ࡱ> ~}{ 3bjbjBrBr D  * <<<<<PPP8P#.8(````OOOv#x#x#x#x#x#x#$%%'#<OOOOO#<<``#O<`<`v#Ov#rN"T"`x=F"b##0#"(:("(<"OOOOOOO##OOO#OOOO(OOOOOOOOO : VNSG 1500 Nursing in Health and Illness I Unit III Health Restoration for Commonly Occurring Illnesses Behavioral ObjectivesContentLearning OpportunitiesDiscuss the assessment of clients with commonly occurring cardiac illnesses. Assessment History Physical exam Risk factors Developmental variations Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring cardiac illnesses. Diagnostic tests Other Blood pressure Diagnostics  Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring cardiac problems. Commonly Occurring Cardiac Illnesses Hypertension Hopper Chapter 21, 22 Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring cardiac health problems.Nursing management of cardiac problems Independent interventions Assist with stress relief Encourage maintenance of exercise regimen Encourage smoking cessation Encourage weight control Patient teaching Refer to American Heart Association Dependent interventions Medications Diuretics Beta-blockers Calcium antagonists Angiotensin converting enzyme Interdependent interventions Encourage compliance with sodium restricted diet  Define the terms associated with commonly occurring respiratory illnesses listed in the content column. Terms Associated with Commonly Occurring Respiratory Illnesses Status athmaticus Discuss the assessment of clients with commonly occurring respiratory illnesses. Assessment History Physical exam Risk factors Developmental variations Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring respiratory illnesses. Diagnostic tests Radiology Chest x-ray Laboratory studies Arterial blood gases Other Pulmonary function tests Pulse oximetry  ABG Worksheet Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring respiratory problems. Commonly Occurring Respiratory Illnesses Chronic obstructive pulmonary disease (COPD) Asthma Bronchitis Emphysema Hopper Chapter 29, 30, 31 Video #1158 Asthma, Emphysema, & Chronic Bronchitis Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring respiratory health problems.Nursing management of respiratory problems Independent interventions Deep breathing exercises Teach pursed lip breathing Encourage annual influenza vaccine Encourage smoking cessation Patient teaching to avoid exposure to infections, irritants, change of temperature Incentive spirometry Positioning for optimal breathing Provide humidification Encourage fluids Provide emotional support Refer to American Lung Association Dependent interventions Medications Bronchodilators Corticosteroids Expectorants Low flow oxygen therapy Interdependent interventions Monitor ABGs Chest physiotherapy  Define the terms associated with commonly occurring neurological illnesses listed in the content column. Terms Associated with Commonly Occurring Neurological Illnesses Aphasia Dysphagia Hemiplegia Hemiparesis Increased intracranial pressure Discuss the assessment of clients with commonly occurring neurological illnesses. Assessment History Physical exam Risk factors Developmental variations Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring neurological illnesses. Diagnostic tests Radiology Cerebral arteriogram Other Basic neurological exam Carotid Doppler studies  Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring neurological problems. Commonly Occurring Neurological Illnesses Cerebrovascular accident Thrombolytic/embolic stroke Hemorrhagic stroke Transient ischemic attack (TIA) Hopper Chapter 49 Video #999 CVA Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring neurological health problems.Nursing management of neurological problems Independent interventions Perform frequent neurochecks Monitor for signs of increasing intracranial pressure (ICP) Prevent contractures, pressure ulcers, thrombosis Proper positioning/turning Range of motion exercises Implement guidelines for communicating with patient with aphasia Implement guidelines for working with patient with dysphagia, hemianopsia, unilateral neglect, and perceptual problems Prevent aspiration Assist with bowel & bladder retraining Patient teaching to prevent CVA Dependent interventions Medications Anticoagulant therapy if indicated Antihypertensive therapy Interdependent interventions Assist interdisciplinary team with rehabilitation plan  Discuss nursing care for clients having surgeries involving commonly occurring neurological health problems. Surgeries Carotid endarterectomy Define the terms associated with commonly occurring endocrine illnesses listed in the content column. Terms Associated with Commonly Occurring Endocrine Illnesses Hyperglycemia Hypoglycemia Polydipsia Polydysphagia Polyuria Discuss the assessment of clients with commonly occurring endocrine illnesses. Assessment History Physical exam Risk factors Developmental variations Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring endocrine illnesses. Diagnostic tests Laboratory studies Blood glucose monitoring glucometer Fasting blood sugar Glycosylated hemoglobin Oral glucose tolerance test Urine ketone testing  Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring endocrine problems. Commonly Occurring Endocrine Illnesses Diabetes mellitus Type I diabetes Type II diabetes Hopper Chapter 40 VIDEO TVCC Website  HYPERLINK "http://mcom.alexanderstreet.com/View/1665652/" \t "_self" Diabetes in Clinical Practice Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring endocrine health problems.Nursing management of endocrine problems Independent interventions Patient teaching Foot care Promoting proper hygiene Promoting exercise regimen Promote compliance Assist with individual/family coping Weight control Refer to community resources American Diabetes Association Living Well with Diabetes Juvenile Diabetes Foundation Diabetes self management Monitor for signs/symptoms of complications Diabetic ketoacidosis Hyperglycemic, hyperosmolar, nonketotic coma Dependent interventions Medications Insulin therapy Oral hypoglycemic agents Replacement fluids/electrolytes Interdependent interventions Dietary management  VIDEO TVCC Website  HYPERLINK "http://mcom.alexanderstreet.com/View/1665652/" \t "_self" Diabetes in Clinical Practice ** Required Drug Card Comparison ** Insulin Comparisons Humalog Regular NPH Lente Protamine Zinc Insulin Discuss the assessment of clients with commonly occurring musculoskeletal illnesses. Assessment History Physical exam Risk factors Developmental variations Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring musculoskeletal illnesses.Diagnostic tests Radiology X-ray of hip  Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring musculoskeletal problems. Commonly Occurring Musculoskeletal Illnesses Fractured hip Hopper Chapter 46 Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring musculoskeletal health problems.Nursing management of musculoskeletal problems Independent interventions Frequent neurovascular checks Prevent external rotation Avoid adduction Maintain affected extremity in alignment Proper positioning & turning Prevent complications of immobility Turn, cough, & deep breathing Provide trapeze Monitor for complications Dependent interventions Traction Dressing changes after surgery Interdependent interventions Pain management Assist with physical therapy plan Video: #1151 Impaired Mobility:The Nurses Role #1152 Impaired Mobility:Physical Consequences #1148 Pre & Post-op Care of the Orthopedic Patient Hip Fracture" #1149 Pressure, Shear, & Friction: Prevention & Intervention #1150 Pressure, Shear, & Friction: Assessing Risks #1109 Assisting with Casts & Traction Discuss nursing care for clients having surgeries involving commonly occurring musculoskeletal health problems. Surgeries Open reduction/internal fixation of hip Define the terms associated with commonly occurring oncologic illnesses listed in the content column. Terms Associated with Commonly Occurring Oncological Illnesses Alopecia Anorexia Carcinogen Cytology Extravasation Leukocytosis Leukopenia Metastasis Stomatitis Thrombocytopenia Discuss the assessment of clients with commonly occurring oncologic illnesses. Assessment History Physical exam Risk factors Developmental variations Hopper Chapter 11Identify clinical significance and nursing implications of various tests and procedures used for diagnosis of commonly occurring oncologic illnesses. Diagnostic tests Radiology Computed tomography (CT) Magnetic Resonance Imaging (MRI) Mammogram Laboratory studies Papanicolaou test (Pap) CA-125 Prostate Screening Antigen (PSA) Complete blood count Other Breast self exam (BSE) Biopsy Testicular self-exam (TSE) Rectal digital exam  Differentiate between the etiology, pathophysiology and clinical manifestations of selected commonly occurring oncologic problems. Commonly Occurring Oncologic Illnesses Breast cancer Vaginal cancer Cervical cancer Ovarian cancer Prostate cancer Testicular cancer Hodgkins disease Hopper Chapter 11, 28, 42, 43, Discuss the planning, implementation, and evaluation in nursing management of clients with commonly occurring oncologic health problems.Nursing management of oncologic problems Independent interventions Patient teaching about prevention/ warning signs Assist with individual/family coping Assist with maintaining nutritional status Prevention of infection Refer to community resources Reach to Recovery American Cancer Society Living with Cancer I Can Cope Hospice Interdependent interventions Radiation therapy External Internal Nursing implications Safety precautions Managing side effects of radiation Chemotherapy Managing side effects Leukopenia Thrombocytopenia Nausea/vomiting Stomatitis Alopecia Care of implanted venous ports Pain management  Discuss nursing care for clients having surgeries involving commonly occurring oncologic health problems. 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