NUR 283 COMP 1-3 MEDS 2026/2027 WITH
QUESTIONS AND ANSWERS WRITTEN CORRECTLY
BP meds ((lisinopril, metoprolol, valsartan, etc) - Correct Answers DANGLE patient on the side
of the bed before rising and to change positions slowly to prevent orthostatic hypotension!
Epoetin Alfa - Correct Answers 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 Answers bone marrow stimulant produces WBC's WATCH for
INCREASE in WBC's example: 2.6 goes up to 6
Lithium discharge instructions: - Correct Answers 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 Answers 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 Answers
Transdermal patch patient teaching: - Correct Answers 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 Answers 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 Answers 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
Answers decreased UO from 500ml/hr down to 125 ml/hr
Gentamicin peak and trough: - Correct Answers PEAK 30 minutes after infusion; TROUGH right
before next medication administration
Tobramycin: - Correct Answers Adverse reactions: ototoxicity (hearing damage and loss of
balance); nephrotoxicity (cloudy/bloody urine)
Allopurinol: - Correct Answers treats Gout; patient teaching: you should increase fluid
intake;alsoigvenintumorlysissyndrome
QUESTIONS AND ANSWERS WRITTEN CORRECTLY
BP meds ((lisinopril, metoprolol, valsartan, etc) - Correct Answers DANGLE patient on the side
of the bed before rising and to change positions slowly to prevent orthostatic hypotension!
Epoetin Alfa - Correct Answers 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 Answers bone marrow stimulant produces WBC's WATCH for
INCREASE in WBC's example: 2.6 goes up to 6
Lithium discharge instructions: - Correct Answers 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 Answers 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 Answers
Transdermal patch patient teaching: - Correct Answers 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 Answers 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 Answers 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
Answers decreased UO from 500ml/hr down to 125 ml/hr
Gentamicin peak and trough: - Correct Answers PEAK 30 minutes after infusion; TROUGH right
before next medication administration
Tobramycin: - Correct Answers Adverse reactions: ototoxicity (hearing damage and loss of
balance); nephrotoxicity (cloudy/bloody urine)
Allopurinol: - Correct Answers treats Gout; patient teaching: you should increase fluid
intake;alsoigvenintumorlysissyndrome
