Mar 04, 2026  
College Catalog 2026-2027 
    
College Catalog 2026-2027
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NURS 1245 - Fundamentals of Nursing Practice 2A

Credit Hours: 1.50


Prerequisites: Admission into the Nursing Program; NURS 1165 , NURS 1175 NURS 1145 , NURS 1155 , and PSYC 1010  all with grade C or better, or grade Pass (if the course is a Pass/Fail course)

Corequisites: NURS 1265  

(replaces but does not equate to NURS 1610)

This theory course focuses on planning safe, culturally‑diverse, patient‑centered nursing care to patients experiencing problems related to wounds, fluid and electrolyte balance, pain, oxygenation, and diabetes mellitus. It emphasizes using evidence‑based practice and quality improvement initiatives to develop critical thinking skills in caring for patients and their families. In addition, the course addresses growth and development of middle adulthood and nursing documentation in the medical record.

Billable Contact Hours: 1.5

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OUTCOMES AND OBJECTIVES
Program Outcome/Student Learning Outcome:

1. Upon completion of this Associate Degree of Applied Science in Nursing program, students will be able to evaluate critical components of evidence-based nursing practice.

Course Outcome:

1. Upon completion of this course, students will be able to describe evidence‐based nursing care practices of culturally diverse patients experiencing problems related to wounds, diabetes mellitus, fluid and electrolyte imbalances, oxygenation, and middle adulthood.

Course Objectives: 

  1. Describe evidence-based nursing care practices for culturally diverse patients with wound-related problems.
  2. Describe evidence-based nursing care practices for culturally diverse patients with fluid and electrolyte imbalances.
  3. Describe evidence-based nursing care practices for culturally diverse patients with oxygenation problems.
  4. Describe evidence-based nursing care practices for culturally diverse patients with diabetes mellitus.
  5. Describe evidence-based nursing care practices for culturally diverse patients experiencing challenges related to middle adulthood.

Program Outcome/Student Learning Outcome:

2. Upon completion of this Associate Degree of Applied Science in Nursing program, students will be able to evaluate safety strategies that minimize the risk of harm to clients and the healthcare team.

Course Outcome:

2. Upon completion of this course, students will be able to explain safety strategies and national patient safety goals, including quality indicators, to minimize the risk of harm for culturally diverse patients experiencing problems related to wounds, diabetes mellitus, fluid and electrolyte imbalances, oxygenation, and middle adulthood.

Course Objectives: 

  1. Describe safety strategies and national patient safety goals, including quality indicators, to minimize the risk of harm for culturally diverse patients experiencing problems related to wounds, fluid and electrolyte imbalances, oxygenation, and diabetes mellitus.
  2. Summarize regulatory standards and legal and ethical principles that influence accurate and safe nursing documentation.

COMMON DEGREE OUTCOMES (CDO)  

  • Communication: The graduate can communicate effectively for the intended purpose and audience.
  • Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
  • Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
  • Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
  • Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
  • Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.
CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Global Literacy: YES
Information Literacy: YES
Quantitative Reasoning: YES
Scientific Literacy: YES

COURSE CONTENT OUTLINE
 

  1. Wounds
    1. Reactions of the body to trauma
    2. Factors affecting wound healing
    3. Pressure ulcers
    4. Wound assessment
    5. Nursing diagnosis
    6. Nursing interventions
    7. Quality standards
      1. Assessment
      2. Staging
      3. Documentation
  2. Fluid/Electrolyte Balance
    1. Factors affecting fluid and electrolyte balance
    2. Fluid volume excess
    3. Fluid volume deficit
    4. Electrolyte imbalances
    5. Subjective findings
    6. Objective findings
    7. Nursing diagnosis
    8. Nursing interventions
  3. Oxygenation
    1. Factors affecting respiration
    2. Assessing oxygenation
    3. Promoting oxygenation
    4. Oxygen delivery systems/oxygen therapy
    5. Tracheotomy
    6. Medications
      1. Cough
      2. Inhalers
      3. Antihistamines
  4. Diabetes Mellitus
    1. Pathophysiology
    2. Clinical manifestations
    3. Nursing diagnosis
    4. Nursing interventions
    5. Pharmacologic interventions
      1. Insulin
      2. Oral agents
    6. Quality standards of care
  5. Middle Adulthood
    1. Biologic development
    2. Psychosocial development
    3. Developmental issues
  6. Documentation
    1. Purposes
    2. Types
    3. Methods/rules
    4. Legal and ethical principles
    5. Regulatory requirements
    6. Acceptable abbreviations

Primary Faculty
Baur, Anna
Secondary Faculty

Associate Dean
Shaw, Andrea
Dean
Mirijanian, Narine



Primary Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088



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