NUR 1210 NURSN AR O T AULT LNT - Everest College of ...everesthenderson.webs.com/Cohort II/NUR1210...

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Copyright © 2011 Corinthian Colleges, Inc. All rights reserved. SYL NUR 1210 Care of Adult Client I Syl and Crs Outline 2011-8.18

NUR 1210 NURSING CARE OF THE ADULT CLIENT I

Instructor

Name:

k. Amy McNeill-Day, RN, MSN Campus

Phone:

Everest College-Henderson,

NV.

702-567-1920 Ext. 186

Course

Section: NUR 1210

Other

Telephone:

Cell: 702-350-3756

Office Hours: As posted Email

Address:

[email protected]

[email protected]

Credit Hours: 4.0 Theory

Hours: 40.0

Prerequisites

Corequisites:

NUR 1022, NUR 1024

NUR 1210L Lab Hours: 0

Grades and understanding course content are dependent upon consistent study and attendance. Students

are expected to designate an average of 30 plus hours for out-of-class study and assignments for this

course.

Last Date Reviewed: 8/18/11

Course Description: This course addresses the standards of practice for adult/geriatric clients requiring

less complex nursing care and focuses on the use of the nursing process in assisting adult/geriatric

clients to adapt to their ever-changing health needs.

Course Objectives: Upon successful completion of this course, the student will be able to provide safe

and effective nursing care to adult/geriatric clients experiencing chronic alterations in health:

A. Nursing Process

1. Discuss evidenced-based therapeutic nursing interventions when planning to use the nursing

process while caring for adult/geriatric clients with chronic conditions.

2. Describe how the nurse uses the nursing process as the framework when planning care for

adult/geriatric clients with alterations in select body systems.

B. Critical Thinking

1. Integrate knowledge from natural sciences, humanities, technology and nursing in the

development of individualized nursing care plans for adult/geriatric clients.

2. Determine the legal and ethical role of the nurse in providing holistic care to culturally diverse

adult/geriatric clients.

C. Communication

1. Discuss the use of effective communication skills when caring for adult/geriatric clients.

2. Evaluate methods the nurse uses to communicate client care issues to other members of the

health care team.

D. Health Promotion

mailto:[email protected]

mailto:[email protected]

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1. Identify the components and diversity issues that may affect health promotion behaviors in the

adult/geriatric client.

2. Utilize risk reduction interventions for health promotion and maintenance used by nurses when

caring for adult/geriatric clients.

E. Professional Role

1. Discuss the role of the professional nurse when working collaboratively with other members of

the health care team.

2. Explain how to integrate the role of the professional nurse when collaborating client care with

other members of the health care team.

3. Exhibit actions and interactions congruent with the ANA Nursing Code of Ethics.

4. Describe how the nurse exhibits the knowledge, skills and attitudes in the utilization of the

Quality and Safety Education for Nurses (QSEN) competencies and National Patient Safety

Goals.

Policies: Refer to the Nursing Student Handbook

Texts:

Carpenito-Moyet, L. (2010). Handbook of Nursing Diagnoses. (13th

ed). Philadelphia, PA: Wolters

Kluwer.

Carpenito-Moyet, L. (2010). Nursing Diagnoses Application to Clinical Practice. (13th

ed).

Philadelphia, PA: Wolters Kluwer.

Eliopoulos, C. (2010). Gerontological Nursing. (7th ed.). Philadelphia, PA: Wolters Kluwer.

Ignatavicius, D. & Workman, L. (2010). Medical-Surgical Nursing: Critical Thinking for Collaborative

Care. (6th ed). St. Louis. Missouri: Saunders Elsevier.

Ignatavicius, D., & Workman, L. (2010). Critical Thinking Study Guide to Accompany Medical-Surgical

Nursing: Critical Thinking for Collaborative Care. (6th

ed). St. Louis. Missouri: Saunders Elsevier.

Ignatavicius, D., & Workman, L. (2010). Virtual Clinical Excursions 3.0 to Accompany Medical

Surgical Nursing, (6th

ed). St. Louis. Missouri: Saunders Elsevier.

Taylor, C., & Lillis, C. (2008). Skills Checklist to Accompany Fundamentals of Nursing. (6th

ed).

Philadelphia: Lippincott Williams & Wilkins.

Taylor, C., & Lillis, C. (2008). Clinical Nursing Skills Student Set on CD-ROM. (6th

ed). Philadelphia:

Lippincott Williams & Wilkins.

Weber. J., & Kelley. (2010). Health Assessment in Nursing. (4th

ed). Philadelphia, PA: Wolters Kluwer.

Weber. J., & Kelley. (2010). Lab Manual to Accompany Health Assessment in Nursing. (4th

ed).

Philadelphia, PA: Wolters Kluwer

Wilson, P., Shannon, S., & Stang, M. (2008). Prentice Hall Nurse’s Drug Guide. (4th

ed).

Philadelphia, PA: Prentice Hall.

Required Software: included with text and Evolve Reach

Instructional Methods: This course will combine lecture, group exercises, discussion and problem

solving.

Grading:

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Exams (3) 45%

Chapter Questions/professionalism/Participation/

Case Studies/APA Paper 20%

HESI Custom Med-Surg Practice Quizzes/Exams Version A and B 5%

HESI Custom Med-Surg I Comprehensive Final 10%

Final Com Exam 20%

Final Skills Check-Off Pass

Lab/ Clinical Pass

Total 100%

Case studies will be done as a group in SSP. If you choose to not attend after the third week (meeting

dismissal requirements) you will be responsible to complete all case studies and summit for credit. All

case studies are due the day of SSP. Those done individually need to be turned in the following day.

Evolve RN Case Studies (14)/Questions:

Fundamentals (1):

Perioperative Care-28

Medical-Surgical (10):

Diabetes Type I-30

Hepatitis-23

Thyroid Disorder-23

Chronic Pancreatitis-26

Cirrhosis-23

Breast Cancer-29

Cervical Cancer-27

COPD with Pneumonia-18

Laryngeal Cancer-30

Lung Cancer-27

Physical Assessment (3)

Integumentary Assessment-22

Respiratory Assessment-24

Grading Scale: 92-100% A

84-91% B

76-83% C

75-68% D

Below 68% F

Evaluation of Student’s Progress: Student’s academic progress will be evaluated by the grading scale

above with at least 76% for the final grade in order to progress. A score of 76% or greater must be

achieved on the final examinations and overall course grade in order to progress in the program.

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Students are required to complete the HESI Evolve Reach online programs and other assignments for

this course by the assigned dates and times announced in class.

Attendance for Class: Students are expected to attend ALL designated class meetings. It is mandatory

for all students to attend the Student Success Program until the first exam is given then any student not

achieving at least 84% must continue to attend. Refer to the Student Handbook for the policies.

However, it is suggested that all students attend SSP throughout the course.

This syllabus is a representation of the course content, organization and evaluation processes. The

Campus Nursing Director and faculty teaching this course reserve the right to reasonably alter the

sequences of activities, evaluation and assignment dates. Every effort will be made to inform class

members in advance of such changes. Students are responsible for following the syllabus and any

changes instituted by the faculty.

Date of Last Review: March/2012

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Course Outline and Assignments

WEEK ONE

Instructional Objectives

In Class Topic and Learning Activities

Out of Class Activities Total Hours Assessment Activities

1. Explain the why increased focus on patient safety and quality care is important.

2. Identify when to call the RRT and their purpose.

3. Explain the importance of communication when collaborating with the interdisciplinary team and their roles.

4. Identify and list the steps of EBP 5. Describe the role of the nurse in systematic

quality improvement. 6. Identify ways that informatics is used in

health care. 7. Discuss how to prevent falls in clients with

fluid and electrolyte imbalances. 8. Discuss how certain lifestyles and drug

therapies can increase the risk for fluid and electrolyte imbalances.

9. Interpretation of laboratory results. 10. Identify, Interpret, discuss findings in rehab

assessment and interventions of those findings.

Overview of Syllabi and Course Patient Safety Goals, Rapid Response Teams, JACHO, Patient Centered Care, Rehabilitation Assessments and Interventions Introduction to Medical-Surgical Nursing. Rehabilitation Concepts for Chronic and Disabling Health Problems. Assessment and Care of Patients with Acid-Base Imbalances.

Ignatavicius: Chapters 1, 8, and 14 Companion CD or Evolve.elsevier.com For each chapter:

self-assessment Questions

Prioritization and Delegation Questions

Study guide questions

Critical Thinking sections

(TO BE TURNED IN AT BEGINNING OF CLASS) Review Key Points at end of chapters

Reading 2-3 hours Critical Thinking Exercises 2-3 hours Study for Exam 1 – 2 hours

Ignatavicius Corresponding Critical Thinking Exercises Ignatavicius Study Guide: Practicing for NCLEX and all corresponding chapters Clinical Decision-Making Study Guide Content will be on exam 1

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(A1, A2,, B1, B2,C1, C2, D1, D2, E1, E2, E3, E4,)* *Reflects Course Objectives

APA Paper Topics Assigned Due week Seven(7)

ACKNOWLEDGEMENT OF RECEIPT OF

NUR 1210 NURSING CARE OF THE ADULT CLIENT I

Signed and turned in

WEEK TWO




1. Discuss ways to prevent IV administration errors and injuries that ensure client safety.

2. Describe the teaching measure that need to be done with the client and family receiving IV Therapy.

3. Differentiate types of VAD used for peripheral and central IV therapies.

4. Describe assessment of the site and line and nursing considerations for various IV infusion therapies.

Infusion Therapy, Vascular Access Devices. Pain: The Fifth Vital Sign

Ignatavicius: chapters 15 and 5 Companion CD or Evolve.elsevier.com For each chapter:


Prioritization and

Reading 2-3 hours Critical Thinking: 2-3 hours Study Guides: 2-3 hours

Ignatavicius Corresponding chapters Critical Thinking sections Ignatavicius Study Guide: Practicing for

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5. Determine the special needs of older adults receiving IV therapy.

6. Differentiate between addiction, pseudoaddiction, tolerance and physical dependent.

7. Compare and contrast the characteristics of the major types of pain and examples of each.

8. Explain the role of non-opioid analgesics in pain management.

9. Compare common opioid analgesics, using an equianalgesic chart.

10. Compare the advantages and disadvantages of drug administration routes.

11. Identify special considerations for older adults related to pain assessment and management.

(A1, A2, B1, B2,C1, C2, D1, D2, E1, E2, E3, E4)* *Reflects Course Objectives

Delegation Questions



(TO BE TURNED IN AT BEGINNING OF CLASS) Review for MATH QUIZ Review Key Points at end of chapters

Study for Exam 1 -- 3 hours Review for Math Quiz 1-2 hours

NCLEX and all corresponding chapters Content will be on exam 1 MATH QUIZ

WEEK THREE




1. Describe the four domains surrounding the client in the perioperative-client-focused model and the relationship of the nursing process to the achievement of client

Care of Preoperative Patients Care of Intraoperative Patients

Ignatavicius: Chapter 16 and 17 Companion CD or

Reading 2 hours Critical

Ignatavicius: Corresponding chapters Critical

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outcomes. 2. Discuss the areas assessed in a

comprehensive preoperative assessment. 3. Define and discuss informed consent. 4. Explain the immediate preoperative

preparation of the client. 5. Describe preoperative teaching and special

needs related to outpatient surgery. 6. Review the nursing process and discuss care

plan to promote recovery and prevent complications.

7. Compare and contrast anesthetic options, list of medication choices for each category. Advantages and disadvantages and nursing responsibilities.

8. Describe interdisciplinary approach to the care of the client during surgery and including the role of each surgical team member. Qualifications and responsibilities.

9. Discuss principles of surgical asepsis and measures to prevent infection.

10. Explain malignant hyperthermia with risks clients face during surgery and interventions to reduce risks.

11. Describe the role of the nurse in ensuring client safety during the intraoperative period.

(A1, A2,B1, B2,C1, C2,D1, D2, E1, E2, E3, E4)*

Evolve.elsevier.com For each chapter:






Thinking assignments 2 hours Study Guide Assignments 2 hours Case study 2 hours Study for Exam 1—1-2 hours

Thinking sections Ignatavicius Study Guide: Practicing for NCLEX and all corresponding chapters Content Exam 1 Multiple Choice Questions

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*Reflects Course Objectives

WEEK FOUR




1. Describe the responsibilities of the

postanesthesia care unit nurse (PACU) in the prevention of postoperative complications.

2. List common postoperative complications and management.

3. Explain phases of wound healing and variables that affect healing.

4. Identify would care instructions for postoperative client.

5. Summarize potential problems in the post-anesthesia client and interventions used.

6. Demonstrate a respiratory assessment. 7. Describe how to conduct a cardiac

assessment. (A1, A2,B1, B2,C1, C2,D1, D2, E1, E2, E3, E4)*

Care of Post-Operative Patients Assessment of the Respiratory System, Heart and Neck Vessel Assessment.

Ignatavicius: Chapter 18 and 29 Webber: Chapter 18 Companion CD or Evolve.elsevier.com For each chapter:




Critical Thinking

Reading 2 hours Critical Thinking assignments 2 hours Study Guide Assignments 2 hours Study for

Ignatavicius & Webber: Corresponding chapters Critical Thinking sections Ignatavicius & Webber: Study Guide: Practicing for NCLEX and all corresponding chapters

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*Reflects Course Objectives sections


Exam 1— 2-3 hours

Content will be on Exam 2 MATH QUIZ

WEEK FIVE



Out of Class Activities Total Hours

Assessment Activities

1. Discuss the classifications of diabetes mellitus and related pathologies. 2. Explain the clinical significance of blood glucose test results. 3. Describe the relationship between diet, exercise, and medication for diabetes patients. 4. Explain the major macrovascular, microvascular, and neutopathic complications of diabetes and the self-care behaviors that are important in their prevention. 5. Determine the education needs of a newly

Care of Patients with Diabetes Mellitus

Ignatavicius: Chapter 67 Companion CD or Evolve.elsevier.com For each chapter:



Study guide

Reading 2 hours Critical Thinking assignments 2 hours Study Guide

Ignatavicius: Corresponding chapters Critical Thinking sections Ignatavicius Study Guide: Practicing for NCLEX and all

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diagnosed diabetic. Develop a plan of care for such patient. 6. Discuss the differences in care of a diabetic ketoacidosis and hyperglycemia-hyperosmolar state client.. (A1, A2 B1, B2,C1, C2, D1, D2, E1, E2, E3, E4)* *Reflects Course Objectives

questions



Assignments 2 hours Study for Exam 2— 1-2 hours

corresponding chapters Content will be on Exam 2 MATH QUIZ

WEEK SIX




1. Apply the principles of A&P to understand the role of the endocrine system in homeostasis.

2. Describe assessment of the Endocrine System with head and neck.

3. Compare the clinical manifestations associated with pituitary hypofunction and hyperfunction. 4. Interpret clinical changes with laboratory data to determine effectiveness of therapy for

Assessment of the Endocrine System Care of Patients with Pituitary and Adrenal Gland Problems Care of Patients with Problems of the Thyroid and Parathyroid Glands

Ignatavicius: Chapter 64, 65 and 66 Weber Chapter: 14 Companion CD or Evolve.elsevier.com For chapters 64, 65, 66


Prioritization and

Reading 2 hours Critical Thinking assignments 2 hours Study

Ignatavicius: Corresponding chapters Critical Thinking sections Ignatavicius 7 Webber: Study Guide:

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DI and SIADH. 5. Compare clinical manifestations of Cushing’s syndrome and Addison’s disease. 6. Describe how to protect a client with ADH deficiency from dehydration. 7. Discuss how to modify environment to reduce stimulation for client with phenochromocytoma. 8. Compare common clinical manifestations of hyperthyroidism with hypothyroidism. 9. Discuss care for patient during first 24 hours after thyroid and parathyroid surgery. 10. Identify teaching priorities for taking thyroid hormone replacement therapy. 11. Determine clinical changes and laboratory data to determine effectiveness of intervention for hyperthyroidism. (A1, A2,B1, B2,C1, C2, D1, D2, E1, E2, E3, E4)* *Reflects Course Objectives

Delegation Questions




Guide Assignments 2 hours Study for Exam 2— 1-2 hours

Practicing for NCLEX and all corresponding chapters Weber-Corresponding study guide chapters Content Exam 2 Multiple Choice Questions

WEEK SEVEN




1. Explain liver function tests and relate jaundice, portal hypertension, ascites, esophageal varices, nutritional deficiencies

Care of Patients with Liver Problems Care of Patients with

Ignatavicius: Chapters 61 and 62

Reading 2 Hours

Ignatavicius: Corresponding chapters

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and hepatic coma to pathophysiologic alteration of the liver.

2. Compare types of liver hepatitis, causes, prevention, clinical manifestation, prognosis and home health care needs.

3. Discuss a plan of care for the patient with impaired liver function.

4. Explain using the nursing process as a framework for the care of clients with cholelithiasis and clients undergoing either an open or laparoscopic cholecystectomy

5. Differentiate between acute and chronic pancreatitis

6. . 7. Describe the care interventions for a client

post-op from a Whipple. 8. Explain the procedure for NGT and feeding

tube insertion and care. (A1, A2, B1, B2,C1, C2, D1, D2, E1, E2, E3, E4)* *Reflects Course Objectives

Problems of the Biliary System and Pancreas

Companion CD or Evolve.elsevier.com For each chapter:






APA PAPER DUE

Critical Thinking assignments 2 hours Study Guide Assignments 2 hours Study for Exam 2— 1-2 hours

Critical Thinking sections Ignatavicius Study Guide: Practicing for NCLEX and all corresponding chapters Content will be on Exam 3 MATH QUIZ

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WEEK EIGHT




1. Perform a focus respiratory assessment and re-assessment to determine adequacy of oxygenation tissue perfusion.

2. Administer Oxygen Therapy by various methods and evaluate client’s response..

3. Teach the client and family about home management of oxygen therapy and tracheotomy care.

4. Assess the complication of oxygen therapy for the client whose respiratory efforts are controlled by the hypoxic drive.

5. Use laboratory data and clinical manifestations to determine the presence of hypoxemia or hypercarbia.

6. Describe the procedure for providing tracheotomy care under medical asepsis conditions.

7. Recognize manifestations of infectious respiratory diseases.

8. Provide information to the client and family about the side effects of anti-TB therapy and when to notify the health care provider.

9. Perform oxygen therapy and evaluate response.

Care of Patients Requiring Oxygen Therapy or Tracheostomy Care of Patients with Infectious Respiratory Problems

Ignatavicius: Chapter 30 and 33 Companion CD or Evolve.elsevier.com For each chapter:






Reading 2-3 Hours Critical Thinking assignments 2-3 hours Study Guide Assignments 2-3 hours Study for Exam 3— 1-3 hours

Ignatavicius: Corresponding chapters Critical Thinking sections Ignatavicius Study Guide: Practicing for NCLEX and all corresponding chapters Content will be on Exam 3 MATH QUIZ

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10. Discuss steps involved in administering an intradermal injection

11. Interpret correctly the TB test result for a person with normal immune function and one that is compromise.

(A1, A2, B1, B2, C1, C2, D1, D2, E1, E2, E3, E4)* * Reflects course objectives

WEEK NINE




1. Recognize manifestations and care needs of

a client with an anterior nose bleed and one with posterior.

2. Prioritize nursing care needs for a client with facial trauma.

3. Describe the pathophysiologic and the potential complications of sleep apnea.

4. Apply knowledge of anatomy to prevent aspiration in a client with a Tracheostomy.

5. Compare the pathophysiology and clinical manifestations of asthma, bronchitis and emphysema.

6. Identify risk factors for COPD and lung

Care of Patients with Noninfectious Upper Respiratory Problems Care of Patients with Noninfectious Lower Respiratory Problems; Lung Cancer

Ignatavicius: Chapter 31 and 32 Companion CD or Evolve.elsevier.com For each chapter:




Critical Thinking

Reading 2-3 Hours Critical Thinking assignments 2-3 hours Study Guide Assignments

Ignatavicius: Corresponding chapters Critical Thinking sections Ignatavicius Study Guide: Practicing for NCLEX and all corresponding chapters

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cancer. 7. Use laboratory data and clinical

manifestations to determine effectiveness of therapy for impaired gas exchanges in a client with breathing problems.

8. Interpret PEF readings for the need for intervention.

9. Coordinate care for the client immediately after lung volume reduction surgery.

10. Coordinate nursing intervention for the client with chest tubes.

11. Apply appropriate infection control methods to protect the client with cystic fibrosis from respiratory infections.

12. Develop an education plan for smoking cessation.


sections


2-3 hours Study for Exam 3— 1-2 hours

Content Exam 3 Multiple Choice Questions

WEEK TEN





1. Describe the relationship between free hydrogen ion level and pH.

2. Explain the role of bicarbonate in the blood. 3. Explain the concept of compensation. 4. Compare the roles of the respiratory system

Assessment and Care of Patients with Acid-Base Imbalances

Ignatavicius: Chapter 14 Companion CD or Evolve.elsevier.com For each chapter:

Reading 2-3 Hours Critical

Ignatavicius: Corresponding chapters Critical Thinking

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and the renal system in maintaining acid-base balance.

5. Describe the role of oxygen in maintaining acid-base balance.

6. Identify clients at risk for acid-base imbalances.

7. Use laboratory data and clinical manifestations to determine the presence of acid-base imbalances.

8. Correctly interpret ABG’s to determine whether acidosis is respiratory or metabolic in origin.

9. Discuss a nursing care plan for the client with acid-base imbalance.







Thinking assignments 2-3 hours Study Guide Assignments 2-3 hours Study for Exam 3— 1-3 hours

sections Ignatavicius Study Guide: Practicing for NCLEX and all corresponding chapters Content will be on Final Exam

WEEK ELEVEN




1. Describe the nursing interventions for

the client with neutropenia.

Care of Patients with Cancer

Ignatavicius: Chapter 24 and 73

Reading 2-3 Hours

Ignatavicius , Webber &

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2. Explain the nursing interventions for a

client with thrombocytopenia.

3. Discuss the nursing care for a client with

radiation induced skin problems.

4. Explain personnel safety measures when

working with clients receiving

brachytherapy radiation.

5. Explain the rationale for hormonal

manipulation therapy.

6. Determine the nursing care for a client

with mucositis.

7. Discuss the uses of biological response

modifiers as supportive cancer therapy.

8. Explain the basis of targeted therapy for

cancer.

9. Describe the various oncologic

emergencies and interventions

associated with each one.

10. Discuss treatment options for breast

cancer.

11. Explain how to perform a SBE.

12. Compare findings with benign vs.

malignant breast lesions.

13. Explain the difference between breast

Care of Patients with Breast Disorders; Lymphatic Disorders

Final Comprehensive Exam (first then lecture) chapters 24, 73, 19, 31 not on final however they will be on HESI exam week 12

Webber: Chapter 19 Eliopoulos: Chapter 31 Companion CD or Evolve.elsevier.com For Chapters 24 & 73






Critical Thinking assignments 2-3 Hours Study for Exam (Final)— 3-5 hours

Eliopoulos: Corresponding Chapters Critical Thinking sections Ignatavicius , Webber & Eliopoulos: Study Guide: Practicing for NCLEX and all corresponding chapters Content will be on Final Exam, including all previous content as well. FINAL

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reduction and augmentation.

14. Describe the plan of care for a breast

cancer client.

(A1, A2, B1, B2, C1, C2, D1, D2, E1, E2, E3, E4)*

HESI Custom Med/ Surg Practice Quizzes/Exams Version A and B Due

COMPREHENSIVE EXAM

WEEK TWELVE





Review for Final

Study for HESI Exam

6-8 Hours HESI FINAL COMPREHENSIVE EXAM

Syllabus may be subject to change

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EVEREST COLLEGE HENDERSON NEVADA SCHOOL OF NURSING

ACKNOWLEDGEMENT OF RECEIPT OF NUR 1210 NURSING CARE OF THE ADULT CLIENT I

I have received the 1210 Nursing Care of the Adult Client I syllabus which includes the grading policy, weekly readings, assignments, quiz, test schedule, etc. The grading policy was reviewed and I was given the opportunity to ask questions regarding the grading policy, and other items in the syllabus. I have received the Clinical Expectations List and have reviewed its content and understand what is expected in the clinical setting. I will conduct myself in a professional manner when attending clinicals and classes. My signature below acknowledges that I understand the syllabus, expected requirements, Clinical expectation list, and the Student Success Program (SSP) Policy.

Student Name (Print) Cohort/Quarter Date

Student Signature

This form will be maintained in the student’s file throughout the nursing program.

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NUR 1210 NURSN AR O T AULT LNT - Everest College of ...everesthenderson.webs.com/Cohort II/NUR1210...

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Transcript of NUR 1210 NURSN AR O T AULT LNT - Everest College of ...everesthenderson.webs.com/Cohort II/NUR1210...