NUR 283 COMP 1-3 MEDS Exam
Questions with complete solutions 2025
BP .meds .((lisinopril, .metoprolol, .valsartan, .etc) .- .ANS✓✓-DANGLE .patient .on
.the .side .of .the .bed .before .rising .and .to .change .positions .slowly .to .prevent
.orthostatic .hypotension!
Epoetin .Alfa .- .ANS✓✓-stimulates .RBC .production; .used .to .treat .anemia .and .on
.patient's .during .chemotherapy; .**increases .Hgb .as .an .expected .result .of .the
.medication. .**MONITOR .for .signs .of .HTN, .stroke, .blood .clots .and .myocardial
.infarction.(stroke)
Neupogen .(filgrastim): .- .ANS✓✓-bone .marrow .stimulant .produces .WBC's
.WATCH .for .INCREASE .in .WBC's .example: .2.6 .goes .up .to .6
Lithium .discharge .instructions: .- .ANS✓✓-lithium .levels .decrease .and .can .be
.caused .by .dehydration .with .long .runs .or .strenuous .exercise. .
Monitor .for .Lithium .toxicity .2.0 .or .greater
MUST .MAINTAIN .adequate .sodium .(normal .range .135-145) .and .fluids .2-3L .daily
.to
If .patient .requires .12 .weeks .of .antibiotic .therapy .they .will .need .a .PICC .line .for
.infusions .DO .NOT .send .an? .- .ANS✓✓-IV .drug .user .home .with .PICC .line!!
MDRO's .(multi-drug .resistant .organisms:
MRSA: .drugs .to .treat: .vancomycin, .rifampin
VRE: .drugs .to .treat: .penicillin, .amoxicillin
ESBL: .drugs .to .treat: .Meropenem
1. .Resistance .occurs .when .a .client .receiving .2 .medications .(first-line .and
.second-line .medications) .discontinues .1 .of .the .medications.
2. .The .client .briefly .experiences .some .response .from .the .single .medication .but
.then .large .numbers .of .resistant .organisms .begin .to .grow. .
, 3. .The .client, .infectious .again, .transmits .the .drug-resistant .organism .to .other
.individuals.
.4. .As .this .event .is .repeated, .an .organism .developsthat .is .resistant .to .many .of
.the .first-line .tuberculosis .medications .- .ANS✓✓-
Transdermal .patch .patient .teaching: .- .ANS✓✓-NEVER .throw .it .away .in .a .trash
.can! .It .does .not .need .to .be .covered .while .in .the .shower, .DO .NOT .place .over
.an .abrasion .or .bruise
Nitroglycerin .- .ANS✓✓-should .be .replaced .after .3 .months .of .storage, .if .patient
.reports .the .nitro .reduced .their .chest .pain .to .a .3 .they .should .take .another .pill
Taken .at .the .first .sign .of .chest .pain. .
You .may .use .nitroglycerin .sublingual .within .5 .to .10 .minutes .before .an .activity
.you .think .might .cause .chest .pain. .
Try .to .rest .or .stay .seated .when .you .take .nitroglycerin .(may .cause .dizziness .or
.fainting)
headache .is .a .common .side .effect
Hydrochlorothiazide .(thiazide .diuretic) .potassium .depleting .- .ANS✓✓-NOT .for
.diabetics, .hypotension, .syncope, .SLE, .Gout, .ANY .of .THESE .electrolyte
.imbalances: .hypercalcemia, .hypochloremia, .hypokalemia, .hypomagnesemia,
.hyponatremia, .or .metabolic .alkalosis. .WATCH .if .patient .has .muscle .cramps
.may .need .to .hold.
Desmopressin .for .DI/diabetes .insipidus, .expected .outcome .with .medication
.would .be .- .ANS✓✓-decreased .UO .from .500ml/hr .down .to .125 .ml/hr
Gentamicin .peak .and .trough: .- .ANS✓✓-PEAK .30 .minutes .after .infusion;
.TROUGH .right .before .next .medication .administration
Tobramycin: .- .ANS✓✓-Adverse .reactions: .ototoxicity .(hearing .damage .and
.loss .of .balance); .nephrotoxicity .(cloudy/bloody .urine)
Allopurinol: .- .ANS✓✓-treats .Gout; .patient .teaching: .you .should .increase .fluid
.intake;alsoigvenintumorlysissyndrome
Pyridostigmine: .- .ANS✓✓-(anticholinesterase .drug) .treats .Myasthenia .Gravis;
.prevents .breakdown .of .acetylcholine .by .enzymes .in .the .neuromuscular
.junction .which .increases .muscle .response .improving .strength; .Give .with .food
.to .minimize .GI .upset .MUST .EAT .45 .minutes .to .an .hour .AFTER .taking!!
Phenytoin: .- .ANS✓✓-treats .seizures, .bipolar .disorder .or .other .mood .disorders
.and .trigeminal .neuralgia; .patient .teaching: .should .perform .good .oral .hygiene
.to .prevent .gingival .hyperplasia
Digoxin: .- .ANS✓✓-toxicity .above .2.0 .(normal .levels: .0.5-2.0) .patient .WILL .eat
.foods .that .are .potassium .rich .such .as: .potatoes, .tomatoes, .oranges, .melon
Questions with complete solutions 2025
BP .meds .((lisinopril, .metoprolol, .valsartan, .etc) .- .ANS✓✓-DANGLE .patient .on
.the .side .of .the .bed .before .rising .and .to .change .positions .slowly .to .prevent
.orthostatic .hypotension!
Epoetin .Alfa .- .ANS✓✓-stimulates .RBC .production; .used .to .treat .anemia .and .on
.patient's .during .chemotherapy; .**increases .Hgb .as .an .expected .result .of .the
.medication. .**MONITOR .for .signs .of .HTN, .stroke, .blood .clots .and .myocardial
.infarction.(stroke)
Neupogen .(filgrastim): .- .ANS✓✓-bone .marrow .stimulant .produces .WBC's
.WATCH .for .INCREASE .in .WBC's .example: .2.6 .goes .up .to .6
Lithium .discharge .instructions: .- .ANS✓✓-lithium .levels .decrease .and .can .be
.caused .by .dehydration .with .long .runs .or .strenuous .exercise. .
Monitor .for .Lithium .toxicity .2.0 .or .greater
MUST .MAINTAIN .adequate .sodium .(normal .range .135-145) .and .fluids .2-3L .daily
.to
If .patient .requires .12 .weeks .of .antibiotic .therapy .they .will .need .a .PICC .line .for
.infusions .DO .NOT .send .an? .- .ANS✓✓-IV .drug .user .home .with .PICC .line!!
MDRO's .(multi-drug .resistant .organisms:
MRSA: .drugs .to .treat: .vancomycin, .rifampin
VRE: .drugs .to .treat: .penicillin, .amoxicillin
ESBL: .drugs .to .treat: .Meropenem
1. .Resistance .occurs .when .a .client .receiving .2 .medications .(first-line .and
.second-line .medications) .discontinues .1 .of .the .medications.
2. .The .client .briefly .experiences .some .response .from .the .single .medication .but
.then .large .numbers .of .resistant .organisms .begin .to .grow. .
, 3. .The .client, .infectious .again, .transmits .the .drug-resistant .organism .to .other
.individuals.
.4. .As .this .event .is .repeated, .an .organism .developsthat .is .resistant .to .many .of
.the .first-line .tuberculosis .medications .- .ANS✓✓-
Transdermal .patch .patient .teaching: .- .ANS✓✓-NEVER .throw .it .away .in .a .trash
.can! .It .does .not .need .to .be .covered .while .in .the .shower, .DO .NOT .place .over
.an .abrasion .or .bruise
Nitroglycerin .- .ANS✓✓-should .be .replaced .after .3 .months .of .storage, .if .patient
.reports .the .nitro .reduced .their .chest .pain .to .a .3 .they .should .take .another .pill
Taken .at .the .first .sign .of .chest .pain. .
You .may .use .nitroglycerin .sublingual .within .5 .to .10 .minutes .before .an .activity
.you .think .might .cause .chest .pain. .
Try .to .rest .or .stay .seated .when .you .take .nitroglycerin .(may .cause .dizziness .or
.fainting)
headache .is .a .common .side .effect
Hydrochlorothiazide .(thiazide .diuretic) .potassium .depleting .- .ANS✓✓-NOT .for
.diabetics, .hypotension, .syncope, .SLE, .Gout, .ANY .of .THESE .electrolyte
.imbalances: .hypercalcemia, .hypochloremia, .hypokalemia, .hypomagnesemia,
.hyponatremia, .or .metabolic .alkalosis. .WATCH .if .patient .has .muscle .cramps
.may .need .to .hold.
Desmopressin .for .DI/diabetes .insipidus, .expected .outcome .with .medication
.would .be .- .ANS✓✓-decreased .UO .from .500ml/hr .down .to .125 .ml/hr
Gentamicin .peak .and .trough: .- .ANS✓✓-PEAK .30 .minutes .after .infusion;
.TROUGH .right .before .next .medication .administration
Tobramycin: .- .ANS✓✓-Adverse .reactions: .ototoxicity .(hearing .damage .and
.loss .of .balance); .nephrotoxicity .(cloudy/bloody .urine)
Allopurinol: .- .ANS✓✓-treats .Gout; .patient .teaching: .you .should .increase .fluid
.intake;alsoigvenintumorlysissyndrome
Pyridostigmine: .- .ANS✓✓-(anticholinesterase .drug) .treats .Myasthenia .Gravis;
.prevents .breakdown .of .acetylcholine .by .enzymes .in .the .neuromuscular
.junction .which .increases .muscle .response .improving .strength; .Give .with .food
.to .minimize .GI .upset .MUST .EAT .45 .minutes .to .an .hour .AFTER .taking!!
Phenytoin: .- .ANS✓✓-treats .seizures, .bipolar .disorder .or .other .mood .disorders
.and .trigeminal .neuralgia; .patient .teaching: .should .perform .good .oral .hygiene
.to .prevent .gingival .hyperplasia
Digoxin: .- .ANS✓✓-toxicity .above .2.0 .(normal .levels: .0.5-2.0) .patient .WILL .eat
.foods .that .are .potassium .rich .such .as: .potatoes, .tomatoes, .oranges, .melon
