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Nursing 221 Study Guide
LECTURE / READINGS (*Required) / CLINICAL/LAB FOCUSInstructors / Office
Beth Smith / 5-365
Rupinder Kaur / 5-369
Leann Kennedy / 5-371
Spring 2017 NURSING DEPARTMENT
NURSING 221 STUDY GUIDE
Lectures: Monday and Thursday: 1030-1245 in 5-390
LECTURE / READINGS (*Required) / CLINICAL/LAB FOCUSMarch 20, Monday
Overview of N221 Syllabus
Introduction to Child Health Nursing
· Demographics
· Role of the Nurse in Pediatrics
· Application of the Nursing Process to Pediatrics
· Growth & Development
March 23, Thursday
Child Health Promotion –
Part I
· Culture and the family
· Parenting and the family
· The effects of divorce on children and family function
· The role of play
March 27, Monday
Child Health Promotion –
Part II
· Injury Prevention
· Poisoning
· Nutrition
MATH TEST #1 IN LECTURE / Ù London, Ladewig, Ball, & Bindler. 5th ed. Maternal & Child Nursing Care. Ch. 1, 31, 34, 35 & 36.
Ù ATI Readings: Nursing Care of Children, Edition 10.0: Ch. 1 & 2
Ù Gill, V. and Edelman, M. (2012). Pediatric Hypertension: A Cause for Concern. Nursing 2012. Mar. pp. 54-57.
Ù Harvey, P. & Ahmann, E. (2014). Validation: A Family Centered Communication Skill. May/June. pp. 143-147.
Ù DVD: Beginning Pediatric Nursing, Parts 1-4. View in Open Lab.
Ù DVD-The Role of Play-View in Open Lab
Ù London, Ch. 2 & 37.
Ù ATI Readings: Ch. 3, 4, 5, 6, & 7
Ù Ahmann, E. (2013). Cline & Greene’s Parenting Children with Health Issues: Essential Guidance. Pediatric Nursing. Jan./Feb. pp. 43-49.
Ù Meadows-Oliver, M. & Hendrie, J. (2013). Expanded Back to Sleep Guidelines. Pediatric Nursing. Jan/Feb. pp. 40-42.
Ù London, pp. 1034-1041, Ch. 32, 34, 35 & 36.
Ù ATI Readings: Ch. 43
Ù Smith, T. (2014). Decreased Solid Food Intake in a Toddler: Is That a Problem? Pediatric Nursing. Jul./Aug. pp. 199-200. / Preclinical Skills Lab
London, Ch. 33
ATI: Chapter 2
See separate preclinical schedule in syllabus for Preclinical Lab
Nurs 225 Lab #1: Practice Math Test (Review practice test in syllabus)
Video: Pediatric Medication Administration
Ù ATI Readings: Chapter 8.
Clinical Lab Focus Week of 03/20
1. Orient yourself to the clinical area. Become familiar with the charting system used and the medication administration system.
2. Describe the admission procedure on your unit.
3. Describe 2 methods for reducing a young child’s anxiety during a physical exam.
4. What equipment does your unit/clinical have for measuring blood pressure in very young children? What is the normal blood pressure for a two-year-old?
5. Describe the structure of your patient’s family. Identify the person who takes the lead role in family interactions.
6. Compare your patient’s family to another of a different culture. How does their attitude towards children and health care differ?
7. During assessment of your patient, try to find out if the family uses any alternative health practices, such as acupuncture.
8. Compare the patient’s normal wt. to their current wt.
9. Plot your patient’s ht and wt on a growth chart that is appropriate for age. What percentile does your patient graph?
Clinical Lab Focus Week 03/27
1. What safety measures did you employ today with your patient?
2. Did you see any safety hazards or unsafe practices today? (nurses or parents)
3. Observe the dietary habits of the pediatric patient you cared for this week. How would you counsel the mother to improve her child’s nutrition?
4. Determine your patient’s favorite food from home.
5. Check the immunization record of your patient. Is he/she up to date in all of his/her immunizations?
Nurs 225 Lab #2:
Video: IV Therapy for Pediatric Patients
Practice diluting Medications for IV administration through a syringe pump
Demo and Practice using a syringe pump
Practice scenarios with IV meds
Discuss Competency Testing
March 30, Thursday
Care of the Child with Cardiovascular Dysfunction.
SPRING BREAK
APRIL 1-9 / * London. Ch. 47.
* ATI Readings: Ch. 20 & 21
* Boyle, L., Kelly, M., Reynolds, K., Conlan, M., & Taylor, F. (2015). The School Age Child with Congenital Heart Disease. MCN. Jan/Feb. pp. 16-22
* Meakins, L., Ray, L., Hegadoren, K., Rogers, L., & Rempel, G. (2015). Parental Vigilance in Caring for their Children with Hypoplastic Left Heart Syndrome. Pediatric Nursing. Jan/Feb. pp. 31-41
* Ramjattan, K. & Allen, P. (2013). Pulse Oximetry Screening for Critical Heart Disease in the Newborn. Pediatric Nursing. Sept/Oct. pp. 250-253. / Clinical Lab Focus Week of 03/30
1. What objective data might be obtained from the history and physical exam of a child where a cardiac defect or disease is suspected? What are the major areas of patient teaching necessary for preparing the child and family procedures or surgery?
2. Identify the major medications used to treat cardiac dysfunction. What side effects should the nurse assess?
3. What is post pericardotomy syndrome? How is it assessed?
4. Identify the normal values for complete blood count.
April 10, Monday
Care of the Child with Cardio- vascular Dysfunction. Part II.
MATH TEST #2 AFTER LECTURE (IF APPLICABLE) / Clinical Lab Focus Week of 04/10
1. Discuss the major stressors your patient faces during hospitalization based on his/her developmental level. What is his/her behavioral response to his illness and hospitalization? What nursing interventions could you utilize to minimize these stressors?
2. How can you use play to minimize the stress of hospitalization for your patient?
3. In what ways might a family's anger be displayed in the hospital setting? How can the nurse help the family deal with anger?
4. Identify ways to assess pain in infants and young children who are nonverbal.
5. What would be an appropriate home care plan for your patient?
Week of 4/10 Nurs 225 Lab #3:
Immunization & Communicable Disease. ATI Ch. 35 & 36.
London, Ch. 48
Video: Vaccine Administration Techniques
Practice injection on dolls & Discuss immunization schedules.
April 13, Thursday
TEST #1
· Nursing Care ofthe Hospitalized
Child / Ù London. Ch. 38, 39, 40 & 41.
Ù ATI Readings: Ch. 9, 10 & 11.
Ù Lash, M (2013). Brain Injury: Helping Brothers and Sisters. Pediartric Nursing. Nov/Dec. pp. 309-310.
April 17, Monday
· Nursing Care of the Hospitalized Child (cont’d.)
· Nursing Care of the Family of a Dying Child
· Pain Management
MATH TEST #3 AFTER LECTURE (IF APPLICABLE) / Ù Kellogg, M., Barker, M. & McCune, N. The Lived Experience of Pediatric Burn Nurses Following Patient Death. Pediatric Nursing 2014. Nov./Dec. Vol. 40, No. 6. pp. 297-301.
Ù Dokken, D. Making Meaning After the Death of a Child: Bereaved Parents. Pediartric Nursing 2013. May/June. Vol. 39, No. 3. p. 147. / Week of 4/17 Nurs 225 Lab #4: Respiratory
ATI: Corresponding Chapter/s
Postural Drainage; Chest PT; O2 Sats; Oxygen Administration in Children.
April 20, Thursday
Care of the Child with Respiratory Dysfunction
April 24, Monday
Care of the Child with Gastrointestinal Dysfunction
April 27, Thursday
Care of the Child with Cerebral or Neuromuscular Dysfunction / Ù London. Ch. 45 & 46.
Ù ATI Readings: Ch. 16, 17, 18, & 19.
Ù London. Ch. 51.
Ù ATI Readings: Ch. 22 & 23.
Ù Allen, P. (2015). Gluten Related Disorders: Celiac Disease, Gluten Allergy, Non-Celiac Gluten Sensitivity. Pediatric Nursing. May/Jun. pp. 146-149.
Ù Halbert, K. (2011). Nissen vs. Toupet Fundoplication in the Treatment of Gastroesophageal Reflux Disease. Pediatric Nursing, July/Aug. pp. 171-174
Ù London. Ch. 54.
Ù ATI Readings: Ch. 12, 13, 14, & 29.
Ù Geyer, K., Meller, K., Kulpan, C. & Mowery, B. (2013). Traumatic Brain Injury in Children: Acute Care. Pediatric Nursing. pp. 283-289.
Ù Norton, C., Feltz, S., Brocker, A., & Granitto, M. (2013). Tackling the Long Term Consequences of Concussion. Nursing 2013. Jan. pp. 50-55.
Ù Rivera, R., Roberson, S., Whelan, M., & Rohan, A. (2015). Concussion: Evaluation and Management in Pediatrics. MCN. Mar/Apr. pp. 76-85. / Clinical Lab Focus Week of 04/17
1. What signs and symptoms are manifested by the child with an acute respiratory dysfunction of an obstructive origin?
2. How is respiratory failure defined? What signs and symptoms would a nurse note on an assessment?
3. What are the major diagnostic tests the M.D. might order to assess respiratory function? What complications might the nurse assess for during and after each procedure?
4. Identify the pertinent points to be covered in the history of a child with a respiratory dysfunction. What are possible nursing diagnoses?
5. Identify common drugs used in the care of children with respiratory dysfunction.
Clinical Lab Focus Week of 04/24
1. Identify the commonly used blood, urine, and radiologic tests used to diagnose GI problems in children.
2. Discuss the preparation of a child of two years, 5 years and 10 years for invasive diagnostic tests related to the GI system.
3. Obtain a diet history from your patient or parent. Identify suggestions to change or improve the diet.
Nursing 225 Lab #5 NG Placement and GT Feeds
ATI: Corresponding Chapter/s
May 1, Monday
Test #2
Care of the Child with a Neoplasm
May 4, Thursday
Care of the Child with a Neoplasm (continued) / Ù London. Ch. 49 & 50.
Ù ATI Readings: Ch. 39, 40, & 41.
Ù Aburn, G. & Gott, M. (2014). Education Given to Parents of Children Newly Diagnosed with ALL. Pediatric Nursing. Sept./Oct. pp. 243-248. / Clinical Lab Focus Week of 05/01
1. Identify 3 pain medications used to control pain in the pediatric patient with cancer. Discuss preventing the undesirable side effects of those meds.
2. Review the CBC of a patient with leukemia and discuss the resulting symptoms.
3. Describe the underlying pathology of the anemia, bone pain, fever & pallor which occur with leukemia.
4. Observe and describe the behavioral response of the parents of a child with cancer.
Nursing 225 Lab #6: Case Studies
May 8, Monday
Care of the Child with Genitourinary Dysfunction / Ù London. Ch. 52.
Ù ATI Readings: Ch. 24, 25, & 26.
Ù Simmons, T. What’s That Smell? Pediatric Nursing 2013. Vol. 39, No. 1. Jan./Feb. pp. 37-38. / Clinical Lab Focus of 05/08
1. Review your patient’s electrolyte status. Identify abnormal lab values. What is being done to correct imbalances?
2. Identify commonly used blood, urine, and radiologic tests used to diagnose GU problems in children.
3. Discuss the preparation of a child of two years, 5 years, and 10 years for invasive diagnostic tests related to the GU system.
4. What nursing care is involved in the initiation of CAPD?
May 10, (WEDNESDAY)
SIMULATION COMPETENCY TESTING at 0730 / Ù London. Ch. 42.
Ù ATI Readings: Ch. 44.
Ù Parsh, B. and Jacoby, S. (2013). Clinical Inquiries: All Eyes on Shaken Baby Syndrome. Nursing 2013. May. p. 66.
Ù Required completion of ATI Pediatric Practice test
May 11, Thursday
Child Maltreatment
· Neglect
· Physical abuse
· Sexual abuse
May 11: ATI PEDIATRIC TEST at 0900 / Ù London. Ch. 42.
Ù ATI Readings: Ch. 44.
Ù Parsh, B. and Jacoby, S. (2013). Clinical Inquiries: All Eyes on Shaken Baby Syndrome. Nursing 2013. May. p. 66.
Ù Required completion of ATI Pediatric Practice test / ATI Pediatric Test: May 11: 0900-1000
Nursing 225 Lab #7: Critical Thinking Game
May 15, Monday
Ethical and Legal Issues in Pediatrics / Ù Caitlin, A. (2014). Some Thoughts on the Achane Case. Pediatric Nursing. March/April. pp. 99-102.
May 18, Thursday / FINAL
EXAM