Fluid and Electrolytes:

1. Explain the differences between:

a. Osmosisb. Filtrationc. Diffusiond. Active Transport2. The roles of organs in maintaining fluid balance throughout the body.
a. Lungs

b. Kidneys

c. Endocrine Systems

3. Identify the appropriate care for the patient with fluid imbalances:
a. Excess

b. Deficit

4. Discuss the effects of aging on fluid maintenance.

5. Discuss the role of electrolytes in normal bodily function.

6. Electrolyte Imbalances:

Acid-Base Balance:
1. What are the normal ABG values?

2. Acid-Base Disorders:

Nursing Care of the Patient with Cancer:

1. Discuss theories of carcinogenesis.

2. Compare & contrast characteristics of normal cells with those of malignant

cells.
Normal Cells

Malignant Cells

3. What are general risk factors for cancer? Constitutional symptoms?

4. Patient education to reduce the general risk of cancer?

5. How are malignant tumors graded? Staging? TNM system?

6. What are goals of cancer treatment?

7. What are common treatment strategies for patients with cancer?

8. Describe principles of treatment with chemotherapy & radiation. How do

chemo and radiation work to treat the patients cancer?
a. Chemotherapy

b. Radiation

9. Identify nursing interventions & rationales to manage common side effects

of chemotherapy. (focus on bone marrow suppression, skin, neuropathy, &
fatigue).
a. Bone Marrow Suppression

b. Skin

c. Neuropathy

d. Fatigue

10. Identify nursing interventions & rationales to manage common side effects
of radiation therapy.

11. General nursing interventions: patient education, goal-setting, palliative care,

supportive care of patient.

12. Multidisciplinary approach to care.

Nursing Care of the Preoperative Patient:

1. Define the 3 phases of perioperative nursing.
a. Preoperativeb. Intraoperativec. Postoperative2. What are the priorities of preoperative nursing care?

3. What is the significance of the timing of surgery? Of setting?

4. Legal issues: informed consent- nursing responsibilities?

5. List components of preoperative assessment? Anesthesia assessment?

6. List medications (& herbal products) that may impact surgical experience
and their significance.

7. Patient teaching regarding medications on the day of surgery?

8. What laboratory data are commonly ordered to assess the patients

preoperative status?

9. Identify data from the patients history that increase surgical risk.

10. Types of surgery associated with increased surgical risk?

11. Components of preoperative teaching? Patient teaching to decrease

occurrence of postoperative complications?

Nursing Care of the Intraoperative Patient:

1. Priority of nursing care in intraoperative period?

2. Describe Time Out.

3. Types of anesthesia? Complications associated with spinal and epidural?

4. Describe nursing responsibilities when caring for the patient under general
anesthesia.

5. Nursing interventions for the intraoperative patient with nursing diagnoses:

Risk for:
a. Perioperative Positioning Injury
b. Injury
c. Imbalanced Body Temperature
d. Imbalanced Fluid Volume
e. Infection

Nursing Care of the Postoperative Patients:

1. What data are included in the communication when the patient is
transferred to the care of the PACU nurse?

2. Describe nursing interventions in the immediate postoperative period.

3. Common causes of immediate respiratory complications? Nursing

interventions to maintain a patent airway?

4. Clinical manifestations of hypovolemic shock? Collaborative management of

hypovolemic shock?

5. Nursing management of the postoperative patient.

a. Respiratory status
b. Cardiovascular status
c. GI
d. Fluid volume
e. Surgical Incision (include complications of wound healing)
f. Pain
6. Discharge Teaching

Assessment of Respiratory Function:

1. Identify structures & functions of the lower respiratory tract.

2. Describe components of the health history & physical assessment for a

patient presenting with a respiratory disorder.

3. Explain the purpose, nursing care, and patient education needs for the
following diagnostic tests:
a. Pulmonary Function Tests

b. Arterial Blood Gases

c. Bronchoscopy

d. Thoracentesis

Sleep Apnea:
1. Describe the pathophysiologic process of sleep apnea.

2. List risk factors for sleep apnea.

3. List assessment tools to screen for OSA.

4. Describe clinical manifestations of sleep apnea.

5. Explain components of polysomnography (sleep study).

6. Describe the collaborative management of sleep apnea. What is the primary

treatment method?

Atelectasis:
1. Identify patients at risk for atelectasis.

2. Describe common causes of atelectasis.

3. Describe nursing interventions & rationales for prevention and collaborative

management of patients with atelectasis.

Aspiration:
1. Identify risk factors for aspiration.

2. Describe nursing interventions & rationales for prevention and collaborative

management of patients with aspiration.

Pneumonia:
1. Differentiate between the classifications of pneumonia.

2. Identify risk factors for CAP and HAP.

3. Describe the pathophysiology, assessment findings, and clinical

manifestations of pneumonia.

4. Describe the collaborative management for patients with pneumonia,

including diagnostic tests, medications, and nursing interventions.

5. Identify nursing diagnoses and desired patient outcomes for the patient
with pneumonia.

COPD: Chronic Bronchitis and Emphysema:

1. Identify risk factors for COPD.

2. Compare and contrast chronic bronchitis & emphysema in terms of

pathophysiology, diagnostic findings, clinical manifestations, and assessment
findings.

3. Discuss complications of COPD.

4. Discuss collaborative management strategies for persons with COPD.

5. Discuss the pharmacologic management of COPD.

6. Discuss nursing management for the patient with COPD.

a. Maintaining a patent airway

b. Improving breathing patterns

c. Functional status

d. Activity tolerance

e. Education

f. Energy conservation

g. Prevention of complications

h. Health promotion.

7. Discuss the purpose of pulmonary rehabilitation.

8. Discuss treatment options for patients with end-stage COPD.

Lung Cancer:
1. Identify risk factors for lung cancer.

2. List the classifications, staging, and diagnostic testing for lung cancer.

3. Relate clinical manifestations to the pathophysiology of lung cancer and

metastasis.

4. Describe collaborative management strategies for treatment of patients

with lung cancer.

5. Explain nursing management to treat and prevent complications of lung

cancer.

Pleural Effusion:
1. Identify causes of pleural effusion.

2. Describe the pathophysiology, clinical manifestations, and diagnostic testing

for pleural effusion.

3. Explain medical management strategies for pleural effusion.

4. Describe nursing care for patients with pleural effusion.

Care of the Patient Undergoing Thoracic Surgery:

1. Identify components of the preoperative assessment of patients undergoing
thoracic surgery.

2. Compare surgical procedures for treatment of lung cancer.

3. Describe the postoperative nursing care for the patient undergoing thoracic
surgery.

4. Explain the purpose of postoperative chest tube drainage.

5. Describe basic nursi

ng care of the patient with a chest tube.