I. General Information

1. Course Title:
Medical-Surgical Nursing II

2. Course Prefix & Number:
PNUR 1270

3. Course Credits and Contact Hours:

Credits: 6

Lecture Hours: 6

Lab Hours: 0

4. Course Description:

This course continues on where Medical-Surgical Nursing I finished. In this course selected diseases of the various body systems are discussed within the framework of the nursing process. The role of nutrition in prevention of disease and its application in treatment of disease is included.

5. Placement Tests Required:

Accuplacer (specify test):

No placement tests required

Score:

6. Prerequisite Courses:

9. Co-requisite Courses:

There are no corequisites for this course.

II. Transfer and Articulation

1. Course Equivalency - similar course from other regional institutions:

St. Cloud Technical College, PRSG 2401, 2402 Medical Surgical Nursing I, II, 6 credits
Aledandria Technical College, PNSG 1622, 1628, 1629 Medical-Surgical Nursing I, II, III, 7 credits

III. Course Purpose

1. Program-Applicable Courses – This course is required for the following program(s):

Practical Nursing, Diploma

IV. Learning Outcomes

1. College-Wide Outcomes

College-Wide Outcomes/Competencies	Students will be able to:
Demonstrate oral communication skills	Present information in "Heathcare Dynamics" group presentation.
Demonstrate written communication skills	Write a paper discussing selected criteria for diabetes: hyperglycemia and hypoglycemia.
Apply abstract ideas to concrete situations	Read a given case study and list appropriate nursing interventions.
Work as a team member to achieve shared goals	Participate as a team member in "Healthcare Dynamics" group presentation.

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

• Relate musculoskeletal conditions, treatment, and nursing and pharmacological management;
• Relate endocrine conditions, treatment, and nursing and pharmacological management;
• Relate gastrointestinal conditions (including liver, gallbladder, pancreas), treatment and nursing management;
• Discuss urological conditions, treatment, and nursing and pharmacological management;
• Examine cardiovascular conditions, treatment, and nursing pharmacological management;
• Examine neurological and sensory conditions, treatment, and nursing pharmacological management;
• Examine reproductive conditions, treatment, and nursing and pharmacological management;
• Apply dietary needs of patients with musculoskeletal, endocrine, gastrointestinal, urological, cardiovascular, neurological/sensory, and reproductive conditions;
• Analyze how different leadership styles will affect the multidisciplinary team, teamwork and conflict resolution;
• Illustrate the use of "evidence-based practice" (EBP) and its application to nursing;
• Apply problem-solving methods for the LPN within LPN role;
• Choose factors influencing the creation, dissemination, and utilization of technology and system changes within the various practice setting;
• Discover financial issues regarding health-care and the LPN role;
• Interpret the changing health-care system and its application to nursing profession;
• Relate the role of technology in the nursing profession and effective strategies for evaluating information;
• Utilize drug classifications and medication therapies for each body system discussed in this course; and
• Utilize medication references.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

1. Lecture Sessions

1. Musculoskeletal system disorders, diagnosis, treatment, and nursing management
• Strains and Sprains
• Dislocations
• Bursitis
• Rotator Cuff Injury
• Carpal Tunnel Syndrome
• Fractures
• Osteomyelitis
• Osteoporosis
• Paget’s Disease
• Bone Cancer
• Gout
• Systemic Lupus Erythematosus
• Scleroderma
• Osteogenesis Imperfecta
• Polymyositis
• Muscular Dystrophy
• Osteoarthritis
• Rheumatoid Arthritis
• Total Joint Replacement
• Amputation
2. Endocrine system disorders, treatment, and nursing management
• Diabetes Insipidus
• Syndrome of Inappropriate Antidiuretic Hormone
• Dwarfism
• Acromegaly and Gigantism
• Pituitary Tumors
• Hypothyroidism
• Hyperthyroidism
• Goiter
• Cancer of the Thyroid Gland
• Hypoparathyroidism
• Hyperparathyroidism
• Pheochromocytoma
• Adrenocortical Insufficiency/Addison’s Disease
• Cushing’s Disease/Syndrome
• Diabetes Mellitus
• Reactive Hypoglycemia
3. Gastrointestinal system (including liver, gallbladder, and pancreas) disorders, treatment, and nursing management
• Nausea and Vomiting
• Anorexia Nervosa
• Bulimia Nervosa
• Obesity
• Aphthous Stomatitis (Canker Sores)
• Herpes Simplex I
• Oral Cancer
• Esophageal Cancer
• Hiatal Hernia
• Gastroesophageal Reflux Disease (GERD)
• Mallory-Weiss Tear
• Esophageal Varices
• Gastritis
• Peptic Ulcer Disease
• Stress Ulcers
• Gastric Bleeding
• Gastric Cancer
• Gastric Surgeries
• Constipation
• Appendicitis
• Peritonitis
• Diverticulosis and Diverticulitis
• Crohn’s Disease
• Ulcerative Colitis
• Irritable Bowel Syndrome
• Abdominal Hernias
• Absorption Disorders
• Intestinal Obstruction (Small Bowel and Large Bowel)
• Hemorrhoids
• Anorectal Abscess
• Lower Gastrointestinal Bleeding
• Colon Cancer
• Ostomy and Continent Ostomy Management (Ileostomy, Colostomy)
• Hepatitis
• Liver Failure
• Cancer of the Liver
• Pancreatitis (Acute and Chronic)
• Cancer of the Pancreas
• Cholecystitis, Cholelithiasis, and Choledocholithiasis 
4. Urology system disorders, treatment, and nursing management.
• Urinary Incontinence
• Urinary Tract Infections (Urethritis, Cystitis, Pyelonephritis)
• Urethral Strictures
• Renal Calculi
• Hydronephrosis
• Cancer of the Bladder
• Cancer of the Kidney
• Renal Trauma
• Polycystic Kidney Disease
• Diabetic Nephropathy
• Nephrotic Syndrome
• Nephrosclerosis
• Glomerulonephritis
• Acute and Chronic Renal Failure
• Kidney Dialysis
5. Cardiovascular system disorders, treatment, and nursing management
• Hypertension
• Rheumatic Carditis
• Infective Endocarditis
• Pericarditis
• Myocarditis
• Cardiac Trauma
• Cardiomyopathy
• Thrombophlebitis
• Arteriosclerosis
• Atherosclerosis
• Coronary Artery Disease and Acute Coronary Syndrome
• Cardiac Surgical Procedures
• Angina Pectoris
• Myocardial Infarction
• Arterial Thrombosis and Embolism
• Peripheral Arterial Disease
• Raynaud’s Disease
• Thromboangitis Obliterans (Buerger’s Disease)
• Varicose Veins
• Venous Insufficiency
• Vascular Surgery
• Lymphangitis
• Mitral Valve Prolapse
• Mitral Stenosis
• Mitral Regurgitation
• Aortic Stenosis
• Aortic Regurgitation
• Cardiac Dysrhythmias (Sinus Bradycardia, Sinus Tachycardia, Premature Atrial Contractions, Atrial Flutter, Atrial Fibrillation, Premature Ventricular Contractions, Ventricular Fibrillation, Asystole
• Cardiac Pacemakers
• Defibrillation
• Heart Failure
• Pulmonary Edema
• Cardiac Transplant
6. Neurosensory system disorders, treatment, and nursing management
• Meningitis
• Encephalitis
• Increased Intracranial Pressure
• Headaches
• Seizure Disorders (Epilepsy, Partial Seizures, Generalized Seizures)
• Traumatic Brain Injury (Concussion, Contusion, Subdural Hematoma, Epidural Hematoma, Skull Fractures)
• Brain Tumors
• Intracranial Surgery
• Herniated Disks
• Spinal Cord Injuries
• Dementia
• Delirium
• Parkinson’s Disease
• Huntington’s Disease
• Alzheimer’s Disease
• Transient Ischemic Attack
• Cerebrovascular Accident
• Cerebral Aneurysm and Subarachnoid Hemorrhage
• Multiple Sclerosis
• Myasthenia Gravis
• Amyotrophic Lateral Sclerosis
• Guillain-Barre Syndrome
• Postpolio Syndrome
• Trigeminal Neuralgia
• Bell’s Palsy
• Conjunctivitis
• Blepharitis
• Hordeolum and Chalazion
• Keratitis
• Refractive Errors (Hyperopia, Myopia, Astigmatism, Presbyopia)
• Blindness
• Diabetic Retinopathy
• Retinal Detachment
• Glaucoma
• Cataracts
• Macular Degeneration
• Eye Trauma
• Hearing Loss
• External Ear Infections
• Otitis Media
• Otosclerosis
• Ear Trauma
• Labyrinthitis
• Neoplastic Disorders of the Ear
• Meniere’s Disease
7. Reproductive system disorders, treatment, and nursing management.
• Cyclic Breast Discomfort
• Fibrocystic Breast Disease
• Mastitis
• Breast Cancer
• Dysmenorrhea
• Premenstrual Syndrome
• Endometriosis
• Menopause
• Vaginal Inflammations, Irritations, and Infections (Candidiasis, Bacterial Vaginosis, Trichomoniasis, Cytolytic Vaginosis, Contact Vulvo Vaginitis, Atrophic Vaginitis)
• Toxic Shock Syndrome
• Cystocele
• Rectocele
• Uterine Position Disorders
• Uterine Prolapse
• Fertility Disorders
• Contraception and Pregnancy Termination
• Fibroid Tumors
• Polyps
• Reproductive Cysts (Polycystic Ovary Syndrome, Bartholin’s Cysts, Dermoid Cysts)
• Reproductive Cancers (Vulvar Cancer, Cervical Cancer, Endometrial Cancer, Ovarian Cancer)
• Hysterectomy
• Prostatitis
• Benign Prostatic Hyperplasia
• Cancer of the Prostate
• Surgical Procedures for Prostate Conditions
• Peyronie’s Disease
• Peyronie’s Disease
• Priapism
• Phimosis and Paraphimosis
• Cryptorchidism
• Hydrocele
• Varicocele
• Epididymitis
• Orchitis
• Cancer of the Testes
• Vasectomy
• Erectile Dysfunction
• Infertility