ATI COMPREHENSIVE PREDICTOR 2019/2020 – Chamberlain College of Nursing | 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 • 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 - - - - - - - - - - - - - - - - - - - - - - -- • Sore throat • Local Anesthesia • Moderate Sedation Airway obstruction, cardiac dysrhythmias, hypotension, anaphylaxis Resp. depression Cardiac arrhythmias Hypotension Anaphylaxis DMCaring for Client w/ Hypoglycemic • Give pt 15g of fast-acting simple carbs recheck blood glucose in 15min 3 or 4 glucose tablets for equivalent to of 15g or carb 4 to 6oz of juice or reg soda 6 to 10 hard candies 2 to 3 teaspoons of sugar or honey 1 tbsp • If unconscious, or unable to swallow, administer glucagon IM or subcutaneous,Repeat in 10 min if client is still unconscious and notify provider • Follow the 15/15/15 rule Administer 15g of fast act carbs Wait 15min & recheck blood glucose Administer 15 more grams of carbs if blood glucose remains >70 Give 7g of protein when blood glucose is w/in normal limits • 2tbps of peanut butter • 1oz of cheese • 8oz milk FUNDAMENTALS: 25 Questions LEADERSHIP: 19 Questions MENTAL HEALTH 15 Questions MATERNAL NEWBORN: 15 Questions CHILDREN: 15 Questions PHARMACOLOGY: 12 Questions COMMUNITY: 6 Questions
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