NURS 102Z Nursing Care of the Adult Client II Clinical • 5 Cr.


Clinical component for NURS 102X. Students gain experience in health agencies correlating with and implementing nursing theory. Prerequisite: NURS 101X and 101Z.


After completing this class, students should be able to:

  • As Provider of Care, the student will:
    • Continue to implement the five phases of the nursing process as a systematic approach to individualizing client care.
      • Assessment 
        • Collects pertinent data by assessing one or two clients using the Advanced Assessment Data Collection Guide.
        • Collects pertinent data from other sources: 
          • client's record 
          • family members
          • health team members
          • Identifies changes in assessment data that deviate from the client's baseline health status
          • Validates abnormal data.
          • Organizes assessment data according to Maslow's basic needs 
Nursing diagnosis  Begins to identify pertinent nursing diagnoses and their etiologies. Provides client-specific defining characteristics applicable to the nursing diagnosis. Planning and Outcomes Begins to prioritize nursing diagnoses. Begins to collaborate with client and/or family members to formulate expected outcomes that are: pertinent and related to nursing diagnoses  realistic and measurable with critical times  client focused, incorporating the family, sociocultural background and spiritual beliefs  Begins to select appropriate nursing actions that address nursing diagnoses of the adult client in a medical-surgical setting.  Provides rationale for medications and therapeutic interventions Incorporates the agency's plan of care.  Implementation Performs selected nursing actions specific to expected outcomes (with occasional cuing). Examples include, but are not limited to:  suctioning - oral, nasal or tracheal  monitoring chest drainage  wound care - simple, complex  administering nasogastric tube feedings  tracheostomy care  Involves family in nursing actions when appropriate.  Provides for the physical safety of client in the acute care setting.  Documents relevant care provided. Evaluation Identifies client progress as related to expected outcomes (with occasional cuing). Modifies the plan of care to best meet the needs of the hospitalized client (with occasional cuing). Continue to demonstrate cognitive, psychomotor, and affective skills to ensure safe practice. Identifies rationales for nursing actions and other therapeutic measures, incorporating knowledge of relevant pathophysiology, diagnostic procedures, etc. Performs psychomotor skills learned in Nursing 100 and Nursing 101 safely. With no cuing of N100 skills With minimal cuing of N101 skills With occasional cuing of N102 skills; examples include but are not limited to: suctioning - oral, nasal or tracheal monitoring chest drainage wound care - simple, complex administering nasogastric tube feedings tracheostomy care Applies principles of medical and surgical asepsis Performs skills on time Performs skills in a reasonable amount of time Demonstrates organizational skills Demonstrates dexterity Adapts performance to meet needs of client and/or situatioN Administers parenteral and non-parenteral medications safely and in a timely manner. States action, contraindications, effects and nursing considerations for prescribed medications. Calculates medication and intravenous doses correctly  Uses effective communication techniques with clients, families, instructor, peers and health care team. Develops oral presentation skills: Reports clear, concise and relevant data to staff, instructor, and peers Presents an oral nursing care plan to clinical peers and instructor during post-conference As a manager of care, the student will  Collaborate as a health team member when providing care for a client in the medical-surgical setting. Cares for clients with dysfunction or disease in the following areas:  Musculoskeletal dysfunction  Arthritic and connective tissue disorders  Respiratory dysfunction  Cardiovascular dysfunction  Peripheral vascular dysfunction  Hypertension  Visual and/or auditory dysfunction  Cancer  Demonstrates organizational skill in the management of care.  Begins to prioritize nursing care for 2 clients in the medical-surgical setting  Completes care for the assigned clients  Practice in a cost-effective manner:  Organizes care to conserve time, energy and resources  Validates the use of supplies and equipment to minimize waste  Assume the role of peer resource person (PRP):  Listens to shift report and obtains additional current data from staff/instructor for group of clients assigned to peers  Gives verbal support to peers and answers questions with instructor support  Assists with selection of peer assignment as needed with instructor's input  Schedules help from instructor for peers  Assists peers with instructor approved procedures  Monitors client care for group of assigned clients  Seeks and schedules additional learning experiences for self and peers  Ensures documentation is complete  Ensures peers have reported to appropriate staff As a Member within the Discipline of Nursing, the student will:  Practice within the ethical and legal framework of nursing  Follows established school policies as outlined in the College and Program Student Handbooks.  Follows established agency policies and procedures  Documents care as given with occasional cuing  using agency format  meeting legal standards  clearly and concisely  in a timely manner  legibly with correct grammar and spelling  Reports pertinent data promptly to appropriate staff and instructor.  Respects and supports the rights of the client's:  Privacy  Confidentiality  Right to refuse care Begins to act as a representative of the adult client's needs and concerns when necessary (advocacy).  Practices with knowledge of nurse's ethical and/or legal role and responsibilities related to issues presented during previous courses.  Continue to exhibit professional accountability  Prepares for N102 clinical assignment using appropriate resources.  Seeks assistance when clinical situation is beyond knowledge and experience.  Seeks opportunities in the clinical settings to enhance learning and pursue professional growth.  Follows established lines of communication within the assigned clinical setting.  Demonstrates reliability in completing client/clinical assignments.  Evaluates own performance accurately:  Accepts responsibilities for own decisions, behaviors, and actions while in clinical settings  Accepts feedback and makes appropriate changes in behavior  Identifies own strengths and areas for growth in adult health care settings Definitions of cuing: No cuing: student will perform independently with no intervention by instructor. Minimal cuing: instructor will provide no more than 2 prompts.  Occasional cuing: instructor will provide no more than 4 prompts.