Posted: September 25th, 2024

NCLEX Critical Concepts – Remediation Document

“3 Critical Concepts – Remediation Document”
Upon completion of the required Practice Assessment, conduct a focused review, by downloading the “ATI Individual Performance Profile” Report. Complete the “3 Critical Concepts – Remediation Document” by using each NCLEX Client Need Category, listed under the “Topics to Review Section” in the report to identify 3 Critical Concepts learned and or understand better about the missed concept. Use reliable evidence-based resources to remediate each topic (sample nursing essay examples by the best nursing assignment writing service) (ATI Focused Review, ATI eBook, Course textbook per Syllabus). Cite your sources (APA formatting not required).

8 NCLEX Client Need Categories
1) Management of Care, 2) Safety and Infection Control, 3) Basic Care and comfort, 4) Health Promotion and Maintenance, 5) Psychosocial Integrity, 6) Pharmacological and Parenteral Therapies, 7) Reduction of Risk Potential, and 8) Physiological Adaptation

Reflection Section – Include one of the 6 Cognitive Functions
Reflect on how the 3 critical concepts you learned, helped you gain a better understanding of the 6 Cognitive Functions of the National Council for State Boards of Nursing (NCSBN) – Clinical Judgement Measurement Model (NCJMM) – which follows the Nursing Process:
o Recognize Cues (Assessment) – Filter information from different sources (i.e., signs, symptoms, health history, environment).
o Analyze Cues (Analysis) – Link recognized cues to a client’s clinical presentation and establishing probable client needs, concerns, or problems.
o Prioritize Hypotheses (Analysis) – Establish priorities of care based on the client’s health problems (i.e. environmental factors, risk assessment, urgency, signs/ symptoms, diagnostic test, lab values, etc.)
o Generate Solutions (Planning) – Identify expected outcomes and related nursing interventions to ensure clients’ needs are met.
o Take Actions (Implementation) – Implement appropriate interventions based on nursing knowledge, priorities of care, and planned outcomes to promote, maintain, or restore a client’s health.
o Evaluate Outcomes (Evaluation) – Evaluate a client’s response to nursing interventions and reach a nursing judgment regarding the extent to which outcomes have been met.

Topics To Review –
Clinical Judgment (6 items )
Recognize Cues (1item )
Identifying Assessment Findings that Require Follow-Up
Analyze Cues – (2)
Identifying Conditions Based on Findings in the Electronic Medical Record
Identifying Findings That Indicate Potential Complications for a Child Following an Appendectomy
Generate Solutions – (2)
Planning Care for a Child Who Has an Elevated Blood Lead Level
Planning Care for a Toddler Who Has Hemophilia
Take Actions – (1)
Providing Discharge Teaching to the Parent of a Child Who Has Lead Poisoning

Date 09/25/2024
Student Name
Instructor Name
Assessment Name RN Pediatric Nursing Online Practice 2023A

# of Topics to Review 6
NCLEX Client Need Category
Clinical Judjment (6 item)

Topic Concept 3 Critical Concepts (I learned, and/or understand better about this topic (sample nursing essay examples by the best nursing assignment writing service)) Reflection – Address 1 of the 6 Cognitive Functions
Recognize Cues (1item ) Identifying Assessment Findings that Require Follow-Up
1.
2.
3.’ Take Actions (Implementation)

Topic Concept 3 Critical Concepts (I learned, and/or understand better about this topic (sample nursing essay examples by the best nursing assignment writing service)) Reflection – Address 1 of the 6 Cognitive Functions
Analyze Cues – (2)
Identifying Conditions Based on Findings in the Electronic Medical Record

1.
2.
3. Prioritize Hypotheses (Analysis)

Identifying Findings That Indicate Potential Complications for a Child Following an Appendectomy
1.
2.
3. Evaluate Outcomes (Evaluation)

Generate Solutions – (2)
Planning Care for a Child Who Has an Elevated Blood Lead Level
1
2.
3.
.
Take Actions (Implementation)

Planning Care for a Toddler Who Has Hemophilia

1.
2.
3. Take Actions (Implementation)

Take Actions – (1)
Providing Discharge Teaching to the 1.
2.
3. Evaluate Outcomes (Evaluation)

Parent of a Child Who Has Lead Poisoning 1.
2.
3. Take Actions (Implementation)

References:
ATI Content Mastery Series Review Module:

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# 3 Critical Concepts – Remediation Document

Date: 09/25/2024
Assessment Name: RN Pediatric Nursing Online Practice 2023A

## NCLEX Client Need Category: Clinical Judgment (6 items)

### Topic 1: Recognize Cues (1 item)
**Concept: Identifying Assessment Findings that Require Follow-Up**

3 Critical Concepts:
1. Importance of thorough physical assessment in pediatric patients
2. Recognition of age-specific normal vs. abnormal findings
3. Identifying subtle signs that may indicate serious conditions in children

**Reflection – Take Actions (Implementation):**
Understanding these critical concepts enhances a nurse’s ability to take appropriate actions. By recognizing subtle cues and distinguishing between normal and abnormal findings, nurses can implement timely interventions. For instance, identifying a slightly elevated respiratory rate in a child might prompt immediate action to prevent respiratory distress.

### Topic 2: Analyze Cues (2 items)
**Concept: Identifying Conditions Based on Findings in the Electronic Medical Record**

3 Critical Concepts:
1. Importance of comprehensive review of electronic health records
2. Correlation of laboratory results with clinical presentation
3. Recognition of patterns in vital signs and other clinical data

**Reflection – Prioritize Hypotheses (Analysis):**
These concepts contribute to a nurse’s ability to prioritize hypotheses. By analyzing cues from the electronic medical record, nurses can establish priorities of care based on the client’s health problems. For example, recognizing a pattern of decreasing hemoglobin levels might lead to prioritizing interventions for potential anemia.

**Concept: Identifying Findings That Indicate Potential Complications for a Child Following an Appendectomy**

3 Critical Concepts:
1. Understanding normal post-operative progression for pediatric appendectomy
2. Recognition of early signs of infection or anastomotic leak
3. Importance of pain assessment and management in pediatric surgical patients

**Reflection – Evaluate Outcomes (Evaluation):**
These concepts enhance a nurse’s ability to evaluate outcomes. By understanding the expected post-operative course and potential complications, nurses can effectively assess a child’s response to interventions and determine if outcomes have been met or if further action is needed.

### Topic 3: Generate Solutions (2 items)
**Concept: Planning Care for a Child Who Has an Elevated Blood Lead Level**

3 Critical Concepts:
1. Understanding the impact of lead exposure on pediatric development
2. Importance of environmental assessment and modification
3. Role of nutrition in mitigating lead absorption

**Reflection – Take Actions (Implementation):**
These concepts inform the nurse’s ability to take actions. Understanding the multifaceted approach to managing lead exposure allows nurses to implement appropriate interventions, such as educating families on environmental modifications and dietary changes to reduce lead absorption.

**Concept: Planning Care for a Toddler Who Has Hemophilia**

3 Critical Concepts:
1. Understanding the pathophysiology and types of hemophilia
2. Importance of prophylactic factor replacement therapy
3. Education on safe activities and injury prevention for toddlers with hemophilia

**Reflection – Take Actions (Implementation):**
These concepts directly inform the nurse’s ability to take actions. By understanding the unique needs of a toddler with hemophilia, nurses can implement appropriate interventions such as administering factor replacement therapy and educating parents on safe play activities.

### Topic 4: Take Actions (1 item)
**Concept: Providing Discharge Teaching to the Parent of a Child Who Has Lead Poisoning**

3 Critical Concepts:
1. Importance of ongoing blood lead level monitoring
2. Strategies for reducing lead exposure in the home environment
3. Nutritional interventions to reduce lead absorption

**Reflection – Evaluate Outcomes (Evaluation):**
These concepts contribute to the nurse’s ability to evaluate outcomes. By providing comprehensive discharge teaching, nurses can assess parents’ understanding and readiness to implement lead-reduction strategies at home. This evaluation helps determine the effectiveness of the teaching and identifies areas that may need reinforcement.

## References:

1. American Academy of Pediatrics. (2022). Prevention of Childhood Lead Toxicity. Pediatrics, 149(1), e2021056092.

2. Centers for Disease Control and Prevention. (2023). Blood Lead Levels in Children. Retrieved from https://www.cdc.gov/nceh/lead/prevention/blood-lead-levels.htm

3. World Federation of Hemophilia. (2021). Guidelines for the management of hemophilia. Haemophilia, 27(S3), 1-158.

4. Nursing and Midwifery Council. (2018). The Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates. London: NMC.

5. Hockenberry, M. J., & Wilson, D. (2023). Wong’s Nursing Care of Infants and Children (11th ed.). St. Louis, MO: Elsevier.

6. Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

7. Tume, L. N., Valla, F. V., & Joosten, K. (2020). Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations. Intensive Care Medicine, 46, 411-425.

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Tags: NCLEX Critical Concepts - Remediation Document, RN Pediatric Nursing Online Practice