Ati Comprehensive Predictor 2019

ATI COMPREHENSIVE PREDICTOR 2019 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 DiseaseAssessing 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 • Nutritional deficiencies  iron, B12, folic acid, intrinsic factor • Encourage increase intake of deficient nutrient  iron (meats, poultry, fish), vitamin B12, folic acid • iron-fortified cereal & breads, fish, poultry, & dried peas and beans (NOT red meat or organ meats) • should reg. consume high folate (spinach, lentils, bananas) &folic acid fortified grains & juices