NUR 104 
Nursing Care Concepts
Nur104 Home UNIT 2 - THE CARE OF THE CLIENT WITH ALTERATIONS IN SELECTED BASIC NEEDS 
UNIT 2A - THE CLIENT WITH ALTERATION AFFECTING RESPIRATIONS
 
Theory schedule
   Unit 1-A
   Unit 1-B
   Unit 1-C
   Unit 1-D
   Unit 1-E
   Unit 1-F

   Unit 2-A
   Unit 2-B
   Unit 2-C

Appendix A

Lab

Clinical

 

 Objectives:
1. Discuss how the basic pathophysiology of selected respiratory disorders and related disorders such as cor pulmonale affects the client’s ability to meet their basic needs.
2. Describe nursing assessments pertinent to client with alterations affecting respirations.
3.  List the effects of developmental stage on interpretation of test results related to respiratory function.
4. List nursing diagnoses pertinent to clients with alterations affecting respirations.
5. Demonstrate nursing interventions to assist clients with alterations in respirations.
6.  Identify important teaching interventions for clients with alterations such as COPD.
7. Discuss the role of the nurse in discharge planning and community care for clients with respiratory alterations.
8.  Utilize specific technology related to assessment and treatment of respiratory disorders.
 
 
 
 
Theory
Content
Lab
Assignment
Clinical
Clinical Assignment

A.  Review anatomy and physiology
      of the  respiratory system.
B.  Clients with alterations of 
     respiratory system.
     Examples:
     1.  pneumonia
     2.  COPD
          a. asthma
          b. emphysema
          c. chronic bronchitis
               1) cor pulmonale
C.  Nursing process related to 
     clients with alterations in
     respiration
     1.  nursing assessment
          a.  diagnostic tests
          b.  objective data
          c.  subjective data
          d. effect of developmental stage on interpetation of results
     2.  nursing diagnosis (Examples)
          a.  impaired gas exchange
          b.  ineffective breathing pattern
          c.  ineffective airway clearance
     3.  planning and nursing
          interventions
         a. technology to aid respiration
         b.client teaching
         c. therapeutic communication to decrease
            anxiety, hypoxia   
     4.  evaluation
C.  Discharge planning and 
      community care
     1.  discharge teaching
     2.  supportive therapy
     3.  community resources
     4.  cultural implications

Readings:
Lewis pp. 542-565, 592-601, 637-681
Kozier pp. 1291-1306
Winningham & Preusser 
Chapter 3: Case Studies 1,5,8,10,14
 

 
27-7 Pulse Oximeter
48-3 Oral Suctioning
48-1 Oxygen Administration
28-11 Abnormal Breath Sounds
Sputum Specimen p. 771 (SDLP)
Throat Specimens p. 772 (SDLP)
Pharyngeal Airway p. 1312 (SDLP)
 

Readings:
Kozier: pp. 1301-1313, 1318-1322, 771-772, 517-520, 575

Videos:
NUR 104 Skills Video
Suctioning Part 1 & 2
Normal/Abnormal Breath Sounds
Physical Assessment: The Lung
Equipment and Oxygen Therapy

Computer Programs:
Arterial Blood Gases
Med Surg Mania: Respiratory
Auscultation of Normal Breath Sounds

Web Sites for further review:

http://nurse.cyberchalk.com/nurse/ Click on Critical Care and then this unit:
     -Knowing your ABGs (good review of content and includes quizzes)

http://www.rale.ca/Recordings.htm  (breath sounds)

http://www.vh.org/Providers/Simulations/
Spirometry/SpirometryHome.html (This program explains pulmonary function tests)

http://sprojects.mmip.mcgill.ca/MVS/MVSTETH.HTM (This program contains respiratory clinical exam, pathophysiology, virtual stethescope and quizzes)
 
 

http://www.lungusa.org/ (American Lung Association)
 
 

 
Utilizing the nursing process:
A.  Provide care for clients with 
      alterations affecting respirations
B.  Perform respiratory assessments 
     on assigned client.
C.  Observational/participative with 
     respiratory  therapist.
D.  Review sputum culture results 
      and  the sensitivity  to the 
      antibiotic ordered 
      for clients with pneumonia.
E.   In conference:
  1. Describe your client's breath sounds and relate to his/her disease and findings from diagnostic tests.
  2. Describe the oxygen therapy and respiratory treatments received by your clients and discuss the rationale for them and related nursingassessments and interventions.
  3. Discuss physical and psycho-adjustment required of clients with COPD.
  4. Discuss drugs used for COPD and how to use inhalers and nebulizer medications.
  5. Discuss the importance of a caring environment for clients with COPD.
  6. Critique your assigned agency's clinical pathway for pneumonia.

    7. Student Activities:
    Attend selected support groups/ Community education program related to respiratory health (option)
    Investigate opportunities for service learning in related agencies

 
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Please direct general questions or comments about this page to its author: Kim Lubesnick, mikey@oakton.edu.
Last update 10/05/02