AND ANSWERS GRADED A+ 2026
BP meds ((lisinopril, metoprolol, valsartan, etc) -Correct Answer ✔-DANGLE
patient on the side of the bed before rising and to change positions slowly to
prevent orthostatic hypotension!
Epoetin Alfa -Correct 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): -Correct Answer ✔-bone marrow stimulant produces
WBC's WATCH for INCREASE in WBC's example: 2.6 goes up to 6
Lithium discharge instructions: -Correct 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? -Correct 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 -Correct Answer ✔-
Transdermal patch patient teaching: -Correct 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 -Correct 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 -Correct 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 -Correct Answer ✔-decreased UO from 500ml/hr down to 125 ml/hr
Gentamicin peak and trough: -Correct Answer ✔-PEAK 30 minutes after infusion;
TROUGH right before next medication administration
Tobramycin: -Correct Answer ✔-Adverse reactions: ototoxicity (hearing damage
and loss of balance); nephrotoxicity (cloudy/bloody urine)
Allopurinol: -Correct Answer ✔-treats Gout; patient teaching: you should increase
fluid intake;alsoigvenintumorlysissyndrome