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 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 - - - - - - - - - - - - - - - - - - - - - - -- • Sore throat • Local Anesthesia  • Moderate Sedation  Airway obstruction, cardiac dysrhythmias, hypotension, anaphylaxis  Resp. depression  Cardiac arrhythmias  Hypotension  Anaphylaxis  DMCaring 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