Uworld: Fundamentals: Skills and Meds

  1. At what age will you administer ear drop medication by pulling upward and back, instead of downwards?
    3 y/o and up
  2. When administering a heparin injection, what angle should you insert a 25 gauge 1/2 in needle into the abdomen: 45 or 90 degree?
    45 degrees d/t insufficient adipose tissue in a cachexia patient.
  3. Match: Tiotropium medication used for COPD will help with breathing by:

    a. reduce inflammation in the airway
    b. relax the airway by blocking parasympathetic broncho - constriction
  4. A patient with a Clonidine patch for HTN is experiencing dizziness. Should the patch be removed?
    No: not until notifying the HCP as rebound HTN can occur.
  5. After administering opthalmic drops timolol maleate for glaucoma in the patient's eye, what are the next steps?
    What should you do if the med being given has a systemic effect?
    • Instruct pt. to close the eyelids and move the eye around.
    • Systemic: apply pressure to the lacrimal duct for 30-60 secs
  6. stat order of pain med is given for a client with 9/10 severe pain. 3 hours later, the pt. complains of 9/10 pain again. What is the next step?
    A new Rx is needed since a stat order is a one time dose.
  7. What kind of needle do you need to use when withdrawing meds from an ampule?
    Filter needle to stop glass shards going in
  8. Til what age will you position a child supine with legs raised when giving a suppository? After inserting the suppository, what should you do afterwards?
    <3 years old: hold buttocks together for several minutes or until urge to defecate passes to prevent expulsion
  9. Which blood type is considered the universal donor?
    O-negative blood
  10. List important steps when performing trach care with a disposable inner canula and dressing change
    • 1. Gather supplies
    • 2. Don mask, goggles, and clean gloves
    • 3. remove soiled dressing
    • 4. Don sterile gloves, remove old cannula and replace with new one
    • 5. Clean around stoma with sterile water, dry, and replace sterile gauze pad
  11. How many mL are in one gram?
    1 gram = 1 mL
  12. Over what max duration can KCl no >10 mEq be transfused in a peripheral line? In a central line no >40mEq?
    • Peripheral: No >1 hour
    • Central: No >40 mins
  13. What is the best way to collect a nonsterile urine specimen from a child with nephrotic syndrome and is not potty trained?
    Place several cotton balls in a dry diaper and squeeze into a dipstick when urine is produced
  14. T or F: You will need to wear an N95 mask when taking care of a patient with ebola
  15. What can known allergies to avocados and bananas also indicate an allergy to?
    Latex allergy
  16. When performing an orthostatic hypotension assessment, what SBP, DBP, and pulse value changes from one position to another will you stop assessment? What would you do next if these values are reached?
    • SBP increase of >20
    • DBP decrease of >10
    • Pulse increase of >20/min 

    Interventions: d/c assessment, put in recumbent position, and notify HCP
  17. A patient with a recovering postop left knee is going up the stairs with a cane. Should they lead their first step with their right or left leg going down?

    Which leg when going down?
    • Up: stronger leg first
    • Down: Weaker leg first (after leading with the cane first)
  18. How do you measure an NG tube placement?
    Measure from tip of nose, to earlobe, to xiphoid process
  19. T or F: A patient with active shingles needs to be on droplet precautions
    False: airborne
  20. Fill in: Patients who practice Orthodox Judaism, there must be a seperation of meat and poultry consumption at least ____ hours apart.
    3-6 hours
  21. What position will you place a patient following a paracentesis r/t end stage cirrhosis?

    B. High Fowler's
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Uworld: Fundamentals: Skills and Meds
pharm administeration meds