supplementation

Estrogen Replacement

Calcitonin

Bisphosphonates (Fosamax ®)

Estrogen receptor Modulators (Evista ®)

Human parathyroid hormone (Forteo ®)
NURS 101 Syllabus
Winter 2010 Final 12.15.09
24
MEN’S HEALTH
Topic
Anatomy and
Physiology: Male
Reproductive
System
Male Reproductive
Problems
Objectives
1. Describe anatomy and physiology of the male reproductive system
2. Identify psychological and emotional implications related to
disorders/dysfunction of the male reproductive system
3. Describe historical data, physical examination procedures used to diagnose
dysfunction of the male reproductive system.
4. Describe health promotion/maintenance measures for males across the life
span.
5. Discuss the laboratory and diagnostic test findings used in diagnosing
dysfunction of the male reproductive system
Assignment/Comments
Lewis, et al (7th ed.)
pp. 1154-1187 (review elimination,
tests)
Lewis, et al (7th ed.)
pp. 1339-1340; pp. 347-1348 (male
reproductive system) and other
content related to male reproductive
system
Lewis, et al (7th ed.)
pp. 1414-1438 (Male reproductive
problems)
6. Discuss pathophysiology, clinical manifestations, and collaborative care of
benign prostatatic hypertrophy (BPH)
7. Discuss nursing management of clients with infection/inflammation of the male
reproductive system.
8. Briefly discuss cancers of the male reproductive system
9. Discuss nursing management of problems related to male sexual
function/dysfunction
10. Discuss nursing care for clients with common problems affecting the penis,
scrotum, and testes
 Hydrocele
 Scrotal trauma
 Priapism
 Cryptorchism
 Phimosis
11. Formulate a nursing plan for the post-surgical client following male reproductive
surgery.
NURS 101 Syllabus
Winter 2010 Final 12.15.09
25