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ATI COMPREHENSIVE PREDICTOR 2019/2020 – Chamberlain College of Nursing | ATI COMPREHENSIVE PREDICTOR 2019/2020

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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 nee... ded ¬ 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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - • Feed pt slowly, placing food in the back of the mouth and to unaffected side • Provide sips of fluids & slowly advance diet foods easy to chew & swallow • Have suction on standby • Maintain a distraction-free environment during meals • Weight loss is common collaborate w/ dietitian for caloric intake • COMPLICATIONS NI: ♣ if gag reflexes are present, give sip of water to determine if choking occurs ♣ keep NPO until evaluated by SLP ♣ Begin w/ prescribed liquid-consistency regimen from NDD & closely observe for choking ♣ Have suction equipment available, feed w/ care bc nasotracheal suctioning increases ICP ♣ RN should initial feeding ¬ Nursing Actions Before Infusion Blood • Verify client ID, name, & blood type by two nurse • Prior to administration, assess baseline VS, **temp** • Establish iv assess, 18 to 20gauge catheter • Once obtained blood product from blood bank…inspect for discoloration, excessive bubbles, or cloudiness • Must have 0.9% sodium chloride primed tubing, Y-tubing w/ filter • First 15mins, stay w/ client & infuse slowly, monitoring for any reaction…If reaction occrs… ♣ Stop blood immediately & take vitals ♣ Infuse 0.9 sodium chloride ♣ Notify the provider ♣ Follow facility policy send urine sample, CBC, & bag & tubing to lab for analysis ♣ Complete infusion of product w/in 4hr • Assess for hx of blood –transfusion reactions ¬ MSAnticipated Prescription for provider to Prescribe • Cyclosporineimmunosuppressive agents • Prednisonereduce inflammation • Dantrolene & Baclofenantispasmodics (muscle spasticity) ¬ GI ProceduresLab Findings to Report to Provider TPN • Metabolic complications ♣ Hyperglycemia restlessness, confusion, elevated blood glucose >200 ♣ Hypoglycemia anxiety, low blood glucose <70 ♣ Vitamin deficiencies • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • 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 [Show More]

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