Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
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 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. 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 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. 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