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 DiseaseAssessing Client’s Need for Physical Therapy
This study source was downloaded by 100000834306259 from CourseHero.com on 03-16-2022 08:35:55 GMT -05:00
https://www.coursehero.com/file/59458564/ATI-COMPREHENSIVE-PREDICTOR-2019docx/
, • 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
➢ Stroke Assisting pt w/ Dysphagia
This study source was downloaded by 100000834306259 from CourseHero.com on 03-16-2022 08:35:55 GMT -05:00
https://www.coursehero.com/file/59458564/ATI-COMPREHENSIVE-PREDICTOR-2019docx/
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
This study source was downloaded by 100000834306259 from CourseHero.com on 03-16-2022 08:35:55 GMT -05:00
https://www.coursehero.com/file/59458564/ATI-COMPREHENSIVE-PREDICTOR-2019docx/
, • 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
➢ Stroke Assisting pt w/ Dysphagia
This study source was downloaded by 100000834306259 from CourseHero.com on 03-16-2022 08:35:55 GMT -05:00
https://www.coursehero.com/file/59458564/ATI-COMPREHENSIVE-PREDICTOR-2019docx/
