2025 Learning Objective 1 Describe the pre intra and post procedure nursing actions for a lumbar puncture including any contraindications

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Adult Health 2 2025

Learning Objective #1: Describe the pre-, intra-, and post-procedure nursing actions for a lumbar puncture, including any contraindications to the procedure. Brunner and Suddarth Chapter 66 Reading : · altered level of consciousness, pp. 1972-1979 · increased intracranial pressure, pp. 1979-1989 · intracranial surgery 1989-1996 Charts/Tables/Figures · Figure 66-1, Posturing · Table 66-1, Assessment of unconscious patient · Figure 66-6, Neuro flow sheet · Table 66-2, IICP with interventions Learning Objective #1 : Use the nursing process as a framework for care of the multiple needs of the patient with altered level of consciousness. a. What are the focused assessments for patients with altered LOC? b. List the specific nursing interventions common to patients with altered LOC. c. How do nurses compensate for the patient’s loss of protective reflexes? d. Discuss dignity and privacy considerations for patients with altered LOC. e. How can a nurse support the family of a patient with altered LOC? Learning Objective #2 : Differentiate between the early and late clinical manifestations of increased intracranial pressure. a. Define intracranial pressure (ICP) and note the general causes and pathologic effects of increased ICP. b. Explain the Monro–Kellie doctrine and the compensatory mechanisms that affect and maintain ICP. c. Define autoregulation and explain the cerebral responses to increased ICP to maintain blood flow. d. What are the early and late signs and symptoms of increased ICP? e. What is Cushing’s triad? f. Why is it important to detect subtle changes in patient assessment findings early? g. Define and describe the herniation of brain tissues. h. Define and describe projectile vomiting, Cheyne–Stokes breathing, and pupillary changes as they relate to ICP. Learning Objective #3 : Apply the nursing process as a framework for care of the patient with increased intracranial pressure. a. What are the focused assessments for a patient with increased ICP? b. Describe ICP monitoring, including ICP waveforms, positioning of the monitoring system, and importance of aseptic technique when manipulating the monitoring system. c. What are the nursing diagnoses common to all patients with increase ICP? d. List the collaborative problems, planning considerations, and goals common to patients with increased ICP. e. What actions would increase ICP. Consider positioning and breathing patterns. f. What are the interventions to prevent further increases in ICP? Consider fluid administration and I/Os, also. g. Discuss the treatment of SIADH and diabetes insipidus as it relates to a patient with ICP. Learning Objective #4 : List specific nursing interventions for patients undergoing intracranial surgery. Consider strategies to reduce cerebral edema and to prevent increasing ICP. Brunner and Suddarth Chapter 67 Reading : · Entire chapters Charts/Tables/Figures · Table 67-1, Comparison of Major Types of Strokes · Figure 67-1, Patho of ischemic stroke · Table 67-2, Neuro deficits of stroke · Table 67-3, Comparison of L and R side stroke · Chart 67-2, Modifiable Risk Factors for Ischemic stroke · Chart 67-3, Criteria for tPA · Table 67-4, NIHSS · Figure 67-2, Carotid Endarectomy · Chart 67-4, Assist devices · Chart 67-5, Communication with the Patient with Aphasia · Chart 67-6, Home care for stroke patient Learning Objective #1 : Compare the various types of cerebrovascular accidents (strokes), their causes, clinical manifestations, medical and nursing management. a. Define stroke. Explain the use and reason for the term brain attack in describing stroke to the public. List the major types of stroke. b. Describe ischemic stroke. List the types of ischemic strokes. c. Describe the cascade of events and processes contributing to brain injury in ischemic stroke. d. Describe the potential clinical manifestations of ischemic stroke, recognizing the location and size of the affected area and available collateral circulation. Use and define the medical terms associated with the manifestations. e. Describe transient ischemic attack (TIA) and its manifestations and causes. Why is it important to evaluate and treat TIA? f. Describe the carotid endarterectomy. What are the indications for the procedure and what does it help prevent? g. Discuss preventive measures and secondary prevention of stroke for persons who have experienced TIAs or stroke. Discuss the medications in the detail. h. Explain the medical management of stroke, emphasizing the need for prompt diagnosis and treatment, including diagnostic evaluation of stroke via imaging and standardized assessment tools. i. What are the criteria for the administration of tissue plasminogen activator (t-PA) therapy? j. What ongoing assessments/monitoring while a patient is receiving t-PA? k. Describe t-PA action, administration, dosage, potential side effects. l. Describe other therapies used for the acute management of the patient experiencing a ischemic stroke. m. Discuss the assessment of patients recovering from an ischemic stroke, including the acute phase and rehabilitation. n. Describe hemorrhagic stroke, including its causes, pathophysiology, clinical manifestations. o. What are the nursing interventions for hemorrhagic stroke? p. Discuss the home care and patient and family education for a patient who has had a stroke. List and discuss the essential elements for developing a teaching plan. Brunner and Suddarth Chapter 68 Reading : Head injuries and brain injury, pp 2033-2048 Charts/Tables/Figures · Chart 68-1, Preventing Head and Spinal Cord Injuries · Figure 68-1, Patho · Figure 68-3, Types of bleeds · Chart 68-2, Glasgow Coma Scale · Table 68-1, Assessment · Chart 68-5, Controlling ICP · Chart 68-6, Home care for patient with TBI Learning Objective #1 : Use the nursing process as a framework for the care of patients with traumatic brain injury. a. Compare and contrast the location, pathophysiology, symptoms, time frames, and treatment of epidural hematoma; acute, subacute, and chronic subdural hematoma; and intracerebral hemorrhage. b. Explain the assessment of patients with brain injury, including the use of the Glasgow Coma Scale. c. List specific nursing diagnoses common to patients with brain injury. d. What are the collaborative problems, planning considerations, and goals for patients with brain injury? e. What are the specific nursing interventions for patients with brain injury, including interventions for agitated patients and measures to prevent increased ICP?

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2025 Learning Objective 1 Identify the epidemiology and etiology of cancer a What

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Adult Health 2 2025

Learning Objective #1: Identify the epidemiology and etiology of cancer. a. What are the top three cancers in men and women? b. Compare the characteristics of malignant and benign cancer cells. c. What are the broad categories of cancer-causing agents? Identify examples of each. Learning Objective #2: Describe the health promotion, diagnosis, and spread of cancer. a. Define primary, secondary, and tertiary prevention. b. What are primary prevention recommendations for nutrition and physical activity? c. What are the cancer screening recommendations for breast, colon, and lung cancer? d. How is the TNM staging and grading system interpreted? e. What is metastasis and how does it primarily occur? Learning Objective #3 : Describe the management of patients undergoing of surgery for cancer treatment. a. What are the types of surgeries in cancer treatment and the goal of each? b. What are the post-operative concerns, regardless of type? Learning Objective #4 : Describe the management of patients undergoing radiation. a. What is the difference between external and internal radiation? b. When do localized, early systemic, and late/chronic systemic effects occur and usually resolve? c. What are common systemic effects (early and late/chronic) of radiation therapy? d. What are the most common localized effects, depending on the area of radiation? e. How do healthcare workers and caregivers protect themselves from the effects of internal radiation therapy? Learning Objective #5 : Describe the management of patients undergoing of chemotherapy. c. What are the routes of chemotherapy administration and most common side effects? d. What are the precautions a healthcare worker should take when caring for a patient receiving chemotherapy? e. Describe the prevention, signs/symptoms, and interventions for chemotherapy extravasation. f. Describe the types, timing, desensitization procedures, and priority intervention for hypersensitivity reactions. Learning Objective #6 : Identify assessment and nursing management of patients with cancer and with oncologic emergencies. a. What are the nursing interventions and rationales for patients with the following nursing diagnoses: i. Risk for infection r/t myelosuppression ii. Risk for impaired skin integrity: erythematous and wet desquamation reactions to radiation therapy iii. Impaired oral mucous membrane r/t stomatitis iv. Imbalanced nutrition r/t nausea and vomiting v. Imbalanced nutrition r/t anorexia or malabsorption vi. Risk for bleeding b. Explain the patho/causes, signs/symptoms, and interventions for hypercalcemia, tumor lysis syndrome, and superior vena cava syndrome. Lung Cancer, Brunner and Suddarth, Chapters 20 and 23 Reading: · Bronchoscopy, pp 505-506 · Chest Tumors (lung cancer only), pp 620-624 Charts/Tables/Figures: None Learning Objective #7 : Describe bronchoscopy and related nursing implications. Learning Objective #8 : Discuss the health assessment and nursing management of patients at risk for or with lung cancer. a. What are the types of lung cancer, risk factors, and prevention? b. What are the major clinical manifestations of lung cancer? c. How do you calculate a pack year history? d. What are the major nursing interventions for relieving breathing problems? Colorectal Cancer, Brunner and Suddarth, Chapter 47 Reading: · Nursing Management of the Patient Requiring an Ostomy, pp 1336-1342 · Colorectal Neoplasms, pp 1342-1350 Charts/Tables/Figures: · Chart 47-9, Risk Factors · Table 47-6, Potential Complications and Nursing Interventions after Colorectal Surgery · Chart 47-7, Patient Undergoing Ostomy Surgery Learning Objective #9 : Identify the responsibilities of the nurse in meeting the needs of the patient with an intestinal diversion. Learning Objective #10 : Apply the nursing process as a framework for care of the patient with colorectal cancer. · What are the major risk factors for colon cancer? · Describe pre-test patient education for fecal occult blood tests and colonoscopy. · What are the most common signs and symptoms of colorectal cancer? · How do colorectal cancer s/s differ by location of the tumor? · What are the pre-operative interventions for a patient undergoing intestinal diversion? · What are the post-op nursing assessments and interventions, including identification of the following complications? o paralytic ileus o mechanical obstruction o peritonitis o infection o wound dehiscence · What discharge assessments and teaching with regard to self-care of ostomy, diet, and expected fecal drainage (appearance/timing based on ostomy location)? Breast Cancer, Brunner and Suddarth, Chapter 58 · Breast Assessment, pp 1720-1727 · Malignant Conditions of the Breast, pp 1730-1740 · Nursing Management, pp 1742-1744 Charts/Tables/Figures: · Chart 58-1, Abnormal Assessment Findings During Inspection · Chart 58-2, BSE Patient Education · Table 58-2, Comparisons of Various Breast Masses (focus on difference between benign and malignant) · Table 58-3, Risk Factors for Breast Cancer · Chart 58-5, Hand and Arm Care after ALND · Chart 58-6, Patient Education for Drainage Devices · Chart 58-7, Patient Education for Arm Exercises · Table 58-5, Comparing SLNB and ALND Learning Objective #11 : Identify the risk factors and health promotion for breast cancer. Learning Objective #12 : Compare and contrast the characteristics of benign and malignant breast disorders, diagnostic imaging, and surgical biopsy types for breast cancer. a. What are the characteristics of benign vs. malignant breast disorders? b. For what purpose is each diagnostic test used, including c. What are the pre-op, immediate post-op, and discharge instructions following breast biopsy? Learning Objective #13 : Use the nursing process as a framework for care of the patient undergoing surgery for the treatment of breast cancer. a. Differentiate between the three types of mastectomy surgical treatments and the two lymph node dissection methods. b. What are the assessments needed to identify post-op complications following mastectomy? c. What are the important patient education points to make for drain care following mastectomy? d. What precautions should be enforced after surgery and discharge to reduce the risk of lymphedema? Learning Objective #14 : Explain the purpose, mechanism of action, side effects, and administration considerations for common breast cancer medications (pegfilgrastim, filgrastim, neupogen, tamoxifen and aromatase inhibitors).

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2025 Helping a Client craft or develop a psychiatric advance directive for when he or

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MENTAL HEALTH 2025

Helping a Client craft or develop a psychiatric advance directive for when he or she can no longer care for themselves is a part of the WRAP model of recovery. Why would having a psychiatric advance directive be important? What ethical and personal issues may arise for the client if they do not have a psychiatric advance directive? How can nurses help clients make decisions regarding making these types of decisions ?

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2025 As the number of international migrants grows globally the need for access to public health services continues to rise This

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Global 2 2025

As the number of international migrants grows globally, the need for access to public health services continues to rise. This dilemma is causing a complex humanitarian issue to become a reality for many countries. Review the World Health Organization’s draft global action plan “Promoting the Health of Refugees and Migrants.” Discuss the roles and responsibilities of international organizations in providing health support for refugees and migrants. Compare these to the roles and responsibilities of governmental agencies. Why would a country benefit from being a member of an international organization when dealing with humanitarian crises? What role should the faith-based community fulfill when supporting the needs of the migrant community?

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2025 Discuss your dissection of the sheep heart and the cardiovascular system of the fetal

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Anatomy And Physiology Dissections 2025

Discuss your dissection of the sheep heart and the cardiovascular system of the fetal pig by doing the following: a. Describe the similarities and differences between the fetal pig heart and the sheep heart. b. Describe the four valves of the heart, including their name, location, and function. c. Discuss the similarities and differences between the left and right sides of the heart. d. Compare the structure of the atrioventricular valves to the structure of the semilunar valves. e. Describe the appearance of the papillary muscles. f. Describe the path that blood takes starting in the right atrium and ending in the superior/inferior vena cava. 2. Discuss your dissection of the respiratory system of the fetal pig by doing the following: a. Compare the structure of the trachea to the structure of the esophagus. b. Describe how the structures of the respiratory system (i.e., trachea, bronchi, and lungs) relate to their functions. c. Describe the texture of the lungs. d. Describe the similarities and differences between the left lung and the right lung. 3. Discuss your dissection of the sheep kidneys and the urinary system of the fetal pig by doing the following: a. Compare the structure of the fetal pig kidneys to the structure of the sheep kidneys. b. Describe the location of the kidneys in the fetal pig. c. Describe the path that urine takes to exit the body, starting in the kidney. 4. Discuss your dissection of the components of the endocrine system of the fetal pig by doing the following: a. Describe the endocrine organs that are located in the throat region (e.g., function and appearance). b. Describe three endocrine organs that are located in the abdominal or pelvic cavities. 5. Discuss your dissection of the digestive system of the fetal pig by doing the following: a. Describe the major digestive organs, including their name, location, relative size, and physical characteristics (e.g., color, shape, texture). b. Describe the accessory digestive organs, including their name, location, relative size, and physical characteristics (e.g., color, shape, texture).

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2025 discuss Research is an important activity in healthcare and nurses are poised to conduct

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Conduct Research 2025

discuss: Research is an important activity in healthcare, and nurses are poised to conduct research on important topics and issues that impact patients’ lives, care delivery, systems, and laws. Research provides answers to complex issues and problems, create, and increase knowledge that is reliable, informs our actions, and provide important ways to improve care, care delivery and treatments. The outcomes and discoveries made in research has the potential to improve individual’s health, and for this reason it is critical for policies and procedures to be in place to guide how research is performed, reviewed, and disseminated. It is critical that researchers understand and abide by the rules, processes, and practices for conducting research, as their integrity and reputation is at stake. Research misconduct occurs when there is data falsification, fabrication, or plagiarism. According to Mateo & Foreman (2014), research misconduct must be conducted intentionally, knowingly, or recklessly and the allegations must be proven with sufficient evidence. Research misconduct does not include honest errors or differences of opinions. The Office of Research Integrity (ORI) oversees research misconduct involving Public Health Service (PHS) research. There are procedures in place to handle misconduct allegations. All institutions receiving Public Health Service funding’s are required to have written policies and procedures for addressing any allegations of research misconduct. (Mateo & Foreman, 2014). The ORI’s mission is to “protect the health and safety of the public, promote the integrity of the United States PHS supported research and conserve public funds by ensuring the integrity of all its supported work.” 250 words

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2025 Read National Council of State Boards of Nursing Nursing Pathways for Patient Safety 1st

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Discution Question 2025

Read National Council of State Boards of Nursing. Nursing Pathways for Patient Safety 1st ed. St. Louis: MO: Elsevier Saunders. 9780323065177. · Chapter 1 Pages 1-29 Research the Institute of Medicine Competencies http://qsen.org/competencydomains/teamwork-and-collaboration/ Select and discuss one of the 5 QSEN(Quality and Safety Education for Nurses competencies;) Rubric : Minimum: 300 words minimum and 500 words maximum excluding bibliography APA format Reply to two teams

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2025 According to Yoder Wise 2019 mentoring is an important leadership function The Robert Wood Johnson Nurse executive fellows program identify

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Nursing 2025

According to Yoder-Wise (2019) mentoring is an important leadership function; The Robert Wood Johnson Nurse executive fellows program identify five main “competencies for leaders and mentors” Those five competencies are: Interpersonal and communication effectiveness, risk taking and creativity, self-knowledge, inspiring and leading change, and strategic vision. (https://www.etsu.edu/nursing/documents/rwjf_executive_nurse_fellows_program.pdf). How can one develop these competencies ? Can they be learned? Are all leaders mentors? Do you choose your mentor? or Does your mentor choose you? Examine your leadership and mentoring strengths and identify a mentor who can help you in your career journey? How can you differentiate between mentoring and leading?

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2025 Week 3 What you should know 5 Chapter 4 Ethical Issues Compare and contract legal and

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Leadership 2025

Week 3: What you should know # 5 Chapter 4—Ethical Issues Compare and contract legal and ethical issues. What determines how a person approaches and solves ethical dilemmas Define moral indifference—provide an example Define moral uncertainty—provide an example from your own healthcare experience Moral distress—provide an example from your own health care experiences What is an ethical dilemma? Give an example Describe deontological approach to ethical decision making? What does this mean? Describe a teleological approach to ethical decision making? What does this mean? Compare and contrast the 4 different frameworks for ethical decision making What is autonomy—give an example from your experience Define the following terms—how have you used/understood these principles in your nursing practice? Beneficence Paternalism Utility Justice Veracity Fidelity Confidentiality What is the MORAL decision-making model—how does this work? Name important strategies to promote ethical behavior in healthcare. Chapter 5—Legal and Legislative Issues Define civil law and what is involved in civil cases What are the reasons that nurses are at increased risk for legal liability in nursing practice? What does the term Standard of Care mean in nursing? Why is this so important? Define malpractice and the term professional negligence (the 5 criteria needed to fulfill this definition)….provide examples of each criteria to deepen your understanding What does the term “under ordinary circumstances” means as it relates to professional negligence? Define these legal terms that are pertinent to nursing practice—be sure you can relate these term to nursing practice Stare decisis Liability tort respondeat superior vicarious liability product liability res ipsa loquitur Define intentional torts and give as many examples as you can related to nursing practice What are some common reasons nurses are sued (claims filed against them) BON—Board of Nursing—what is their responsibility to the public? Define the Nurse Practice Act and its role in your ability to practice nursing? Define, compare and contrast the three forms of consent: Informed consent Implied consent Express consent What is HIPAA and what is its importance to healthcare/your nursing practice? What are the parameters of Good Samaritan Immunity? Describe the Patient Self-Determination Act (PSDA) of 1991 and how it changed healthcare List the common causes of nursing license revocation

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2025 Week 2 What you should know 4 Chapter 3 Name factors that affect healthcare

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Leadership 2025

Week 2: What you should know # 4 Chapter 3 Name factors that affect healthcare trends, calling on our leaders to be more savvy in their development. What is the purpose of Jim Collins’ (Good to Great) Level 5 leadership distinctions? What type of leaders do the best organizations possess? What is servant leadership? Why would this be a good model to have in a healthcare setting? Define the qualities of servant leadership Define human capital and social capital and relate its importance to healthcare leaders Define emotional intelligence and relate its importance to nurse development/nursing care What are the five components of emotional intelligence? Define emotional literacy and give an example of a workplace situation where this would be useful. Define authentic leadership and discuss how it is different from transformational leadership How does one assess the trustworthiness of an authentic leader? Define quantum leadership and how it builds upon transformational leadership.

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