ATI comprehensive predictor ati exam latest

ATI COMPREHENSIVE PREDICTOR 2019

MED-SURG

 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




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,  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)

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