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ALVIN COMMUNITY COLLEGE VOCATIONAL NURSING

VNSG 1332 MEDICAL-SURGICAL NURSING II

STUDENT INFORMATION PLAN FALL 2010
Michael D. Cooper, RN, ADN, BS

Printed 09/02/2010

.........................Alvin Community College Vocational Nursing Program VNSG 1332 MEDICAL-SURGICAL NURSING II STUDENT INFORMATION PLAN TABLE OF CONTENTS COURSE DESCRIPTION ........................................................................ 1 COURSE OBJECTIVES .......................................................................................................................................................................................................... 9 VNSG 1332 Med-Surg II SIP ............................................ 4 EVALUATIVE PROCEDURES......................................................................................................................................................................................... 3 COURSE COMPETENCIES ........................ 1 REQUIRED TEXT ........................................................ 8 UNIT OBJECTIVES ..........................................................................................Fall 2010 i ......................................................................................... 1 REFERENCES ..............................................................

It is the student=s responsibility to contact the Counseling Center in a timely manner to arrange for appropriate accommodations.REASONABLE ACCOMMODATIONS This college will adhere to all applicable federal.Fall 2010 ii . It is the policy of ACC to provide reasonable accommodations for qualified individuals who are students with disabilities. VNSG 1332 Med-Surg II SIP . and local laws. regulations. state. and guidelines with respect to providing reasonable accommodations as required to afford equal educational opportunity.

3rd Ed. Saunders Black & Hawks.. Medical Surgical Nursing: Concepts and Clinical Practice. Gerontologic Nursing. 2009. 8th Ed. Mosby. Lippincott.. & Smith.. endocrine. DeWitt. Nsg. Saunders Rapid Review Anatomy Reference Guide. 2010. Lippincott Williams & Wilkins GERONTOLOGICAL NURSING Ebersole. Woods. & Hess. 2006. 2010. Lewis.. P. Medical . Heitkemper. A Nursing Process Approach. Med. 5th E... identify prevalent cardiovascular.Fall 2010 Page 1 . Collier. The Lippincott Manual of Nursing Practice. 10th Ed. Includes a variety of health care settings.. VNSG 1332 Med-Surg II SIP . 3rd Ed. neurosensory. Mosby. 2007. A. Learning Outcomes: The student will identify the components of the health-illness continuum. 9th Ed.. 2009. 2009.. 1st Ed. 7th Ed. Medical-Surgical Nursing. TEXTS REQUIRED RECOMMENDED Timby.. Nettina. (3 credits) (3 lecture hours per week). Mosby. Mosby. 2006. 6th Ed. Description: Continuation of Medical-Surgical Nursing I with application of the nursing process to the care of adult and geriatric patients experiencing cardiovascular. Med-Surg Nursing-Concepts and Practice. P. and oncological and immunological medical surgical conditions affecting the adult and gerian and utilize the nursing process to assist in developing a plan of care for selected medical-surgical conditions. endocrine. Mosby. 2010. 8th Ed. 2007 Phipps. Clinical Companion for Med-Surg Nursing. Kockrow. Leukenotte. Cassmyer... Lippincott REFERENCES Christensen. Medical Surgical Nursing. and oncological and immunological medical-surgical conditions in the health-illness continuum. Long.. Intro. Adult Health Nursing.Surgical Nursing II.. Ignatavicius. Surg. Medical Surgical Nursing: Assessment and Management of Clinical Problems.Alvin Community College Vocational Nursing Program VNSG 1332 MEDICAL-SURGICAL NURSING II STUDENT INFORMATION PLAN COURSE DESCRIPTION VNSG 1332. Scherer. Saunders. 2009 Ignativicius. Towards Healthy Aging: Human and Nursing Response. neurosensory. 2008.

nursingcenter.gov www. WEB SITES General nursing information Recordings of respiratory sounds Center for Disease Control Food & Drug Administration National Women's Health Information Center National Council of State Boards of Nursing Board of Nurse Examiners of the State of Texas www. Saunders NUTRITION Peckenpaugh. Williams’ Essentials of Nutrition and Diet Therapy.. 2006. 2007.org www. 2009. Roth.. & Walkingshaw.cdc... Mosby’s Pocket Guide to Nutritional Assessment and Care. 4th Ed. 3rd Ed. A Nursing Approach.. 9th Ed.J.4woman. Community /Public Health Nursing Practice. 7th Ed. 4th Ed.bne. Ed.fda. Saunders Nies & Mcewen. Saunders Stanhope & Lancaster.ncsbn. Community – Based Nursing. Mosby.M.state.. Stanhope & Lancaster. Grodner. 2006.Fall 2010 Page 2 . 2007.Redfern & Ross. 2007. Public Health Nursing. 2009.gov www. 2008. Community Public Health Nursing.tx.gov www. Churchhill/Livinstone COMMUNITY HEALTH NURSING Maurer. Long. Nursing Older People... Mosby. Foundations and Clinical Application of Nutrition.ca/toc. Mosby. 2009. 6th Ed... 4th Ed. N. Mosby. Moore.htm www.. 4th Ed. 2nd. Schlenker & Long.us VNSG 1332 Med-Surg II SIP . & Poleman. Foundations of Nursing in the Community.rale. Saunders. 2009. Nutrition: Essentials & Diet Therapy. 10th Ed.com www. Mosby McEwen & Pullis. C.

Alvin Community College Vocational Nursing Program VNSG 1332 MEDICAL-SURGICAL NURSING II STUDENT INFORMATION PLAN COURSE OBJECTIVES 1. 4. Understand normal physical. 7. and evaluate nursing care necessary for various medical surgical adult and gerian patients. implement. diagnostic tests.aging process. and modes of treatment for the adult and gerian. 6. Identify common etiologies. Identify. Identify some of the common types of drugs. their actions in the body and uses in specific medical surgical conditions. Identify basic principles of emergency care. VNSG 1332 Med-Surg II SIP . mental. Recognize and record signs and symptoms of various medical surgical conditions affecting the adult and gerian. 3. and emotional changes related to the growth . 2.Fall 2010 Page 3 . anticipate and plan. 5. Identify specific diet therapy and its relation to patient's medical surgical conditions.

and evaluative criteria for assigned clients. 4. F1-17) 2. PROVIDER OF CARE (SCANS C5-14. diagnostic. F1-17) Administers care/medications to multiple patient assignment. the student is expected to have achieved the following competencies. genitourinary. rationale. F1-17) B. With 74. For further information about SCANS. see the Appendix at the end of this SIP. PLANNING Assists in developing NCPs that include nursing diagnosis. Completes a head-to-toe assessment of the adult/geriatric client with common medical diagnoses encompassing diseases of the gastrointestinal. C18-20. ICU/CCU. hospital codes. ASSESSMENT A. and rehabilitation. VNSG 1332 Med-Surg II SIP . identifies nursing process components for care of adult or geriatric client with common medical/surgical disorders. C18-20. each of which is correlated with corresponding SCANS competencies and foundation skills. DSU. C15-16. F1-17) Provide for a safe and effective environment to include SRs. C5-16. (SCANS C1. musculoskeletal. C3-16.Alvin Community College Vocational Nursing Program VNSG 1332 MEDICAL-SURGICAL NURSING II STUDENT INFORMATION PLAN COURSE COMPETENCIES After completing this course. endocrine. immune. emergency interventions. IMPLEMENTATION A. cardiovascular. to include etiology. (SCANS C5-16. neurosensory. F1-17) Executes the nursing roles and advanced medical surgical nursing skills specific for the adult and geriatric client: Role I. III. CPR. and nursing standards/protocols. and integumentary systems. C5-8. symptomatology. F1-17) Assists to prepare a nursing care plan for the adult/geriatric client. II. F1-17) Observes and assists in nursing care of clients in clinics and special care areas such as OR. (SCANS C1. 1.Fall 2010 Page 4 . restraint precautions. rehabilitative. (SCANS C1. I. 5. C18-20. interventions. C15-16. respiratory. C3. Collects specimens and interprets diagnostic test results. endoscopy. common nursing diagnoses. C3-16. and medical surgical treatment regimes. (SCANS C1. ER. C5-8. (SCANS C1. 3.5% accuracy on written exams. preventive.

Maintain and promote needs for oxygen and circulation: O2. mobilization: positioning. H. catheterization. preparing for procedures. communication (verbal. T. trach care. demonstrate safe techniques for oral. and biohazard management. CPM exercises.Fall 2010 Page 5 . F. PT exercise. D. I. C. grieving. C11-15. blind and deaf precautions. chest tube management. principles of asepsis. and home management of treatments. nonverbal. VS. NGT/GT administration. convalescence. F1-17) Identify client outcomes specific to nursing protocols. Set priorities in organizing nursing care. diversion management. plegia & prosthesis management. I&O. parental. growth and developmental needs by supporting client. F1-17) C. isolation. LE. catheter care. V. C10. Documents immediately following administration and evaluates effectiveness. E. dressing and wound management. Administer medications: follow 5 Rights of medication administration. D. Prevent transmission of pathogens by implementing basic techniques: HWT. rest. pain management. therapeutic). IV monitoring. EVALUATION & DECISION MAKING A. VNSG 1332 Med-Surg II SIP . for discharge. Reinforce rehabilitation in ADLs: BT. TEACHING Prepare the client for procedures.B. cultural. Maintain and promote nutrition and fluid balance: diet therapy. G. emotional. and topical routes. sleep: hygiene. B. Maintain comfort. Conduct nursing care within cost containment guidelines. Identify deviations from the norm and the expected. and health maintenance. traction. DB. telemetry. Meet sensory. Maintain and promote elimination:. standard precautions. C. enema. cast care. (SCANS C5. ambulation. J. and implement alternatives. IV. OT fine motor activities (selffeeding). Maintain activity r/t immobilization. speech deficits. crutches. environmental stressors. (SCANS C7.

C6-14. C5-16. C3. B. Recognize leadership role. MANAGEMENT A. C4. Function within the scope of practice of vocational nursing in the State of Texas. VNSG 1332 Med-Surg II SIP . II. refer Function as a team member Role III. COORDINATOR/COMMUNICATOR OF CARE (SCANS C3. MEMBER OF THE PROFESSION (SCANS C1. F1-17) I. document. Work in an organized and efficient manner.Fall 2010 Page 6 . C9-14.VI. (SCANS C1. II. to include TPC and/or Team Medication administration. Assume accountability for own practice. Report. F1-17) I. Role II. F1-17) Manage multiple client assignments (3-5). C.

22 Ch. 49-51 VNSG 1332 Med-Surg II SIP . RN. 30 Ch. 50 Ch. 49-51 *Student: Ch. 22-29 *Student: Ch. BS FALL 2010 Fridays: 8am . 32 13 14 15 Nov 19 Nov 26 Dec 3 EXAM #4 – Oncology Nursing ~ Thanksgiving Break ~ *Introduction to the Immune System Immune-Mediated Disorders HIV/AIDS Ch. 36-43 *Student: Ch. 35 16 Dec 10 FINAL EXAM (Note: Exact date to be announced later) Calendar Subject to Change Ch 18. 51 10 11 12 Oct 29 Nov 5 Nov 12 EXAM #3 . 23 Ch.10:50am Classroom S-157 *The student is responsible for the independent study of Chapters noted below with asterisks and bolded WEEK 1 DATE Aug 27 TOPIC *Introduction to the Cardiovascular System Infections and Inflammatory Disorders of the Heart and Blood Vessels Valvular Disorders of the Heart Disorders of Coronary and Peripheral Blood Vessels Hypertension Heart Failure Cardiac Dysrhythmias Clients Undergoing Cardiovascular Surgery REFERENCE *Student: Ch. 36 Ch 37 Ch 38 Ch 39 *Student: Ch.VNSG 1332 Med-Surg II Instructor: Michael Cooper.Fall 2010 Page 7 . 22-43. 41 Ch 40 Ch 42 Ch 43 7 Oct 8 8 9 Oct 15 Oct 22 EXAM #2 . 18 Ch.Endocrinology *Introduction to the Hematopoietic and Lymphatic Systems Clients with Cancer Disorders of the Hematopoietic System Disorders of the Lymphatic System Ch. ADN. 33 Ch.Neurological Nursing *Introduction to the Endocrine System Disorders of the Endocrine System Diabetes Mellitus Ch. 30-32 *Student: Ch. 24 Ch 25 Ch 27 Ch 28 Ch 26 Ch 29 2 Sept 3 3 4 Sept 10 Sept 17 5 6 Sept 24 Oct 1 EXAM #1 . 49 Ch. 31 Ch. 34 Ch. 18.Cardiovascular Nursing *Introduction to the Nervous System Central and Peripheral Nervous System Disorders Cerebrovascular Disorders Head and Spinal Cord Trauma *Introduction to the Sensory System Neurologic Deficits Eye Disorders Ear Disorders Ch.

Any exam not made up is counted in the exam average as a zero (“0"). ATTENDANCE In addition to the attendance policy described in your Vocational Nursing Student Handbook.edu Pharm M F 12p-1:50p TWTh MF Michael Cooper RN ADN BS S-156 8:00 – 3:00p Noon. Each exam covers course topics and objectives that are reviewed by the student using an instructor-provided study guide.Fall 2010 Page 8 . For definitions of “absence” and “tardy” see your VNSG student handbook. with a possible perfect score of 100. the following applies to this course (VNSG 1420).EVALUATIVE PROCEDURES Course Grade: The exams and final are weighted equally and averaged together to calculate the course average.edu MedSurg-II F Clinical-II TWTh Mon Fri Melinda Wallace RN ADN S-154 Noon – 3:00p 8:00a – 3:00p 281-756-5633 713-306-3570 n/a mwallace@alvincollege. Absences for exams: Exams missed due to absence must be made up in the college’s Learning Lab within two weeks of the date the exam was originally given. Exams: A minimum of 4 (four) exams and one (1) comprehensive final exam are given.5 avg The course average must be 74. FACULTY SCHEDULE Faculty Room# Office Hrs Karen Briza RN BSN S-108C 8:00a – 3:00p 8:00a-11:00a 281-756-5631 281-455-8549 n/a kbriza@alvincollege.edu 8-10:50a 6:45a-2:45p Mon Fri Office Cell Pager Email Classes (clinical starts 9-14-2010) 8:00A-11:00A MedSurg-I M 6:45a-2:45p Clinical-II TWTh Clinical Instructors: see VNSG-1660 SIP VNSG 1332 Med-Surg II SIP . It is your responsibility to contact your instructor to obtain the information and materials you missed. See “ACC VNSG Makeup Exam Policy” in the Appendix of this SIP for more details on makeup exams and Learning Lab procedures.3:00p 281-756-5632 n/a 281-439-0679 mcooper@alvincollege. A letter grade is assigned based on the course average as follows: A = 90 thru 100 avg B = 80 thru 89 avg C = 75 thru 79 avg F = less than 74. Absences or Tardies for lecture or lab: You are responsible for any information and materials you miss due to absence or tardy. Exams are primarily multiple-choice questions simulating NCLEX-PN format.5 or higher in order to pass the course.

26. 51. List risk factors associated with coronary artery disease and discuss which can be modified. Differentiate between accelerated and malignant hypertension. Discuss the nursing management of clients with infectious or inflammatory heart disorders. 47. Distinguish between acute and chronic heart failure. 38. List four inflammatory conditions of the heart. thrombosis. List three interventions that reduce the risk of thrombophlebitis. embolism. 14. Discuss the symptoms. treatment. elective cardioversion. diagnosis. Explain when defibrillation is used to treat dysrhythmias. 19. Identify differences between left-sided and right-sided heart failure. Discuss the medical and nursing management of the client with malignant hypertension. 37. 11. Discuss assessment findings common among clients with valvular disorders. diagnosis. 29. Discuss the symptoms. Discuss nursing management of clients with valvular disorders. Describe the normal anatomy and physiology of the cardiovascular system Identify and describe focus assessment criteria when caring for a client with cardiovascular problems List common diagnostic tests used to evaluate the client with suspected heart disease. 54. 50. 52. 13. 41. 12. 25. Describe the purpose of cardiopulmonary bypass and its disadvantages. Discuss the pathophysiology. Discuss the symptoms. 45. Discuss the nursing management of clients with pulmonary edema. Describe the symptoms. Give two examples of treatments other than drug therapy to correct valvular disorders. Name and describe common cardiac dysrhythmias. symptoms. 39. 20. Explain the purpose and advantages of elective cardioversion. 44. Discuss the purpose for implanting an automatic internal cardiac defibrillator. Identify potential complications of uncontrolled malignant hypertension. diagnosis. etiology. 7. Discuss the medical and nursing management of the client with hypertension. phlebothrombosis. 53. and nursing management of myocardial infarction. 6. 22. 43. 40. 21. 48. and nursing management of Raynaud’s disease. Describe nursing management of the client with a dysrhythmia treated by drug therapy. 27. 32. Identify three organisms that cause infectious conditions of the heart. Name three diagnostic tests used to confirm valvular disorders. 16. List factors that influence blood pressure. Name indications for cardiac surgery. 9. Discuss the nursing management of a client undergoing cardiovascular diagnostic tests. diagnosis. treatment. 18. Identify medications to control or eliminate dysrhythmias. and treatment of varicose veins.Fall 2010 Page 9 VNSG 1332 Med-Surg II . Discuss the nursing management of clients with heart failure. 17. treatment. Identify consequences of valvular disorders. Discuss the nursing management of clients with inflammatory disorders of peripheral blood vessels. treatment. and nursing management of clients with an aortic aneurysm. Define hypertension and identify groups at risk for it. diagnosis. 31. Explain systolic and diastolic arterial pressure. 28. Discuss the assessment findings in hypertension. 34. Distinguish between arteriosclerosis and atherosclerosis. 23. 33. Name various type of artificial pacemakers and the purpose for their use. List five disorders that commonly affect heart valves. Identify the two physiologic components that create blood pressure. or pacemaker insertion. and treatment of left-sided and right-sided heart failure. diagnosis. 15. Describe the symptoms. Differentiate essential and secondary hypertension. 10. List three structures that physiologically control arterial pressure. Discuss the symptoms. 30. and nursing management of coronary artery disease. 36. and venous insufficiency. diagnosis. 24. and treatment of pulmonary edema. 49. 3. SIP . 2. Identify causes of secondary hypertension. 4. Describe nursing management of clients undergoing surgery for varicose veins. defibrillation. Discuss the pathophysiology and etiology of heart failure. 5. 42. 8. Name five categories of drugs used to treat valvular disorders.Alvin Community College Vocational Nursing Program VNSG 1332 MEDICAL-SURGICAL NURSING II STUDENT INFORMATION PLAN UNIT OBJECTIVES/BLUEPRINT EXAM #1 Ch. Describe treatment for inflammatory and infectious heart disorders. 35. 22-29 1. 46. List consequences of chronic hypertension.

Discuss the nursing management of a client with a head injury. Discuss the nursing management of clients with brain tumors. 12. 5. Describe the nursing management of a client with a spinal cord injury. Discuss the nursing management of clients undergoing cardiovascular surgery. Name and describe the function of the two parts of the autonomic nervous system. 35. 45. 60. 57. 44. Describe methods used to assess motor and sensory function. 18. 46. 36. List possible long-term complications of spinal cord injury. Identify three common types of headaches and their characteristics. 24. 41. common related problems. 10. subdural. Give the primary aims of medical treatment of a neurologic deficit. Explain the anatomy and physiology of the ears. 61. 28.Fall 2010 Page 10 VNSG 1332 Med-Surg II . 31. 16. 11. Name six members of the healthcare team involved with the management of a client with a neurologic deficit. Identify questions to ask during an eye assessment. Discuss appropriate nursing interventions when caring for a client with a cerebral aneurysm. 32. Give two functions of the spinal cord. EXAM #2 Ch. Define neurologic deficit. List the signs and symptoms of Parkinson’s disease. Describe how coronary artery blood flow is surgically restored. 9. Describe nursing management of a client with a neurologic deficit. Discuss tests that are used for visual screening. 43. Name four surgical procedures for revascularizing the myocardium. 4. Describe the three phases of a neurologic deficit. 39. 58. Identify techniques to correct valvular disorders. and nursing management. List three types of surgery performed on central or peripheral blood vessels. 17. 59. Discuss the nursing management of clients with cranial nerve disorder. 19. Discuss the purpose of drug therapy and drugs commonly prescribed for Parkinson’s disease. 38. 37. 30. Explain spinal shock. List the four lobes of the cerebrum. 26. Discuss the nursing management of a client undergoing intracranial surgery. Discuss medical and surgical techniques used o reduce the potential for a cerebrovascular accident. 56. 6. 15. List nursing techniques that supplement drug therapy in reducing or relieving headaches. discuss those that are unique to right-sided and left-sided infarctions. Identify the anatomic difference between intramedullary and extramedullary spinal nerve root compression.55. Differentiate a concussion from a contusion. and intracerebral hematomas. 8. List five problems associated with heart transplantation. Discuss the pathophysiology of seizure disorders and different types of seizures. 13. List six diagnostic procedures performed to detect neurologic disorders. SIP . 40. Describe methods for assessing the ear and hearing acuity. Name four infectious or inflammatory diseases that affect the central or peripheral nervous system. Explain the cause and significance of a transient ischemic attack. Describe the anatomy and physiology of the eyes. 36-43 1. 25. 34. 20. 23. 3. Describe diagnostic studies for eye function. listing four symptoms. 7. Describe a cerebral aneurysm and the danger it presents. Discuss autonomic dysreflexia and at least five manifestations. Describe two methods for controlling bleeding from heart trauma. Name the two anatomic divisions of the nervous system. Explain the differences between epidural. Differentiate between ischemic and hemorrhagic strokes. Identify at least five nursing diagnoses common to the care of a client with a cerebrovascular accident and interventions for them. 21. 42. 14. Discuss three neuromuscular disorders. Describe signs and symptoms of Huntington’s disease and related nursing management. 22. Name the three parts of the brain. Discuss the nursing management of the client undergoing neurologic diagnostic testing. 47. Discuss at least four signs and symptoms and nursing care of the client with increased intracranial pressure. 29. Discuss the nursing management of clients with seizure disorders. 2. 27. 33. Identify five manifestations of a cerebrovascular accident.

14. 23. assessment findings. Specify the visual changes that result from delayed or unsuccessful treatment of macular degeneration. Explain the relationship between the hypothalamus and the pituitary gland. 68. Explain the technique for straightening the ear canal of adults to facilitate inspection and the administration of medication. Identify two physiologic signs of hyperosmolar hyperglycemic nonketotic syndrome. Name conditions that involve the external ear. 2. List examples of laboratory and diagnostic tests that identify endocrine disorders. Explain the pathophysiology of Ménièr’s disease. Discuss the nursing management of the client with diabetes mellitus. 64. Identify disorders of the adrenal glands and describe nursing management of clients with these disorders. Describe the technique for instilling ophthalmic medications. Discuss postoperative measures that help prevent complications after a cataract extraction. parathyroid. Give examples of support services available for the hearing impaired. 17. 51. 56. 52. Explain how different infectious and inflammatory eye disorders are acquired. Identify symptoms of emergency conditions resulting from endocrine disorders. 15. 67. 5. List three main goals in the treatment of diabetic ketoacidosis. Discuss the role of the nurse in caring for clients with a hearing loss. 74. Identify appropriate nursing interventions for a blind client. 19.Fall 2010 Page 11 VNSG 1332 Med-Surg II . 49-51 Identify the chief function of the endocrine glands. Identify the three classic symptoms of diabetes mellitus. 12. Give classic symptoms associated with retinal detachment. 20.48. Outline information to include when taking the health history of a client with an endocrine disorder. 61. Discuss methods for preventing or treating disorders of the external ear. 16. Distinguish categories and mechanisms of actions of medications used to control intraocular pressure. and name some consequences of this inner-ear disorder. Describe the physiologic effects of hyposecretion and hypersecretion of the pituitary. Name three laboratory methods used to diagnose diabetes mellitus. Name other organs that are not classified as endocrine glands but secrete hormones. 72. SIP . 60. Describe specific diagnostic tests for ear function. 7. 25. Compare the differences in physiologic effects. 54. 13. Describe thyroid disorders and nursing management of clients with these disorders. EXAM #3 1. Name conditions that affect the middle ear. Discuss the nursing management of clients with eye trauma. 9. Identify a category of drugs contraindicated with client with glaucoma. 71. Differentiate between open-angle and angle-closure glaucoma. 4. 58. 70. List endocrine glands and the hormones they secrete. 73. thyroid. 18. 57. Explain the source of ketones and cause of diabetic ketoacidosis. Describe the methods used to treat diabetes mellitus. 10. 11. 63. Describe the treatment of hyperosmolar hyperglycemic nonketotic syndrome. Describe nursing interventions appropriate for managing the care of a client with ear surgery. 55. 21. 66. 69. and adrenal glands. and management of disorders affecting the parathyroid glands. 49. Explain the different types of refractive errors. 26. Discuss the regulation of levels of hormones. Describe methods for improving vision after a cataract is removed. 22. List types of hearing impairment and acuity levels for each. 59. 53. 50. Differentiate the terms blindness and visually impaired. 3. 65. 8. Describe physical assessment findings that suggest an endocrine disorder. Explain the cause and treatment of hypoglycemia. Name techniques that clients with impaired hearing use to communicate with others. Define and distinguish the two types of diabetes mellitus. Discuss the nursing management of clients with Ménièr’s disease. Discuss the nursing management of clients undergoing diagnostic tests to detect endocrine dysfunction. Ch. Describe the nursing management of clients with pituitary disorders. Name activities clients with glaucoma should avoid because they elevate intraocular pressure. 6. 24. Describe the general function of hormones. 62. Discuss the care and cleaning of an eye prosthesis.

27. 3. 37. Explain methods for diagnosing cancer. 35. 28. 14. Explain the nature of transmission of infectious mononucleosis. Discuss factors that cause sickling of erythrocytes and related adverse effects. Discuss the nursing management of clients with hematopoietic or lymphatic disorders. 13. 7.Fall 2010 Page 12 . Describe emotions associated with the diagnosis of cancer. 10. 21. 15. Discuss the meaning of coagulopathy and name two coagulopathies. 2. 38. Name three types of bloods cells produced by bone marrows. 19. Explain the term erythrocytosis. Name factors that contribute to the development of cancer. Describe systems for staging and grading malignant tumors. 22. Name at least four problems that nurses address when caring for clients with Hodgkin’s disease and nonHodgkin’s lymphoma. Differentiate agranulocytosis from leukopenia. Describe the pertinent assessment of the hematopoietic and lymphatic systems when obtaining a health history and conducting a physical examination. Describe nursing interventions that promote the resolution of lymphangitis and lymphadenitis. List at least five components of plasma. 33. and discuss the function of each. Identify the warning signs of cancer. 23. 31. and list possible complications. List seven types of anemia. 20. 6. EXAM #4 1. 36. 26. Identify the four blood groups and discuss the importance of transfusing compatible types. 18. Differentiate various treatments and methods for managing cancer. Ch. Name the type of malignant cell diagnostic of Hodgkin’s disease. 4. 43. 32. Explain the cause and characteristics of lymphedema. List suggestions the nurse can offer to individuals who acquire infectious mononucleosis. Differentiate between the symptoms of hypoglycemia and hyperglycemia. Explain how forms of leukemia are classified. List clinical problems or nursing diagnoses common among clients with leukemia. Discuss nursing responsibilities when managing the care of clients with coagulopathies. 17. Define hematopoiesis. 39. List activities a person with sickle cell disease can do to reduce the potential for sickle cell crisis. VNSG 1332 Med-Surg II SIP . Name laboratory and diagnostic tests for disorders of the hematopoietic and lymphatic systems. Identify nutritional deficiencies that can lead to anemia. Discuss the role of the nurse when managing the care of clients with lymphedema. Explain how the bone marrow dysfunction of multiple myeloma has an effect on the skeletal system. Discuss clinical problems that clients with any type of anemia experience. Compare benign and malignant tumors. 12. 24. give one example of a characteristic disease. Discuss various adverse effects that occur with cancer treatments and methods used to treat those effects. including examples of inherited types. 28. 30. 29. Explain the components and function of the lymphatic system and its role in hematopoiesis. Explain the term pancytopenia and give an example of a disorder that represents this condition. 18. 11. 5. 41. Name three plasma proteins and explain the function of each. 42. Use the nursing process as a framework for caring for clients with cancer. 9. 40. 30-32 Discuss the pathophysiology and etiology of cancer. 34. Describe comic chronic complications of diabetes mellitus.27. Describe ways to reduce risks of cancer. Name the major structures in the hematopoietic system. Define the term lymphoma and name two types. 16. 8. List three forms of treatment use to cure or promote remission of lymphomas. 25.

Name three categories of drugs used in the treatment of autoimmune disorders. 6. 5. Discuss the characteristics of a retrovirus. Name two laboratory tests used to measure viral load. describing how each develops. Give the criterion for successful drug therapy for HIV/AIDS. Explain the meaning of autoimmune disorder. 12. 16. 15. Name common nursing diagnoses. 25. Explain the term acquired immunodeficiency syndrome (AIDS). Describe techniques for preventing HIV infection among healthcare workers who care for infected clients. desired outcomes. 34. 22-43. 29. Name four categories of allergens. 11. 7. Discuss the nursing management of a client with AIDS. 18. 18. Describe an allergic disorder. List some cells and chemicals that enhance the function of the immune system. 24. 10. List at least five manifestations characteristic of acute retroviral syndrome. and related nursing interventions for clients who have chronic fatigue syndrome. and give two purposes for their use. Describe diagnostic skin testing. Name examples of lymphoid tissue. 37. List two general components of the immune system. 28. 27. 38. Name three types of immunity. 4. Identify the virus that causes AIDS. 9. 33. 26. 17. 2. Discuss the nursing management of a client with an autoimmune disorder. Give two explanations for how chronic fatigue syndrome develops. Discuss the pathophysiologic process of AIDS. 20. Discuss techniques for detecting immune disorders. 14. and give at least three examples of related diseases. 3. Name three methods for treating allergies. 8. 23. Discuss the role of T-cell and B-cell lymphocytes. Give four examples of allergic reactions. 35. Name two laboratory tests used to screen for HIV antibodies and one that confirms a diagnosis of AIDS. including client teaching. 21. 19. 32. List three criteria for diagnosing AIDS. 22.FINAL EXAM: Ch. List common symptoms experienced by people with chronic fatigue syndrome. Describe the role of the nurse when caring for a client with an immune disorder. 49-51 All of the above plus: 1.Fall 2010 Page 13 . List five examples of allergic signs and symptoms. Differentiate between an antigen and an antibody. VNSG 1332 Med-Surg II SIP . Explain the meaning of an immune response. Identify categories of drugs that are used to treat individuals infected with HIV. including two that are potentially life-threatening. 31. 30. and give an example of a specific drug in each category. and give an example of each. 13. Discuss the nursing management of a client with an allergic disorder. Explain how human immunodeficiency virus (HIV) is transmitted. Name at least four methods for preventing transmission of HIV. Discuss two ethical issues that affect healthcare workers in relation to clients with HIV infection. 36. Discuss theories that explain the development of an autoimmune disorder.

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alvincollege. If you have any problems using the Learning Lab to take makeup exams. Makeup exams are available in the Learning Lab 2 business days after the day you missed them. she does not have access to grade records. to the left as you enter the front doors. Do not ask the VNSG secretary for exam grades. or online at http://www. You must complete each makeup exam no later than 2 weeks after the exam was originally given to the class. A 15-point penalty is automatically deducted from the score attained by the student on a makeup exam. Refer to the hardcopy of this policy distributed by your instructor at the start of each semester. 3.htm on the ACC web site. whichever occurs first. or by the end-of-semester exam deadline published in the current semester’s Learning Lab policy.MAKEUP EXAM POLICY Any exams you miss will be made up in the Vocational Nursing Department or sent to the Alvin Community College Learning Lab for you to take as makeup exams. 2. the highest grade that may be attained on makeup exams is 85%.Fall 2010 Page 17 . The Learning Lab is located in the college library on the second floor of building A. Each semester the Learning Lab publishes an updated policy describing how to take exams in the Learning Lab. VNSG 1332 Med-Surg II SIP .edu/resources/learning_lab. notify your instructor or the VNSG secretary. Any makeup exams you take will be automatically returned to your instructor and graded 2 to 4 business days after that. Therefore. 1. Any makeup exams you do not complete within the above timeframe will be averaged in the applicable course grade as a zero ("0").

6. and other members of the immediate health care team. Collaborate with clients (individual) and the interdisciplinary health care team to provide direct care to assigned clients (individual). 5. Use the problem-solving approach as the basis for decision making in practice. 3. Assist in determining the health status and health needs of clients (individual) based on interpretation of health related data. COORDINATOR OF CARE: 1. Participate in the identification of client (individual) needs for referral to resources that facilitate continuity of care. MEMBER OF A PROFESSION: 1. Assist in the formulation of goals/outcomes and a plan of care in collaboration with the client (individual). 2. Assist in the coordination of human and material resources for the provision of care for assigned clients (individual). 2. 3. and interdisciplinary health care team members. 2. Demonstrate accountability for own nursing practice. Implement teaching plan for client (individual) with common health problems and well-defined learning needs. including scope of education. 7.VNSG 1332 INCORPORATES THE FOLLOWING DIFFERENTIATED ENTRY LEVEL COMPETENCIES OF TEXAS GRADUATES OF VOCATIONAL NURSING PROGRAMS A. 4. B. and preventive health practices in collaboration with clients (individual). Participate in activities which support the organizational framework of structured health care settings. in collaboration with the client (individual) and interdisciplinary health care team to assist client (individual) in meeting health care needs. VNSG 1332 Med-Surg II SIP . their families. 4. Assist in the evaluation of the client’s (individual) responses and outcomes to therapeutic interventions. Demonstrate behaviors that promote the development and practice of vocational nursing. PROVIDER OF CARE: 1. Provide direct basic care to assigned multiple clients (individual) in structured settings. their families. 3. Implement plan of care within legal and ethical parameters.Fall 2010 Page 18 . C. Participate as an advocate in activities that focus on improving the health care of clients (individual).

This page shows you what SCANS skills and competencies that VNSG 1332 helps you develop and apply to the practice of vocational nursing.Fall 2010 Page 19 . For further information about SCANS. X X F15 F16 F17 PERSONAL QUALITIES Responsibility Self esteem Social Self-management Integrity / honesty X X X X X F10 Seeing things in the mind’s eye F11 Knowing how to learn F12 Reasoning X X X X X X F06 Reading Writing Arithmetic Mathematics Listening Speaking FOUNDATION SKILLS BASIC SKILLS X X X X X X TECHNOLOGY C18 C19 C20 Selects technology Applies technology to task Maintains and troubleshoots technology X X X VNSG 1332 Med-Surg II SIP .VNSG 1332 incorporates the following SCANS Competencies and Foundations Skills: COMPETENCIES RESOURCES C01 C02 C03 C04 Allocates time Allocates money Allocates materials and facility resources Allocates human resources X X X F01 F02 F03 F04 F05 INFORMATION C05 C06 C07 C08 Acquires and evaluates information Organizes and maintains information Interprets and communicates information Uses computers to process information X X X X THINKING SKILLS F07 Creative thinking F08 Decision making F09 Problem solving INTERPERSONAL C09 Participates as a member of a team C10 Teaches others C11 Serves clients / customers C12 Exercises leadership C13 Negotiates to arrive at a decision C14 Works with cultural diversity X X X X X X F13 F14 SYSTEMS C15 C16 C17 Understands systems Monitors and corrects performance Improves and designs systems “SCANS” stands for the U. Labor Department “Secretary's Commission on Achieving Necessary Skills”. you may see the department chairperson. This federal commission has determined what skills workers need in order to succeed in the work place.S.

allocates time to activities. goal-related activities. equipment. Organizes and Maintains Information: . convinces.Works cooperatively with others and contributes to group with ideas. supplies. and with a variety of ethnic. and communicate information. and evaluates their relevance and accuracy. keeps detailed records to track budget performance. C12 Exercises Leadership . Allocates Money . social. obtains them from existing sources or creates them. C10 Teaches Others . or authority.Organizes. organize.Uses or prepares budgets. .S.Works towards an agreement that may involve exchanging specific resources or resolving divergent interests. written. analyze. and follows schedules. graphic. or multi-media methods. and maintains written or computerized records and other forms of information in a systematic fashion. policies. stores. ranks them in order of importance. including responsibly challenging existing procedures. processes.Selects relevant.Works and communicates with clients and customers to satisfy their expectations. space.Works well with men and women. and makes appropriate adjustments. This document describes SCANS skills and competencies that the Vocational Nursing curriculum helps you develop and apply to the practice of vocational nursing. prepares.Acquires. suggestions. Allocates Material and Facility Resources .Identifies need for data. you may see the department chairperson. or otherwise motivates an individual or group. Allocates Human Resources . Labor Department ASecretary's Commission on Achieving Necessary Skills@. If you want further information about SCANS. C14 Works with Cultural Diversity . Information C5 C6 C7 Acquires and Evaluates Information . C13 Negotiates .Employs computers to acquire.Communicates thoughts.ALVIN COMMUNITY COLLEGE VOCATIONAL NURSING PROGRAM SCANS COMPETENCIES AND FOUNDATION SKILLS ASCANS@ stands for the U. pictorial. persuades. and encourages. and distributes materials. C8 Interpersonal C9 Participates as a Member of a Team . parts. evaluates performance and provides feedback. including making cost and revenue forecasts.Selects and analyzes information and communicates the results to others using oral. This federal commission has determined what skills workers need in order to succeed in the work place. and ideas to justify a position. C11 Serves Clients/Customers . or final products in order to make the best use of them.Assesses knowledge and skills and distributes work accordingly.Helps others learn. feelings. and understands. and effort. Uses Computers to Process Information . Interprets and Communicates Information . or educational backgrounds. COMPETENCIES Resources C1 C2 C3 C4 Allocates Time .

Knows how social. and technological systems work and operates effectively within them.Prevents.Understands the overall intent and the proper procedures for setting up and operating machines. including computers and their programming systems.Distinguishes trends. will produce the desired results. including computers and their programs.Systems C15 Understands Systems . and develops new or alternative systems.Judges which set of procedures. computers. identifies. C16 Monitors and corrects Performance . and other technologies. FOUNDATION SKILLS Basic Skills F1 Reading F2 Writing F3 Arithmetic F4 Mathematics F5 Listening F6 Speaking Thinking Skills F7 Creating thinking F8 Decision making F9 Problem solving F10 Seeing things in the mind’s eye F11 Knowing how to learn F12 Reasoning Personal Qualities F13 Responsibility F14 Self-esteem F15 Social F16 Self-management F17 Integrity / honesty . predicts impact of actions on system operations. or machines. C19 Applies Technology to Tasks . C20 Maintains and Troubleshoots Technology . C17 Improves and Designs Systems . organizational. diagnoses deviations in the function of a system/ organization.Makes suggestions to modify existing systems to improve products or services. Technology C18 Selects Technology . and takes necessary action to correct performance. tools. or solves problems in machines.

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