PRN Exam 2 Study Guide
Administering ear drops to Adult and Child: - ANS-1. Follow the "6 Rights" of med admin
2. Read order carefully for ear receiving medication
3. Position the patient in LATERAL SUPINE position with the AFFECTED ear UPPERMOST
4. Draw medication into medication dropper by depressing the bulb and letting it go
5. Draw pinna up and back
6. For children < 3 years old draw pinna down and back
7. Insert tip of medication dropper into the external ear canal and depress the bulb to dispense
the med, withdram the dropper
8. Place a cotton in the external meatus to prevent the medication from scaping
9. Have the patient remain in lateral position for 5-10 minutes
Administering medication/Safety: - ANS-Must verify medication order and make sure is
complete prior to administration by following the 6 rights
1. Right patient
2. Right drug
3. Right dose
4. Right route
5. Right time
6. Right documentation
Age-related macular degeneration (AMD)/Symptoms: - ANS-Blurry vision, dark, blurry areas in
the center vision
Atelactasis: - ANS-Collapsed or airless part of the lung, collapsing of alveoli. It happens when
the alveoli becomes deflated or filled with fluid
Basal Metabolic Rate: - ANS-The amount of energy needed to maintain the body at rest and
how many calories you would burn if you were to do nothing but rest for 24 hours
BMI (body mass index)/Ranges: - ANS-BMI: a measure of height and weight
Formula: weight(lb)/height(in)2 times 703
Ranges: Adults is 18.5-24.9 (normal/healthy)
If below 18.5 (underweight)
25-29.9 (overweight)
30-39.9 (obese)
Cane/Teaching: - ANS-1. Ensure cane has an intact rubber tip
2. Use cane on UNAFFECTED side
3. Make sure the patient does not bear full wait on AFFECTED side
4. Walk beside the patient on AFFECTED side
5. Ensure handgrip is at hip level, patient's elbow bent 15-30 degrees
6. Ensure the cane's tip is 6-10 inches to the side and 6 inches in front of the foot
7. Remind the patient to look straight ahead while ambulating
, Circulation/Assess/Teaching/Interventions: - ANS-Pulse
Temperature
Color
Capillary refill (time it takes for blood to return to a finger or toe after the blood supply is pinched
off/removed)
Clients at risk for dehydration? - ANS-Infant/Chlindren (most likely to develop diahrrea and
vomiting)
Older adults
People with chronic illnesses
People who work or exercise outside
Communication for Hearing impaired: - ANS-1. If the patient uses a hearing aid, encourage use
and see that its situated, turned on and adjusted before beginning speaking
2. Have the patient's attention before beginning speaking
3. Sit facing the patient with light on your face rather than from behind you
4. Request to turn down volume of tv/radio
5. Keep distance of 2 1/2-4 feet, make eye level with the patient (DO NOT SPEAK INTO THEIR
EAR) it prevents visual cues
6. Use short/simple sentences (If the patient is not understanding or answering inappropriately,
rephrase message in different words limit to one subject and one verb)
7. Give patient time to respond to questions
8. Ask for oral/written feedback to make sure you're understood
9. Avoid using intercom system because it may distort sound
Complication of Immobility: - ANS--Skin breakdown
-Pressure ulcers
-Contractures
-Muscular weakness
-Muscular atrophy
-Disuse osteoporosis urinary stasis
-Urinary retention
Contracture - ANS-Adaptive shortening and stiffness of a muscle
Most common are foot drop knee, hip flexion, wrist drop, fingers and arms
Crutches/Proper Use - ANS-1. Ensure proper length and have rubber suction
2. Have client look straight ahead, place the crutches slightly ahead of feet and to the outside of
each foot
3. Client's must use hands, NOT AXILLAE to support their weight
4. Have the patient keep straight and bend at hips
5. Remind the patient that crutches and leg should move together
6. Encourage patient to achieve a smooth rhythm
Detached retina/Findings: - ANS--Painless
Early symptoms: dark, irregular vitreous floaters (flashes of light) blurred vision
Note: As it progresses the patient often notices a curtain drop, veil or grayness in the vision field
Administering ear drops to Adult and Child: - ANS-1. Follow the "6 Rights" of med admin
2. Read order carefully for ear receiving medication
3. Position the patient in LATERAL SUPINE position with the AFFECTED ear UPPERMOST
4. Draw medication into medication dropper by depressing the bulb and letting it go
5. Draw pinna up and back
6. For children < 3 years old draw pinna down and back
7. Insert tip of medication dropper into the external ear canal and depress the bulb to dispense
the med, withdram the dropper
8. Place a cotton in the external meatus to prevent the medication from scaping
9. Have the patient remain in lateral position for 5-10 minutes
Administering medication/Safety: - ANS-Must verify medication order and make sure is
complete prior to administration by following the 6 rights
1. Right patient
2. Right drug
3. Right dose
4. Right route
5. Right time
6. Right documentation
Age-related macular degeneration (AMD)/Symptoms: - ANS-Blurry vision, dark, blurry areas in
the center vision
Atelactasis: - ANS-Collapsed or airless part of the lung, collapsing of alveoli. It happens when
the alveoli becomes deflated or filled with fluid
Basal Metabolic Rate: - ANS-The amount of energy needed to maintain the body at rest and
how many calories you would burn if you were to do nothing but rest for 24 hours
BMI (body mass index)/Ranges: - ANS-BMI: a measure of height and weight
Formula: weight(lb)/height(in)2 times 703
Ranges: Adults is 18.5-24.9 (normal/healthy)
If below 18.5 (underweight)
25-29.9 (overweight)
30-39.9 (obese)
Cane/Teaching: - ANS-1. Ensure cane has an intact rubber tip
2. Use cane on UNAFFECTED side
3. Make sure the patient does not bear full wait on AFFECTED side
4. Walk beside the patient on AFFECTED side
5. Ensure handgrip is at hip level, patient's elbow bent 15-30 degrees
6. Ensure the cane's tip is 6-10 inches to the side and 6 inches in front of the foot
7. Remind the patient to look straight ahead while ambulating
, Circulation/Assess/Teaching/Interventions: - ANS-Pulse
Temperature
Color
Capillary refill (time it takes for blood to return to a finger or toe after the blood supply is pinched
off/removed)
Clients at risk for dehydration? - ANS-Infant/Chlindren (most likely to develop diahrrea and
vomiting)
Older adults
People with chronic illnesses
People who work or exercise outside
Communication for Hearing impaired: - ANS-1. If the patient uses a hearing aid, encourage use
and see that its situated, turned on and adjusted before beginning speaking
2. Have the patient's attention before beginning speaking
3. Sit facing the patient with light on your face rather than from behind you
4. Request to turn down volume of tv/radio
5. Keep distance of 2 1/2-4 feet, make eye level with the patient (DO NOT SPEAK INTO THEIR
EAR) it prevents visual cues
6. Use short/simple sentences (If the patient is not understanding or answering inappropriately,
rephrase message in different words limit to one subject and one verb)
7. Give patient time to respond to questions
8. Ask for oral/written feedback to make sure you're understood
9. Avoid using intercom system because it may distort sound
Complication of Immobility: - ANS--Skin breakdown
-Pressure ulcers
-Contractures
-Muscular weakness
-Muscular atrophy
-Disuse osteoporosis urinary stasis
-Urinary retention
Contracture - ANS-Adaptive shortening and stiffness of a muscle
Most common are foot drop knee, hip flexion, wrist drop, fingers and arms
Crutches/Proper Use - ANS-1. Ensure proper length and have rubber suction
2. Have client look straight ahead, place the crutches slightly ahead of feet and to the outside of
each foot
3. Client's must use hands, NOT AXILLAE to support their weight
4. Have the patient keep straight and bend at hips
5. Remind the patient that crutches and leg should move together
6. Encourage patient to achieve a smooth rhythm
Detached retina/Findings: - ANS--Painless
Early symptoms: dark, irregular vitreous floaters (flashes of light) blurred vision
Note: As it progresses the patient often notices a curtain drop, veil or grayness in the vision field
