NUR 283 Comp EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS NEWEST VERSION

NUR 283 Comp EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS NEWEST VERSION BP meds ((lisinopril, metoprolol, valsartan, etc) - ANSWER DANGLE patient on the side of the bed before rising and to change positions slowly to prevent orthostatic hypotension! Epoetin Alfa - ANSWER 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): - ANSWER bone marrow stimulant produces WBC's WATCH for INCREASE in WBC's example: 2.6 goes up to 6 Lithium discharge instructions: - ANSWER 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? - ANSWER 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 - ANSWER Transdermal patch patient teaching: - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER decreased UO from 500ml/hr down to 125 ml/hr Phenytoin (Dilantin) - ANSWER used to treat convulsions antipsychotic therp range 10-20 give slowly to prevent hypotension & cardiac dysrhytmias do not drive after taking decrease birth control effect (use condom/back up protection) must be given slowly to prevent hypotension & cardiac dysrhythmias Rh (D) immune globulin - ANSWER Mother is negative, baby is positive Most successful if administered twice ( 28 weeks and 72 hours after delivery) Digoxin - ANSWER Take apical HR x 1 full minute Withhold digoxin if the apical pulse is less than 100 bpm in infants, 70 bpm in older children, 60 in adults. Monitor dig levels for signs of toxicity - anorexia, poor feeding, N/V, blurred vision, bradycardia, (obtain current vital sign readings) Therap. Range 0.5-2 Warfarin (Coumadin) - ANSWER Used For DVT, and A-fib Normal Pt 11-12.5 (1.5-2X higher than normal if on coumadin) Normal INR 0.9-1.2 (2-3 if on coumadin) Antidote: Vitamin K Lithium - ANSWER Therp. Range 0.5-1.5 Hyponatremic/dehydration precipitates toxicity Do Not exercise a lot! Toxicity starts at 2 The therapeutic dose is slightly less than the amount producing toxicity. The cause of an increase in the lithium level: decreased sodium intake, fluid and electrolyte loss associated with excessive sweating, dehydration, diarrhea, or diuretic therapy and illness or overdose. Serum lithium levels should be checked frequently after initiation of therapy and then every 1-2 months or whenever any behavioral change suggests an altered serum level. Blood samples to check serum lithium levels should be drawn in the morning, 12 hrs after the last dose was taken. SE / ADV: Polyuria, polydipsia, anorexia, nausea, dry mouth, weight gain, abdominal bloating, soft stools, fine hand tremors, inability to concentrate, muscle weakness, lethargy, hair loss, and hypothyroidism Interventions: Monitor suicidal client Admin meds with food Avoid excessive amounts of coffee, tea, cola, alcohol, OTC meds NO diuretics Do not adjust dose or abruptly stop meds Therapeutic Effects should happen from 1-3 weeks Maintain Fluid intake 6-8 glasses per day and adequate salt intake to prevent toxicity.