TEACH FOR NURSES LESSON PLAN
Chapter 21: Peripheral Vascular System and Lymphatic System
CHAPTER OBJECTIVES
1. Relate the structure and functions of arteries and veins.
2. List the pulses accessible to examination.
3. Describe the mechanisms that keep blood moving toward the heart in the venous system.
4. Explain the term capacitance vessels.
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STUDENT RESOURCES
understand
• Video clips (Evolve)
• Textbook Chapter 21
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
• Audio glossary (Evolve)
• Pocket Companion for Physical Examination and Health Assessment*
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
• HESI Case Studies*
• NCLEX Review Questions (Evolve)
• Simulation Learning System*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
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in class
• PowerPoint Presentations (Evolve)
• Image Collection (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
ARTERIES
VEINS
Related Organs
DEVELOPMENTAL
COMPETENCE
Infants and Children
Discuss the location of the
arteries that are palpable.
Demonstrate taking a
Examine the three types of
veins in the legs, providing
a model showing the
major veins and arteries.
Discuss the three elements
that are necessary for
• Activity: Assign students to prepare or obtain teaching materials for persons at risk for development
of venous stasis.
• Discussion Topic: Speculate why the right lymphatic duct drains only the upper right side, but the
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
system makes to the
immune system.
Compare the size of lymph
nodes in children, adults,
and the aging adult. Invite
a pubertal child, an adult,
and an aging adult model
to class for the students to
palpate the lymph nodes
and compare size and ease
of palpation.
SUBJECTIVE DATA
OBJECTIVE DATA
INSPECT AND PALPATE
Explain that it is important
to list any medications the
patient may be taking,
noting that side effects
may include water
• Small Group Activity: Pair up the students and have them practice the modified Allen test on each
other. Assist them as necessary to ensure correct occlusion pressure.
• Activity: Have students come to lab in T-shirts and running shorts or a bathing suit so that all areas
may be examined. Assign students to work in groups of three: one to follow the checklist and
textbook, one to perform the examination, and one to act as patient. Allow sufficient time for
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Color Changes
The Wells Score for Leg
Deep Vein Thrombosis
DEVELOPMENTAL
COMPETENCE
abnormality. Demonstrate
Demonstrate measuring
the legs at the widest
point. Examine a
volunteer’s legs,
demonstrating the various
pulse locations.
Discuss which vaccinations
can produce local
lymphadenopathy.
Show the class several
pictures of mild to serious
bilateral pitting edema.
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IN-CLASS/ONLINE CASE STUDY
S.R. is a 65-year-old woman who presents to the emergency department complaining of shortness of breath, productive cough, and swelling in
both legs. The patient has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16,
and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases.
The patient is started on a nebulizer treatment, and an electrocardiogram has been ordered.
1. What subjective information should the nurse obtain?
2. The nurse is assessing the patient’s pulses. Which locations should the nurse check?
3. The nurse needs to evaluate the adequacy of the collateral circulation before obtaining an arterial blood gas sample. How should the nurse
proceed?
4. What is the most likely cause of this patient’s shortness of breath, productive cough, and swelling in both legs?
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NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Informatics/Nursing Judgment
o Documentation and Critical Thinking
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
BSN ESSENTIALS
• Essential VII: Clinical Prevention and Population Health
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.