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ATI COMPREHENSIVE PREDICTOR 2019/2020

ATI COMPREHENSIVE PREDICTOR 2019/2020 – Chamberlain College of Nursing


MED-SURG: 38 Questions
¬ MS Priority Referral for a ALS
• OT, PT, Speech Therapy
• Home care
• Hospice when needed

¬ Lupus, Gout, Fibro Identifying a Client Requires a Referral to Dietitian
• Gout
♣ Keep diary of food triggers
♣ Low-purine diet NO!!! organ meats or shellfish, yeast, sardines, spinach
♣ Avoid/Limit alcohol intake
♣ Avoid starvation diets, aspirin, diuretics
♣ Increase fluid intake 3L/day
• Lupus
♣ Limit salt intake for fluid retention secondary to steroid therapy
♣ High-vitamin, high iron diet
♣ If anorexia,
• provide small, freq. meals…offer between-meal supplements
• take folic acid
♣ High-protein diet, if no evidence of kidney disease
• Fibro
♣ Limit intake of caffeine, alcohol, & other substances interfere w/ sleep



¬ Parkinson’s DiseaseAssessing Client’s Need for Physical Therapy
• If unable to,
♣ Walking and balance difficult
♣ Physical movements slow down affecting moving
♣ Unilateral shaking or tremor of one lime
♣ Stand or walk, dependent for
♣ Do exercise, yoga, ROM
♣ Use of assistive devices, as disease progresses
♣ Walking to slow down (can reduce injury)

¬ Renal Disorder Dietary Teaching for Chronic Kidney Disease
• LOW protein, LOW-potassium, HIGH-carb, vitamins & calcium supplements, LOW sodium, LOW phosphorous
• Restrict magnesium
• Strict I&O; fluid replacement –500 to 600 mL more than previous 24hr urine output
• Limit alcohol intake
• Don’t give antacids w/ Mg or enemas w/ phosphorous
• Use diet & exercise to manage weight & prevent or control diabetes & HTN
• Test albumin yearly

¬ Dietary Teaching About Heme Iron for pt w/ Anemia

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Subjects of Fundamentals Of Nursing - Chamberlain College Of Nursing

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