NUR 283 COMP 1-3 MEDS Questions and
Correct Answers/ Latest Update /
Already Graded
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
,2 | Page
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
,3 | Page
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:
, 4 | Page
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