Nursing Concepts in the Care of Acutely Ill Clients

I.     Course Prefix/Number: Nur 208

       Course Name: Nursing Concepts in the Care of Acutely Ill Clients

       Credits: 4(1.5 lecture:6 lab)

II.    Prerequisite

Completion of NUR 207 and NUR 212 and all third semester non-nursing support courses, with minimum grade of C in all courses.

III.   Course (Catalog) Description

Course focuses on the adult client with complex alterations in basic needs. Content includes development of skills in utilizing the nursing process, and caring concepts, and demonstrating competence in the role of the nurse, assisting the client to meet complex needs in a variety of clinical settings.

IV.   Learning Objectives

Upon completion of NUR 208, thestudent is prepared to:
1. Demonstrate respect and a caring attitude towards clients and familiesas they experience complex health care needs.2. Implement the nursing process to provide care for clients with complexneeds.
3. Analyze effective communication skills with peers and health teammembers in acute care settings, recognizing variation in language and culture.
4. Demonstrate cultural sensitivity when interacting with clients,families, and health care team members.
5. Examine selected legal concerns related to end of life issues in thecritical care setting.
6. Analyze ethical issues pertinent of the care of clients with complexneeds in acute care settings.
7. Apply scientific knowledge to understand the selected complex healthalterations.
8. Evaluate the both positive and negative impact of advanced technology inthe care of the critically ill clients.

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at

VI.   Sequence of Topics

  1. Nursing Care of the Client with Acute Alterations in Oxygenation and Tissue Perfusion Related to Cardiac Dysfunction
    • Dysrythmias
    • MI Emergency and Acute Care Complications
  2. Nursing Care of the Client in Shock
  3. Nursing Care of the Client with Alterations Related to Acute Respiratory Insufficiency
    • ARDS
    • Mechanical Ventilation
  4. Nursing Care of the Client Experiencing Neurological Trauma
    • Head Injury
    • SCI
  5. Nursing Care of the Client with Acute Thermal Injuries
    • Burns
  6. Nursing Care of the Client experiencing Neurological Trauma
  7. Nursing Care of the Client with Acute Alterations affecting the Endocrine Function
  8. Nursing Care of the Client with an Altered Immune System
  9. Nursing Care of the Client with an Acute Thermal-Related Injury
  10. Nursing Care of the Client with an Alteration Affecting Elimination

VII.  Methods of Instruction

Lectures, Discussion, Audiovisuals, Computer Assisted Instruction.
Demonstration, Guidance of Skill Practice. Web-enhanced curriculum.
Supervision of Client Care.
Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

  1. Readings: As assigned by course faculty.
  2. Care Plans - 2
  3. Teaching Plan - 1
  4. Observational experience as assigned.
  5. Clinical: Supervised client care, pre/post conference. For clinical guidelines see ADN Guidelines.
  6. Laboratory - Skills assessment

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Selected by course faculty.

X.    Methods of Evaluating Student Progress

2 examinations
Mini quizzes
Organ Donation/Burns Study Guide

Clinical: Clinical performance is evaluated using established criteria defined in the student syllabus and the evaluation form.

Students are apprised of their progress in theory and client care on an ongoing basis through written and oral reports. Students must receive a grade of Satisfactory in Client Care and the required grade of C in Theory to pass NUR 208. A failure in any part of the course results in failure in the course.

Prior to the beginning of clinical, students must pass a comprehensive written lab exam with a minimum grade of 75%. A performance exam must also be passed Students will be notified of specific skills that may be tested.

XI.   Other Course Information

  1. Students are expected to attend all scheduled campus nursing classes and clinical practicums.  Client Care requirements demand that all students must be on time for clinical experience. Absence from clinical experience will affect a student's ability to meet course objectives and can result in failure in the course.  See ADN Guidelines for specific requirements.
  2. Class Policy on:
    Make-up of Exams:
    Periodic pre-scheduled examinations shall be given throughout the semester.  Anyone who misses an exam may be allowed, at the discretion of the instructor, to take the test at a later date.
    See ADN Guidelines.
    Incomplete Grades:  See College Catalog.
    Late Assignments:
    Written work is a requirement of the course.  Failure to submit completed written assignments constitutes an unsatisfactory grade in the course unless arrangements have been made with the instructor.
  3. Support Services:
    Learning Center
    Computer-assisted instruction
    Instructional Media Services
    Enrollment Management - Enrollment, registration, evaluation and record-keeping
    Office of Research - Surveys and reports
    Health Services - Health forms, physicals, and medical tests
    Bookstore - Textbooks
    College Advancement - Publications and Marketing

If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

Resources and support for
  • pregnancy-related and parenting accommodations; and
  • victims of sexual misconduct
can be found at

Resources and support for LGBTQ+ students can be found at

Electronic video and/or audio recording is not permitted during class unless the student obtains written permission from the instructor. In cases where recordings are allowed, such content is restricted to personal use only. Any distribution of such recordings is strictly prohibited. Personal use is defined as use by an individual student for the purpose of studying or completing course assignments.

For students who have been approved for audio and/or video recording of lectures and other classroom activities as a reasonable accommodation by Oakton’s Access Disabilities Resource Center (ADRC), applicable federal law requires instructors to permit those recordings. Such recordings are also limited to personal use. Any distribution of such recordings is strictly prohibited.

Violation of this policy will result in disciplinary action through the Code of Student Conduct.