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Summary ATI COMPREHENSIVE PREDICTOR 2019.

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ATI COMPREHENSIVE PREDICTOR 2019.SUMMARY.

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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




m
 Keep diary of food triggers




er as
co
 Low-purine diet NO!!! organ meats or shellfish,



eH w
yeast, sardines, spinach




o.
 Avoid/Limit alcohol intake
rs e
ou urc
 Avoid starvation diets, aspirin, diuretics
 Increase fluid intake 3L/day
 Lupus
o
aC s


 Limit salt intake for fluid retention secondary to steroid
vi y re



therapy
 High-vitamin, high iron diet
 If anorexia,
ed d




 provide small, freq. meals…offer between-meal
ar stu




supplements
 take folic acid
is




 High-protein diet, if no evidence of kidney disease
Th




 Fibro
 Limit intake of caffeine, alcohol, & other substances
interfere w/ sleep
sh




 Parkinson’s DiseaseAssessing Client’s Need for Physical Therapy

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,  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 &




m
calcium supplements, LOW sodium, LOW phosphorous




er as
co
 Restrict magnesium



eH w
 Strict I&O; fluid replacement –500 to 600 mL more than




o.
previous 24hr urine output
rs e
ou urc
 Limit alcohol intake
 Don’t give antacids w/ Mg or enemas w/ phosphorous
 Use diet & exercise to manage weight & prevent or control
o
aC s


diabetes & HTN
vi y re



 Test albumin yearly

 Dietary Teaching About Heme Iron for pt w/ Anemia
ed d




 Nutritional deficiencies  iron, B12, folic acid, intrinsic
ar stu




factor
 Encourage increase intake of deficient nutrient  iron
is




(meats, poultry, fish), vitamin B12, folic acid
Th




 iron-fortified cereal & breads, fish, poultry, & dried peas and
beans (NOT red meat or organ meats)
 should reg. consume high folate (spinach, lentils, bananas)
sh




&folic acid fortified grains & juices

 Stroke Assisting pt w/ Dysphagia



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