Description
Do 3 critical points based off of the given topics from ati for nurs 307 peds example is provided no plagiarism and make sure you use the ati book and write the right references 3- critical point box has to be 3 bullet points in each box Write the topics and concepts based off of the screenshot that i provided no plagirsimtopics to write about are provided which 9 topics i believe this is for online ati practice proctor b for peds 307
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“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 (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 Safety and Infection Control (1 item)
Reporting of Incident/Event/Irregular Occurrence/Variance (1 item)
Safe Medication Administration and Error Reduction: Priority Action Following a Medication Error
Pharmacological and Parenteral Therapies (7 items)
Adverse Effects/Contraindications/Side Effects/Interactions (5 items)
Dermatitis and Acne: Required Tests for Isotretinoin Prescription Refill
Gastrointestinal Disorders: Monitoring for Adverse Effects of a Metoclopramide
Medications Affecting Coagulation: Adverse Effects of Heparin
Neurocognitive Disorders: Monitoring for Adverse Effects of Donepezil
Urinary Tract Infections: Contraindications to Ciprofloxacin
Medication Administration (2 items)
Miscellaneous Central Nervous System Medications: Teaching About Cyclobenzaprine
Opioid Agonists and Antagonists: Teaching About Hydrocodone
Physiological Adaptation (2 items)
Fluid and Electrolyte Imbalances (2 items)
Medications Affecting Urinary Output: Identifying ECG Manifestations of Hypokalemia for a Client Who Is Taking Furosemide
Vitamins and Minerals: Interventions for a Client Who Is Taking Sodium Polystyrene Sulfonate
Date
Student Name
Instructor Name
Assessment Name
# of Topics to Review
12/13/2022
JadaRose Johnson
Dr. Candace James-Marrast
RN Pharmacology Online Practice Assessment 2019 A
10
NCLEX Client Need Category
Safety and Infection Control (1 item)
Topic
Concept
3 Critical Concepts (I learned, and/or
understand better about this topic)
Reflection – Address 1 of the 6
Cognitive Functions
Reporting of
Incident/Event/Irregular
Occurrence/Variance
(1 item)
Safe Medication
Administration and
Error Reduction:
Priority Action
Following a
Medication Error
1. Giving a medication 1 hour the scheduled
time is too late.
2. When this occurs, I must complete an
incident report
3. Every facility have a different timeframe
for when medication can be given with
causing a medication error.
Take Actions (Implementation)
The answer choices had both 30 minutes
and 1 hour after the scheduled time. In
class, we learned that safe medication
administered can be given either 30 minutes
or 1 hour before or after the schedule. I will
review the ATI book and my facility policy
and procedure to determine the allowed
timeframe of when I should give a
medication without making a medication
error.
Pharmacological and Parenteral Therapies (7 items)
Topic
Concept
3 Critical Concepts (I learned, and/or
understand better about this topic)
Reflection – Address 1 of the 6
Cognitive Functions
Adverse
Effects/Contraindications/Side
Effects/Interactions (5 items)
Dermatitis and Acne:
Required Tests for
Isotretinoin
Prescription Refill
1. Isotretinoin is used to treat nodulocystic
acne vulgaris and is a category X medication,
which causes teratogenic effects to the fetus.
2. A pregnancy test should be done and ruled
out before the client can obtain a refill.
3. Client must provide two negative
pregnancy tests for the initial prescription and
one negative test before monthly refills.
1. Multiple CNS adverse effects can occur
with this medication
2. Some of the adverse effects include
dizziness, fatigue, and sedation
3. I need to teach the client to report the
adverse effect or conduct frequent hourly
rounding to allow for appropriate
intervention.
1. SQ heparin can be inject in the abdomen
above the iliac crest and at least 5 cm (2 in)
away from the umbilicus
2. When administering IV heparin, the platelet
count should be closely monitored.
3. Platelet count less than 100,000/mm3 can
indicate heparin-induced thrombocytopenia, a
potentially fatal condition that requires
stopping the infusion.
4. ADR of IV heparin includes blood in the
urine, bruising, hematomas, hypotension, and
tachycardia. The nurse should report these
findings to the provider because these can
indicate manifestations of heparin toxicity.
Prioritize Hypotheses (Analysis)
I did not know much about this medication.
I will review the section on dermatitis, the
medications that can be used, and the
nursing role when managing care for a
client receiving isotretinoin.
1. Donepezil causes bronchoconstriction by
the increase in acetylcholine levels, which is a
primary effect of donepezil.
2. Some ADR of donepezil include dyspepsia,
diarrhea, dyspnea, and dizziness.
Evaluate Outcomes (Evaluation)
I understood what the question was asking
but could decide on which ADR was the
priority. I need more practice on
prioritization. I will review the ATI Nurse
Gastrointestinal
Disorders: Monitoring
for Adverse Effects of
a Metoclopramide
Medications Affecting
Coagulation: Adverse
Effects of Heparin
Neurocognitive
Disorders: Monitoring
for Adverse Effects of
Donepezil
Evaluate Outcomes (Evaluation)
I did not know much about this medication.
I will review the section on gastrointestinal
disorders especially metoclopramide.
Reviewing this medication will provide me
with the information to report and my
assessment for any of the related adverse
effects.
Evaluate Outcomes (Evaluation)
Client safety is very important and this
medication is a high alert medication that
causing bleeding and possible death of the
client. I would be sure to review the chapter
on heparin – especially the S/Es, ADR. So,
when managing care for the client, I will
monitor the client closely for any ADRs,
monitor the platelet count, and report any
concerns to the health care provider.
3. Although all these are ADR, it is very most
important to report dyspnea to the provider
first – using the airway, breathing, circulation
(ABC) approach to client care.
Logic Tutorial on Priority Setting
Frameworks.
1. ciprofloxin has not be given to a client with
tendonitis. If ciprofloxin is given to a client
with tendonitis, it can cause risk of tendon
rupture.
2. ciprofloxin can cause photosensitivity
resulting in severe sunburns even with
sunscreen use.
3. ciprofloxin can cause a superinfection such
as thrush and vaginal yeast infection.
1. cyclobenzaprine can cause seizure, so it is
important to monitor the client and report any
seizure activity to the provider.
2. cyclobenzaprine can cause chronic
dependence from chronic use
3. cyclobenzaprine can cause taper off before
discontinuing to prevent abstinence syndrome
or rebound insomnia. So, I must teach my
client to not stop the drug abruptly.
Evaluate Outcomes (Evaluation)
I missed re-read the question. I thought the
question was asking for complications of
ciprofloxacin. Professor, I will pay closer
attention when reading the questions and
use my test-taking skill more often.
Opioid Agonists and
Antagonists: Teaching
About Hydrocodone
1. Hydrocodone cause a few CNS effects such
as dizziness, lightheadedness, drowsiness, and
respiratory depression
2. Because of the CNS effects I must teach
my client to change position slowly and avoid
activities that requires alertness like driving
and operating heavy machinery
3. Hydrocodone cause a few GI effects such
as nausea, vomiting, and constipation, so I
must teach my client to increase fluids and
dietary fiber and take with food.
Take Actions (Implementation)
Although I understood the question was
asking about teaching, I was not focusing on
complications and the related teaching. I
now understanding that teaching also
includes teaching the client about the
possible complications of taking the
hydrocodone especially with
acetaminophen. I will consider that in the
future.
Concept
3 Critical Concepts (I learned, and/or
understand better about this topic)
Reflection – Address 1 of the 6
Cognitive Functions
Urinary Tract
Infections:
Contraindications to
Ciprofloxacin
Medication Administration
(2 items)
Miscellaneous Central
Nervous System
Medications:
Teaching About
Cyclobenzaprine
Take Actions (Implementation)
I thought I knew a lot about this drug, such
as – it causes anticholinergic effect such as
constipation and urinary retention.
However, I did not remember this drug
needed to be tapered and should be included
in my teaching plan. I will review this
section on my ATI and textbook.
Physiological Adaptation (2 items)
Topic
Fluid and Electrolyte Imbalances (2
items)
Medications Affecting
Urinary Output:
Identifying ECG
Manifestations of
Hypokalemia for a
Client Who Is Taking
Furosemide
Vitamins and
Minerals:
Interventions for a
Client Who Is Taking
Sodium Polystyrene
Sulfonate
1. One diagnostic test to confirm hypokalemia
from furosemide is to perform an EKG on the
client.
2. With the hypokalemia, the EKG will show
flatten or inverted T waves, prominent or
elevated U waves, ST depression, and
prolonged PR interval.
3. Other expected findings because of
hypokalemia from furosemide use include:
Vital signs changes – decreased BP, thready
pulse, orthostatic hypotension.
Respiratory changes – shallow breathing.
Muscular involvement – weakness, deep
tendon reflexed could be reduced.
GI involvement – Hypoactive bowel sounds,
nausea, vomiting, constipation.
Neurologic changes – altered mental status,
anxiety, and lethargy that progresses to acute
confusion and coma.
1. Polystyrene sulfonate replaces sodium with
potassium in the intestinal tract to promote
potassium excretion.
2. Polystyrene sulfonate can cause the ADR
of constipation, which can lead to fecal
impaction.
3. I must monitor the client for constipation
and report it to the provider.
Evaluate Outcomes (Evaluation)
From this practice assessment, I learned
additional information to what I learned in
class. Having this knowledge, I now
understanding hypokalemia is not just
decreased potassium levels of less than 3.5.
Hypokalemia can potentially cause serious
complications. I know have more
information to include in my plan of care
when managing care for a client who may
be experiencing hypokalemia.
Take Actions (Implementation)
I knew polystyrene sulfonate is used to treat
hyperkalemia and can cause frequent
diarrhea. I do not remember that polystyrene
sulfonate could also cause the opposite
effect of constipation. I would be sure to go
over my notes and review that section in
both my ATI and textbook.
References:
McCuistion, L.E., DiMaggio, K., Winton, M.B., & Yeager (2023). Pharmacology: A Patient-Centered Nursing Process Approach. 11th. Ed. Publisher: Elsevier.
ATI Content Mastery Series Review Module: RN Pharmacology 11.0 ed.
“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 concept. Use reliable evidence-based resources
to remediate each topic (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 – F y h t y r om y o u r j oj g o 5 j o r j o t r6 5 h y 5 oj 5 o6
List the NCLEX Client Need Categories, Topics, and Concepts to review from your report here – as shown in the example provided.
NCLEX Client Need Category Topic Concept
Safety and Infection Control (1 item)
Reporting of Incident/Event/Irregular Occurrence/Variance (1 item)
Safe Medication Administration and Error Reduction: Priority Action Following a Medication Error
Remove the 5 lines above, add information from your report before submission.
Date
Student Name
Instructor Name
Assessment Name
# of Topics to Review
Add your NCLEX Client Need Category here
Add or delete rows below according to the number of items – Remove this line before submitting your work.
Topic
Concept
3 Critical Concepts (I learned, and/or,
understand better about this topic)
Reflection – Address 1 of the 6 Cognitive
Functions
Add your NCLEX Client Need Category here
Add or delete rows below according to the number of items – Remove this line before submitting your work.
Topic
Concept
3 Critical Concepts (I learned, and/or,
understand better about this topic)
Reflection – Address 1 of the 6 Cognitive
Functions
Add your NCLEX Client Need Category here
Add or delete rows below according to the number of items – Remove this line before submitting your work.
Add your NCLEX Client Need Category here
Add or delete rows below according to the number of items – Remove this line before submitting your work.
Topic
Concept
3 Critical Concepts (I learned, and/or,
Reflection – Address 1 of the 6 Cognitive
understand better about this topic)
Functions
Add your NCLEX Client Need Category here
Add or delete rows below according to the number of items – Remove this line before submitting your work.
Topic
Concept
3 Critical Concepts (I learned, and/or,
understand better about this topic)
Reflection – Address 1 of the 6 Cognitive
Functions
Add your NCLEX Client Need Category here
Add or delete rows below according to the number of items – Remove this line before submitting your work.
Topic
Concept
3 Critical Concepts (I learned, and/or,
understand better about this topic)
Reflection – Address 1 of the 6 Cognitive
Functions
References:
Include your references here. Below is an example – delete this line and the examples below and add the references you used.
Halter, M. J. (2022). Varcarolis’ Foundations of Psychiatric Mental Health Nursing 9th ed. Publisher: Saunders/Elsevier. St. Louis, Missouri.
ATI Content Mastery Series Review Module: RN Mental Health 11.0 ed.
McCuistion, L.E., DiMaggio, K., Winton, M.B., & Yeager (2023). Pharmacology: A Patient-Centered Nursing Process Approach. 11th. Ed. Publisher: Elsevier.
ATI Content Mastery Series Review Module: RN Pharmacology 11.0 ed.
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