Maricopa Community Colleges  NUR120   19972-20032 
Official Course Description: MCCCD Approval: 06/17/03
NUR120 19972-20032 LEC
LAB
3 Credit(s)
6 Credit(s)
3 Period(s)
18 Period(s)
Nursing Science II
Crisis intervention and adaptation when stress permeates the holistic person's normal line of defense and internal lines of resistance with resulting physical or psychological imbalances in people of all ages. Further development and implementation of the nursing process as previously learned skills for specific acute and chronic health problems are expanded in normal obstetric and medical-surgical patients. Prerequisites: NUR110 with a grade of "C" or better.
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MCCCD Official Course Competencies:
 
NUR120   19972-20032 Nursing Science II
1. Prepare, calculate, and administer oral, mucus membrane absorbed, and injectable medications.(I)
2. Initiate and monitor peripheral intravenous solution administration.(I)
3. Demonstrate collection of venous blood specimens for diagnostic testing.(I)
4. Demonstrate infection control measures, including medical and surgical asepsis, utilized in nursing care of obstetric and medical-surgical patients.(I,II,VII-XIV)
5. Identify nursing care and teaching/treatment plans for patients with altered functions associated with acid base, circulatory, diabetic, gastrointestinal, immunologic, neurological, reproductive, and respiratory dysfunctions.(II, VII-XIV)
6. Demonstrate the nursing role in preparing, assisting, and providing care for patients undergoing diagnostic tests and/or therapeutic procedures.(I-XIV)
7. Identify the holistic needs of the individual patient to include crisis intervention, therapeutic communication, and stress-adaptation responses.(III,IV,VI)
8. Differentiate between therapeutic and non-therapeutic techniques of communication.(IV)
9. Describe major characteristics of specified psychological dysfunctions and related nursing implications.(V)
10. Administer total nursing care, including oral and injectable medications to a group of adult patients.(I-XIV)
11. Describe physiological, psychological, and educational needs from the antepartal through parental bonding phase.(XIII)
12. Describe the physiological and behavioral characteristics of a normal newborn.(XIII)
13. Perform basic nursing care for the newborn and obstetric patient.(XIII)
14. Use the nursing process in providing care for a group of patients with increasingly complex needs and diagnoses.(I-XIV)
15. Demonstrate professional behavior in medical/surgical and specialty areas.(I-XVI)
16. Describe the ethical and legal responsibilities of the nurse.(XV)
17. Use a variety of computerized clinical case simulations to enhance critical thinking and decision-making skills.(XVI)
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MCCCD Official Course Outline:
 
NUR120   19972-20032 Nursing Science II
    I. Nursing Skills and Procedures
        A. Administration of Parental Medications
          1. Intramuscular
          2. Subcutaneous
          3. Intradermal
          4. Intravenous-peripheral
          5. Phlebotomy Practices
        B. Oxygen Administration
          1. Equipment
          2. Safety Precautions
          3. Methods of Administration
          4. Nursing Care
        C. Tracheostomy Care
          1. Indications
          2. Equipment
          3. Nursing Care
        D. Sterile Dressings
          1. Indications
          2. Sterile Dressings
          3. Wet to Dry Dressings
          4. Wound Irrigations
        E. Parental Solution Administration
          1. Types of Solutions
          2. Set-up and Starting IV Infusion
          3. Nursing Care
          4. Changing IV Equipment
          5. Discontinuing
        F. Venous Blood Specimens
          1. Indications
          2. Equipment
          3. Procedure
      II. Fluid and Electrolyte Balance During Illness
          A. Gastric and Intestinal Tubes
            1. Uses
            2. Insertion
            3. Enterol Feedings
            4. Suctioning and Irrigation
          B. GI Diagnostic Tests
            1. Endoscopic Procedures
            2. Contrast Media Studies
            3. Stool Specimens
          C. Acid-Base Balance
            1. pH
            2. Metabolic Alkalosis/Acidosis
        III. Crisis Intervention Nursing
            A. Crisis Theory
              1. History
              2. Types
              3. Nursing Care
            B. Grief, Loss and Death Concepts
              1. Psychological Issues
              2. Definitions
              3. Stages of Grieving Process
              4. Cultural and Religious Orientations
          IV. Communication Skills
              A. Therapeutic Relationships
                1. Goals
                2. Terminology
              B. Therapeutic Communications
                1. Techniques
                2. Blocks
            V. Anxiety Disorders
                A. Understanding Anxiety Concepts
                  1. Nursing Care
                  2. Anti-Anxiety Medications
                B. Psychophysiological Illnesses
              VI. Concepts of Stress and Adaptation
                  A. Stress
                    1. Definitions
                    2. Reduction Methods
                  B. Adaptation
                    1. Stages
                    2. Reactions
                VII. Nursing Care of Neurological Patients
                    A. Assessment of Neurological Function
                      1. Physiological Overview
                      2. Neurological Exam
                    B. Diagnostic Tests
                  VIII. Reproductive System Disorders
                      A. Nursing Assessment of the Reproductive System
                        1. Health History
                        2. Diagnostic Procedures
                      B. Specific Disorders of the Reproductive System
                        1. Female Disorders
                        2. Breast Disorders
                        3. Male Disorders
                    IX. Diabetes
                        A. Pathophysiology
                          1. Insulin and Glucagon Actions
                          2. Types and Altered Physiology
                          3. Sign and Symptoms
                        B. Treatment
                          1. Diet
                          2. Testing
                          3. Exercise
                          4. Pharmacology
                          5. Diabetic Education
                        C. Complications
                          1. Short-term
                          2. Long-term
                        D. Support Services
                          1. Community Resources
                          2. Functions of Resources
                      X. Immunological Disorders
                          A. Human Deficiency Virus
                            1. Terms
                            2. Pathophysiology
                            3. Diagnostic Tests
                          B. Auto-Immune Deficiency Syndrome
                            1. Manifestations
                            2. Nursing Care
                        XI. Acute and Chronic Respiratory Disorders
                            A. Respiratory System Assessments, and Therapy
                              1. Anatomy and Physiology
                              2. Definitions
                              3. General Respiratory Nursing Care
                              4. Pharmacology
                            B. Respiratory Disorders
                              1. Pulmonary Tuberculosis
                              2. Coccidiodomycosis
                            C. Upper Airway Infections
                              1. Sinusitis
                              2. Rhinitis
                              3. Pharyngitis
                              4. Tonsilitis
                              5. Croup Syndrom
                            D. Lower Respiratory Infection in Pediatrics
                              1. Tracheitis
                              2. Asthmatic Bronchitis
                              3. Bronchitis
                              4. Bronchiolitis
                              5. Respiratory Syncytial Virus
                              6. Reyes Syndrome (RS)
                              7. Cystic Fibrosis (CF)
                            E. Lower Respiratory Infections in Adults
                              1. Pneumonia
                              2. Chronic Obstructive Pulmonary Disease (COPD)
                              3. Chronic Bronchitis
                              4. Bronchiectasis
                              5. Emphysema
                              6. Asthma or Reactive Airway Disease (RAD)
                          XII. Cardiac and Hypertensive Problems
                              A. Anatomy and Physiology
                                1. Anatomy
                                2. Physiology
                              B. Diagnostic Procedures
                                1. Non-invasive
                                2. Invasive
                              C. Life-styles Leading to Cardiac Dysfunction
                                1. Major Risk Factors
                                2. Minor Risk Factors
                              D. Congestive Heart Failure (CHF)
                                1. Pathophysiology
                                2. Manifestations
                                3. Treatment Plan
                                4. Nursing Interventions
                                5. Complications
                              E. Hypertension
                                1. Pathophysiology
                                2. Etiology
                                3. Treatment Plan
                              F. Rheumatic Fever
                                1. Pathophysiology
                                2. Manifestations
                                3. Treatment Plan
                              G. Congenital Heart Defects
                                1. Acyanotic
                                2. Cyanotic
                              H. Coronary Artery Disease
                                1. Arteriosclerosis
                                2. Atherosclerosis
                                3. Angina Pectoris
                                4. Myocardial Infarction (MI)
                              I. Infectious Heart Disease
                                1. Pathophysiology
                                2. Manifestations
                                3. Treatment Plan
                              J. Acquired Valvular Heart Disease
                                1. Pathophysiology
                                2. Manifestations
                                3. Treatment Plan
                              K. Cardiomyopathies
                                1. Pathophysiology
                                2. Manifestations
                                3. Treatment Plan
                            XIII. Maternity Nursing
                                A. Normal Pregnancy
                                  1. Establishing Interpersonal Relationships
                                  2. Differences Between Stated Thoughts and Feelings
                                  3. Physical Assessment
                                  4. Learning Needs
                                  5. Pregnancy
                                B. Labor and Delivery
                                  1. First Stage of Labor
                                  2. Catheterization
                                  3. External Fetal Monitor Application
                                  4. Assessing Cervical Dilation and Contractions
                                  5. Anesthesia
                                  6. Analgesia
                                  7. Second State of Labor
                                  8. Breathing Patterns
                                  9. Third Stage of Labor
                                  10. Medications
                                  11. Fourth Stage of Labor
                                C. The Newborn
                                  1. Care and Assessment
                                  2. Characteristics and Behavior
                                D. Postpartum Care
                                  1. Physiologic Changes and Nursing Care
                                  2. Nutrition
                                  3. Teaching Newborn Care/Self Care
                                  4. Maternal-Infant Bonding
                                  5. Assessing Emotional Needs
                                  6. Adolescent Mothers
                              XIV. Gastrointestinal (GI) Problems
                                  A. Assessment of Gastrointestinal System
                                    1. Anatomy and Physiology
                                    2. Assessment
                                  B. Gastrointestinal Procedures and Support
                                    1. GI Diagnostic Labs and Procedures
                                    2. Total Parenteral Nutrition (TPN)
                                  C. Specific Conditions
                                    1. Oral Candidiasis
                                    2. Trauma to Esophageal Disorders
                                    3. Esophageal Disorders
                                    4. Stomach Disorders
                                    5. Disorders of Small and Large Intestines
                                    6. Pediatric Conditions
                                    7. Hepatitis
                                    8. Gallbladder Disease
                                XV. Legal Responsibilities
                                    A. Legal Requirements of Practical Nursing (PN)
                                      1. State Board Application Process
                                      2. NCLEX-PN/CAT
                                    B. Scope of Practice of PN
                                    C. Professional Responsibilities/Ethical Considerations
                                  XVI. Computer Skills
                                      A. Case Studies
                                      B. Simulations
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