NUR 283 COMP 1-3 MEDS EXAM
QUESTIONS AND ANSWERS 100%
ANSWERED.
BP meds ((lisinopril, metoprolol, valsartan, etc) - ANSWERDANGLE patient on the
side of the bed before rising and to change positions slowly to prevent orthostatic
hypotension!
Epoetin Alfa - ANSWERstimulates 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): - ANSWERbone marrow stimulant produces WBC's WATCH
for INCREASE in WBC's example: 2.6 goes up to 6
Lithium discharge instructions: - ANSWERlithium 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? - ANSWERIV 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: - ANSWERNEVER 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 - ANSWERshould 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 - ANSWERNOT 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
- ANSWERdecreased UO from 500ml/hr down to 125 ml/hr
Gentamicin peak and trough: - ANSWERPEAK 30 minutes after infusion; TROUGH
right before next medication administration
Tobramycin: - ANSWERAdverse reactions: ototoxicity (hearing damage and loss of
balance); nephrotoxicity (cloudy/bloody urine)
Allopurinol: - ANSWERtreats Gout; patient teaching: you should increase fluid
intake;alsoigvenintumorlysissyndrome
Pyridostigmine: - ANSWER(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: - ANSWERtreats seizures, bipolar disorder or other mood disorders and
trigeminal neuralgia; patient teaching: should perform good oral hygiene to prevent
gingival hyperplasia
Digoxin: - ANSWERtoxicity above 2.0 (normal levels: 0.5-2.0) patient WILL eat foods
that are potassium rich such as: potatoes, tomatoes, oranges, melon
MONITOR for nausea, weakness, bleeding blurry vision, bradycardia, dysrhythmias,
anorexia could indicate toxicity!
HOLD if pulse below 60!, & <100 in infants
antidote: Dig Immune FAB (Digibind)
Potassium sources - ANSWERbananas
avocado
potatoes
cucumber
oranges
artichokes
mangoes
QUESTIONS AND ANSWERS 100%
ANSWERED.
BP meds ((lisinopril, metoprolol, valsartan, etc) - ANSWERDANGLE patient on the
side of the bed before rising and to change positions slowly to prevent orthostatic
hypotension!
Epoetin Alfa - ANSWERstimulates 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): - ANSWERbone marrow stimulant produces WBC's WATCH
for INCREASE in WBC's example: 2.6 goes up to 6
Lithium discharge instructions: - ANSWERlithium 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? - ANSWERIV 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: - ANSWERNEVER 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 - ANSWERshould 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 - ANSWERNOT 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
- ANSWERdecreased UO from 500ml/hr down to 125 ml/hr
Gentamicin peak and trough: - ANSWERPEAK 30 minutes after infusion; TROUGH
right before next medication administration
Tobramycin: - ANSWERAdverse reactions: ototoxicity (hearing damage and loss of
balance); nephrotoxicity (cloudy/bloody urine)
Allopurinol: - ANSWERtreats Gout; patient teaching: you should increase fluid
intake;alsoigvenintumorlysissyndrome
Pyridostigmine: - ANSWER(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: - ANSWERtreats seizures, bipolar disorder or other mood disorders and
trigeminal neuralgia; patient teaching: should perform good oral hygiene to prevent
gingival hyperplasia
Digoxin: - ANSWERtoxicity above 2.0 (normal levels: 0.5-2.0) patient WILL eat foods
that are potassium rich such as: potatoes, tomatoes, oranges, melon
MONITOR for nausea, weakness, bleeding blurry vision, bradycardia, dysrhythmias,
anorexia could indicate toxicity!
HOLD if pulse below 60!, & <100 in infants
antidote: Dig Immune FAB (Digibind)
Potassium sources - ANSWERbananas
avocado
potatoes
cucumber
oranges
artichokes
mangoes
