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NUR 166 - Exam 2 Study Guide
Week 4:
(Skills Lab:) Leifer: Chapters 6, 9 Postpartum assessment and discharge teaching, Breastfeeding, Tracheostomy MEDS: Docusate & Docusate/Senna docusate calcium (OTC) / docusate sodium (OTC) Kaopectate Stool Softener, Kao-Tin (Laxative) Precautions: Pregnancy, breastfeeding (low risk) Side Effects: bitter taste, throat irritation, N/D, anorexia, cramps, & rash Interacts with Senna (and flax) to increase action Toxic interaction with mineral oil Mosby’s 2019 Nursing Drug Reference (NDR) p. 405- Witch hazel/Glycerin pads (Tucks) Benzocaine topical spray (Dermoplast) Decreases inflammation, itching, & pain Uses: Oral irritation, sore throat, tooth-ache, cold sore, canker sore, sunburn, minor cuts, insect bites, pain, & itching Unadvisable: Hypersensitive, infants <1 yr, application to large area Precautions: Pregnancy, children <6 yrs, sepsis, denuded skin Adverse: rash, irritation, sensitization Assess pain and for infection Mosby’s 2019 NDR p. 1356- Hydrocortisone Rectal Cream (Anusol) Hydrocortisone acetate (Rx); corticosteroid Therapeutic response: decreased inflammation, GI symptoms Uses: Severe inflammation, adrenal insufficiency, ulcerative colitis, collagen disorders, asthma, COPD, SLE, Stevens-Johnson Syndrome, TB Unadvisable: Fungal infection or hypersensitivity Precautions: Pregnancy, breastfeeding, children <2 yrs, etc. Can be given PO, IM, or IV Side Effects: *p. 626 Interactions: p. 626 Assess labs, vitals, I&O, alcohol intake, for adrenal insufficiency, for infection, mental status (not same as LOC), GI effects, *Epidural use, if pregnant or breastfeeding. Mosby’s 2019 NDR p. 624-
Course Learning Outcome:
1. Assist the Registered Nurse in providing safe, quality, evidence-based, patient-centered nursing care to restore, promote, and maintain physical and mental health for the childbearing family and children in a variety of healthcare settings. o Competencies: •Relate knowledge of physical, behavioral, psychological, and spiritual aspects of health and illness parameters for the childbearing family and children, using developmentally and culturally appropriate approaches. •Assist in the development of a patient-centered plan of care based on evidence-based practices and patient information/preferences to meet individual patient needs. •Safely provide patient-centered care focusing on restoration, promotion, and maintenance of physical and mental health. •Provide basic patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations. •Communicate information about care provided and patient outcome data to the Registered Nurse. •Safely perform all psychomotor skills needed for efficient, safe, and compassionate patient care including accurate calculation of dosages. •Accurately document all aspects of patient care in various types of healthcare systems. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies): 1. Discuss the importance of complete and accurate data collection of the newborn. 2. Discuss what would trigger a call to the RN/another healthcare provider related to findings from data collection. 3. Develop a plan of care for the newborn based on the collection of data. 4. Determine important aspects that would be documented in the patient's medical record. 5. Include patient teaching while collecting patient data and to include in the plan of care. 6. Accurately document patient data. 7. Demonstrate accurate, safe performance of nursing skills learned in all previous quarters as applied to the care of the newborn. 2. Apply basic quality improvement activities to improve patient care. o Competencies: •Apply National Patient Safety Goals to the care of the childbearing family and children. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies): 1.Review the National Patient Safety Goals and apply them to the care of the newborn.
- Discuss ways the practical nurse demonstrates accountability for care given while caring for the newborn.
Week 5:
Leifer: Chapters 5, 9 Skills lab: Leifer: Chapter 10 Safety; development; health promotion; patient education Postpartum and newborn care; infant safety: car seats SIM: Postpartum hemorrhage Dose Calculations (Clayton: 486, 531, 615-616, 606, 608-609, 663, 743) MEDS: Methylergonovine (Methergine) Carboprost (Hemabate) Misoprostol (Cytotec) Oxytocin (Pitocin) Course Learning Outcome:
1. Assist the Registered Nurse in providing safe, quality, evidence-based, patient-centered nursing care to restore, promote, and maintain physical and mental health for the childbearing family and children in a variety of healthcare settings. o Competencies: - Relate knowledge of physical, behavioral, psychological, and spiritual aspects of health and illness parameters for the childbearing family and children, using developmentally and culturally appropriate approaches. - Assist in the development of a patient-centered plan of care based on evidence-based practices and patient information/preferences to meet individual patient needs. - Provide basic patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies): 1. Relate information about the concepts of health promotion and patient education to appropriate nursing interventions.
- Plan nursing interventions for the postpartum patient and newborn.
- Relate evaluation data to collect to determine effectiveness of care for the postpartum patient and newborn.
- Provide teaching to the postpartum patient and parents of the newborn as it relates to the lesson concepts of safety, development, and health promotion. 2. Apply clinical judgment to make patient-centered care decisions within the scope of practice of the Practical Nurse for the childbearing family and children. o Competencies:
- Use clinical judgment to ensure accurate and safe care when implementing the nursing process for the childbearing family and children.
- Anticipate risks and potential complications when caring for the childbearing family and children.
- Prioritize patient care for the childbearing family and children. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies):
- Compare and contrast nursing interventions for the post-abdominal surgery patient and the C- section patient.
- Predict and manage potential complications for the postpartum patient and the newborn.
- Prioritize assessment data to share with the primary healthcare provider. 3. Apply knowledge of teamwork and collaboration when interacting with the interprofessional team, the patient, and the patient's support persons. o Competencies:
- Plan ways to share pertinent, accurate, and complete information with the interprofessional team. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies):
- Prioritize information most important to share with other members of the healthcare team. 4. Assist the Registered Nurse in providing safe, quality, evidence-based, patient-centered nursing care to restore, promote, and maintain physical and mental health for the childbearing family and children in a variety of healthcare settings. o Competencies:
6. Apply knowledge of teamwork and collaboration when interacting with the interprofessional team, the patient, and the patient's support persons. o Competencies: - Plan ways to share pertinent, accurate, and complete information with the interprofessional team. - Practice engaging in teamwork and collaboration with members of the interprofessional team to provide safe patient care. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies): 1. Discuss patient assessment data to share with the Registered Nurse. 2. Identify other interprofessional team members with whom to discuss patient data. 7. Apply data collected using information technology to support and communicate the provision of patient care. o Competencies: - Apply patient care technologies, information systems/technologies, and communication devices to support safe nursing practice and communication when caring for the childbearing family and children. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies): 1. Demonstrate use of a computerized documentation system 2. Identify aspects of patient care to document in the patient's chart. 8. Apply management, legal, and ethical guidelines within the scope of practice of a Practical Nurse when caring for the childbearing family and children. o Competencies: - Apply legal and ethical frameworks of Practical Nursing when caring for the childbearing family and children. - Apply principles of accountability for nursing care given by self and/or delegated to unlicensed personnel when caring for the childbearing family and children. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies):
- Apply legal aspects related to the role of the practical nurse in the care of the postpartum patient.
- Discuss ways the practical nurse demonstrates accountability for care given while caring for the postpartum patient.
Week 6:
Leifer: pp. Chapters 15, 16 Skills lab: Chapters 15, Development Overview of growth & development Developmental theories Check-off: Postpartum Assessment Dose Calculations, Developmental Milestones Course Learning Outcome:
1. Assist the Registered Nurse in providing safe, quality, evidence-based, patient-centered nursing care to restore, promote, and maintain physical and mental health for the childbearing family and children in a variety of healthcare settings. o Competencies: - Relate knowledge of physical, behavioral, psychological, and spiritual aspects of health and illness parameters for the childbearing family and children, using developmentally and culturally appropriate approaches. - Assist in the development of a patient-centered plan of care based on evidence-based practices and patient information/preferences to meet individual patient needs. - Identify ways to create a culture of safety when providing care for the childbearing family and children. - Provide basic patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies):
4. Apply knowledge of a culture of caring to plan ways to provide support, compassion, and culturally- competent, holistic care for the childbearing family and children. o Competencies: - Begin to incorporate compassionate, culturally-competent care that respects patient and family preferences into the care of the childbearing family and children. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies): 1. Apply compassionate, culturally-competent care to the care of the infant.
Week 7:
Leifer: Chapters 17, 18 Skills lab: Leifer: Chapter 9 301- Development; health promotion; patient education Toddler/preschool; Newborn assessment, Ballard Assessment, Tracheostomy MEDS: Phytonadione (Vitamin K) Erythromycin eye ointment Hepatitis B vaccine Course Learning Outcome:
1. Assist the Registered Nurse in providing safe, quality, evidence-based, patient-centered nursing care to restore, promote, and maintain physical and mental health for the childbearing family and children in a variety of healthcare settings. o Competencies: - Relate knowledge of physical, behavioral, psychological, and spiritual aspects of health and illness parameters for the childbearing family and children, using developmentally and culturally appropriate approaches.
- Identify ways to create a culture of safety when providing care for the childbearing family and children.
- Provide basic patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies):
- Analyze the factors relating to development to determine how to apply that information when caring for children.
- Relate developmental category to a child's nutritional status.
- Identify safety hazards present in the toddler's and preschool child's environment.
- Prioritize safety hazards.
- Provide teaching to parents related to safety hazards.
- Apply the lesson objectives to patients in the Hondros Village. 2. Apply clinical judgment to make patient-centered care decisions within the scope of practice of the Practical Nurse for the childbearing family and children. o Competencies:
- Use clinical judgment to ensure accurate and safe care when implementing the nursing process for the childbearing family and children.
- Anticipate risks and potential complications when caring for the childbearing family and children.
- Prioritize patient care for the childbearing family and children. o Lesson Objectives (Specifics about what students will be learning in THIS class session related to the course learning outcome and competencies):
- Use clinical judgment to determine variations in normal development that may indicate child abuse.
- Anticipate risks and potential complications related to HAIs for toddlers and preschool children.
- Prioritize important information about the concept of safety. 3. Apply basic quality improvement activities to improve patient care. o Competencies:
