NUR 283 COMP 1-3 MEDS Questions and
Correct Answers | Latest Update
BP meds ((lisinopril, metoprolol, valsartan, etc)
DANGLE patient on the side of the bed before rising and to change
positions slowly to prevent orthostatic hypotension!
Epoetin Alfa
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):
bone marrow stimulant produces WBC's WATCH for INCREASE in WBC's
example: 2.6 goes up to 6
Lithium discharge instructions:
lithium levels decrease and can be caused by dehydration with long runs
or strenuous exercise.
Monitor for Lithium toxicity 2.0 or greater
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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?
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.
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4. As this event is repeated, an organism developsthat is resistant to many of the first-line
tuberculosis medications
Transdermal patch patient teaching:
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
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
NOT for diabetics, hypotension, syncope, SLE, Gout, ANY of THESE
electrolyte imbalances: hypercalcemia, hypochloremia, hypokalemia,
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