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NCLEX Medications

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What is an example of an antiprotozoal?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Nebupent
Loose stools - vaginitis - or thrush
Parnate

2. What is important to know about ipecac syrup? (use - requirements - contraindications)
It is an antiretroviral used to treat HIV.
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
4:00 pm (mid afternoon)
It is a vaccine used to protect against cervical cancer - abormal - and precancerous cervical/vaginal/& vulvar lesions & genital warts. SE include HA - fever - N&V - dizziness - fainting. Dose= 3 injections over 6 months (2nd is 2 months after 1st -

3. What nursing intervention should be used for constipation from morphine?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
It is an opiate analgesic. SE include constipation. Monitor bowel movements. And it is the only med for head injuries. Pt should be on a high fiber diet.
Increased fiber - increased fluids - exercise. Not Colace.

4. What is important to know about Atropine? (use - contraindications)
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Prevents absorption of fat from the GI tract.

5. What is important to know about antabuse? (use - avoid w/ - d/c)
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Aspirin (ASA) and Tylenol
It is an alcohol deterrent medication to prevent alcohol abuse. It should not be taken with alcohol or cough syrup and must be d/c for 2 weeks before taking a drink.
Potassium chloride and potassium

6. What is important to know about Synthroid? (use - teach)
It is a thyroid hormone that is used lifelong after a thyroidectomy or for hypothyroidism. Teach patients to report signs of overdose (incr. HR) and avoid stimulant (coffee - tea - etc.).
It is an opiate analgesic. Check BP and respirations. Dose= 2-10 mg. Do Not give with kidney stones - gallstones - increased ICP - myasthenia gravis - or pancreatitis.
454 grams
Ancef - keflex - and ceclor

7. hat is an example of a biologic modifier?
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Lantus
Neupogen
LASIX and Mannitol

8. Who is EMLA cream contraindicated in?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is an anticonvulsant that is used for seizure - neuropathy - and migraine headaches. Teach to increase fluids to avoid kidney stones - no driving until effects known - and decreases effect of birth control meds.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

9. What is important to know about Neomycin? (Use - effect).
Lidocaine and Quinidine
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is an antibiotic that is not absorbed by the gut and used to sterilize the gut by decreasing e.coli leading to decreased ammonia level resulting in improved LOC.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.

10. What Is IMPORTANT TO Know ABOUT BETAMETHASOne? (use - SE - check - action timing)

11. What is important to know about a norelgestromin patch?

12. Can salt substitutes be given to renal failure patients?
No bc they are made with potassium salt.
It is an antihypertensive that should be administered via prick and squeeze method under the tongue for above T6 lesion. It will decrease BP - increase blood to myocardium - and decrease pain. SE includes peripheral edema.
It is a diuretic that is used for an increased ICP or glaucoma patient. Patient LOC will improve and vital signs will return to normal if effective.
NO!!!!!

13. What is important to know about Levitra/celias? (use - SE - contraindications)
It is an erectile/impotence agent used for erectile dysfunction. SE include HA - flushing - dizziness - insomnia - MI - CV collapse - and erection lasting > 4 hours. DO Not use with beta blockers or nitrates.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
2 pints
Singulair

14. What are 2 examples of tricyclic antidepressants?
Increased fiber - increased fluids - exercise. Not Colace.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Anafranil and elavil
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

15. What is important to know about symmetrel? (use)
Singulair
Clozapine
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is an antipsychotic/antimanic. The normal level is 0.6-1.2 mEq/L. Signs of toxicity include DEHYDRATION And N&V. Do Not give with lasix. Watch for patient with stomach ache and not drinking. Pt within therapeutic level=no mania <0.6=mania.

16. What should be taught regarding antibiotics and antacids?
It is an ovulation suppressant used to treat endometriosis.
Take 2-4 hrs apart from each other.
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Calcitonin - Salmon

17. What is important to know about prolixin? (use - teach)
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Kayexelate
1 shot glass=1 oz

18. What are considerations for lovenox?

19. What is Echinacea and its uses? Who Shouldn't use it?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Gantrisin

20. How many pounds in 1 kilogram?
2.2046 pounds
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Azulfidine

21. What is important to know about Lantus? (how take)
(analgesic) 600 mg Q6H
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
It is an insulin that should be taken at the same time everyday. Can take with or without food. It is a 24 hour insulin. Do not mix with any other insulin including regular.
ASA and NSAIDS

22. What is impt to know about neurontin? (Use)
They are cephalosporin drugs in which you look for thrush in babies - yeast infections in females - tx=Give yogurt to prevent vaginal probs and check for allergy to PNC.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

23. What is an example of an antacid?
Amphojel
Azulfidine
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
They should be taken on a full stomach. Patients should avoid live viruses (OPV and Varicella) & infections. Check blood sugar and increase dose with stress. D/C slowly not abruptly.

24. What is an example of an antipsychotic/antimanic?
LITHIUM
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
It is an anticonvulsant that is used for seizure - neuropathy - and migraine headaches. Teach to increase fluids to avoid kidney stones - no driving until effects known - and decreases effect of birth control meds.
Atropine

25. What is important to know about pancrealipase/viokase? (use - when administered)
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Aspirin (ASA) and Tylenol
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.

26. What is an example of an MAOI?
Parnate
Do not give if patient has liver disease and it's not useful for anti - inflammatory. There are 4 kinds each with the same amount of tylenol and different amounts of codeine. (1=325 T and 8mg C - 2= 325 T and 15 mg C - 3= 325 T and 30 mg C - and 4= 3
25-27 gauge - 5/8 inch long - insert at 45 degrees.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

27. What is an example of an antiviral/antiparkinsonian?
16 ounces
Symmetrel
It is an erythromycin antibiotic that is used for Upper respiratory infections and is considered a super antibiotic that works in 2-3 days. You should monitor PT & INR when on coumadin also. DO Not take with antacids.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).

28. What is a drawback of a transdermal drug patch?

29. What is an example of a cerebral stimulant?
Ritalin
10 am (midmorning)
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
Nebupent

30. What is important to know about Chantix and Zyban? (use - teach - SE)
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
(analgesic) 600 mg Q6H
PrednisOne - CortisOne - and DexamethasOne.

31. What are 2 examples erectile/impotence agents?
Amphojel
Viagra and Levitra/Celias
Streptokinase
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

32. What is impt to know about prozac? (when take - teach)
It is an SSRI antidepressant that can cause sleep problems so should be given in the AM. It takes 6 weeks to begin working so teach other stress reduction techniques until med is working.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
(C x 1.8) + 32
Loose stools - vaginitis - or thrush

33. What is an example of a med used to increase sugar?
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Synthroid
Glucagon
Lantus

34. In What type of patient should high potassium foods be avoided?

35. What are two examples of anti - smoking meds?
Apply to the most painful area and up to 3 patches can be applied at once for up to 12 hours in a 24 hour period.
It is an anticonvulsant with a therapeutic level of 10-20. Used to decrease seizures and nerve pain. It can cause gingival hyperplasia and children should have regular dental appts. If the level is too low= seizures - too high= ataxia. Monitor renal
Chantix and Zyban
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

36. What is a normal adult dose of digoxin?
(cardiac med) .125- .250 mg QD
It is an antipsychotic. Know SE And PATIENT TEACHING (select all that apply). SE INCLUDE EPS SIGNS - TACHYCARDIA - HYPOTENSION - and NEUROLEPTIC MALIGNANT SYNDROME. TEACHING INCLUDES DONT STOP TAKING The DRUG SUDDENLY - SEVERAL WEEKS FOR EFFECT - Cha
It is a laxative/ammonia detoxicant used to decrease ammonia leading to increased LOC (expected outcome). If ammonia level is increasing give PRN dose of lactalose. Used as a laxative for cirrhosis also.
Singulair

37. What is an example of a potassium sparing diuretic?
Questran
Aldactone
Q3 days
8 ounces

38. What are 2 examples of an oral hypoglycemic?
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
It is a bone reabsorption inhibitor used in postmenopausal women suffering from osteoporosis. Teach to remain upright for 30 mins after taking. SE include trouble swallowing - chest pain - or severe worsening heartburn.
Glyset and Glyburide

39. What are 4 examples of antibiotics?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
It is a pituitary hormone that has an effect on diabetes insipidus. It decreases urine output. Specific gravity < 1.010= not enough med - SG > 1.025= too much med. DO Not mix with lasix and measure specific gravity frequently.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

40. How many cups in 1 quart?
They are cephalosporin drugs in which you look for thrush in babies - yeast infections in females - tx=Give yogurt to prevent vaginal probs and check for allergy to PNC.
Avoid taking with (and up to 1 hour after) milk - eggs - coffee - or tea. Liquid iron should be added to water or juice and given through a straw to prevent stains.
Flomax
4 cups

41. With whom should nicotine be used cautiously in?
Synthroid
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Amphotericin B

42. What are appropriate sites for subQ injections?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Azulfidine

43. What is important to know about nitroglycerin? (use - store - when take - SE)
20 mcg/ml and up (therapeutic range is 10-15).
Dilantin - Neurontin - Tegretol - and Topamax
Mannitol
It is a vasodilator/antianginal used to increase coronary blood flow through vasodilation. Keep away from heat - store in dark place - take before stress - and expect HA.

44. What is nicotine gum used for?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
Kayexelate
ASA and NSAIDS
Vitamin K counteracts its effect. PT level should be 1 1/2 to 2 1/2 times normal value =expected (< 1 1/2 = increased clotting - > 2 1/2= hemorrhage). DO Not consume large amounts of salad ginkgo or garlic while on.

45. What is an example of a parathyroid agent?
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
No because they have opposing actions and would cancel each other out.
Calcitonin - Salmon
LITHIUM

46. What is Valerian root and its uses/concerns?

47. What is important to know about Aldactone? (contraindications)
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
Calcitonin - Salmon
DIGOXIN

48. How do you know that Tegretol is working effectively for trigeminal neuralgia?

49. What medication may be prescribed in conjunction with Chantix and why?
They are bisphosphonates. They are used for osteoporosis. The teaching is to sit upright for 30 mins after taking to prevent irritation. SE include trouble swallowing - chest pain - and severe or worsening heart burn.
MOTRIN - Feldene - Indomethocin - and Advil.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

50. What locations should be avoided when placing transdermal patches?