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NCLEX Medications

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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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 ginseng and its uses/concerns?
It is an herb used to increase physical endurance - help cope with stress - improved memory - and increases cortisol. Should not be used continuously for more than 3 months without 1-2 weeks break.
It is an antipsychotic used to treat psychotic symptoms. Monitor blood sugar - temp - and liver enzymes. Not safe for kids. SE is NEUROLEPTIC MALIGNANT SYNDROME. Avoid over heating.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.

2. How many cups in 1 quart?
4 cups
Valium
ASA and NSAIDS
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

3. What are 5 examples of an antilipidemic?
Aspirin (ASA) and Tylenol
Lipitor - Advicor - Crestor - Questran - and Zocor
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.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

4. What are 2 examples of tricyclic antidepressants?
Iron
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Anafranil and elavil
BETAMETHASOne

5. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
Amphojel
One day
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

6. What is a normal adult dose of Diltiazem?
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
(cardiac med) 180-270 mg QD
No because they have opposing actions and would cancel each other out.
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.

7. What teaching should be done regarding transdermal patches?
IT Is AN ELECTROLYTE/ ANTICONVULSANT/LAXATIVE GIVEN IV TO PREVENT SEIZURES In PREGNANT WOMEN And ALCOHOLICS GOING THROUGH DETOX. Given PO for laxative effect. Watch for toxicity (decreased reflexes - outputs - & respirations). The antidote for toxici
It melts to half its volume!
Check patch for leaks - place in appropriate location - make sure skin is clean and dry - when removing a patch fold it in half and discard in safe container (needle dispenser or flush not garbage) DO Not apply heat to patches (esp. fentanyl) bc medi
MOTRIN - Feldene - Indomethocin - and Advil.

8. What are 2 examples of erythromycin antibiotics?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
2 cups
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
BETAMETHASOne

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

10. How often are fentanyl patches for pain applied?
One day
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.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Q3 days

11. What is important to know about Vitamin B6? (use - contraindication)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
It is an antithyroid used for hyperthyroid conditions (graves disease). Frequent blood tests must be done. Outcome= normal vital signs. Action= blocks TSH - T3 and T4.
Nitroglycerin

12. What food considerations should be made for a patient on lithium?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
The patient needs to consume 8-10 glasses of water a day.

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

14. What is important to know about Gingko? (use)
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.
It is an herb used to increase memory for alzheimers and as an anticoagulant.
It is a bronchodilator/spasmolytic. The NORMAL LEVEL Is 10-20 mcg/ml. Avoid coffee - tea - chocolate - and cola. Give with care to patient with heart disease. Toxicity in adult= tachycardia. In Child= nervousness.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

15. What are 3 examples of Ca channel blockers (antihypertensives)?
It is a potassium removing resin that takes 6-8 hours to work.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
2 #3 tylenols because it contains the same amount of codeine.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

16. What is a normal adult dose of Furosemide?
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 ovulation stimulant used to increase fertility.
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.
(cardiac med) 40-80 mg QD

17. What gauge and length needle is appropriate for a 1 inch tissue fold? Insertion angle?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
2 #3 tylenols because it contains the same amount of codeine.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Glyset and Glyburide

18. What is important to know about coumadin? (normal lab - not consume - antidote)
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.
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.
Imdur (Isosorbide)
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.

19. What is important to know about pancrealipase/viokase? (use - when administered)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
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.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
Epogen

20. What is St. John's Wort and its uses/concerns?
It is an anticonvulsant that is used to PREVENT SEIZURES And DECREASE NERVE PAIN. Check CBC. It suppresses bone marrow (RBC - WBC - & platelets) So at risk for infection - anemia - and bleeding. Need to PREVENT INFECTION.
Avandia
It is an adrenergic blocker used to relieve S&S of benign prostatic hyperplasia (BPH). SE include sudden drop in BP. Teaching includes no driving or engaging in hazardous tasks for the 1st 12 hours after the 1st dose. DO Not TAKE with COUMADIN or CIM
It is an herb that acts like an MAOI and is used for mild to moderate depression - anxiety - wound healing - and viral infections (herpes). Should not be used in HIV patients.

21. What is important to remember about the volume of ice?
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.
Protonix
It melts to half its volume!
Synthroid

22. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
It is an antiemetic that is used to decrease N&V caused by chemo.
0.5-1 ml
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

23. What is important to know about glucagon? (use)
(cardiac med) 2.5-10 mg
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
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.
It is very harmful to the kidneys (should be flushed out with fluids).

24. What is a normal adult dose of digoxin?
Kayexelate
The NORMAL LEVEL Is 0.5-2.0.If level is too low=SOB - dec. output - incr. edema. If level is too high= toxicity= N&V - yellow green vision - bradycardia - and anorexia. That amount of free med is What causes toxicity. D/T low serum protein NEVER give
(cardiac med) .125- .250 mg QD
Calcitonin - Salmon

25. What is an example of a pituitary hormone?
It is an ovulation suppressant used to treat endometriosis.
Pitressin/Vasopressin
It melts to half its volume!
Anafranil and elavil

26. What are 3 examples of Cephalosporins (Abx)?
Ancef - keflex - and ceclor
Remove before bedtime - mild headaches are common - and don't use the patch to treat an anginal attack (they are used to prevent not treat).
Prostigmin
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

27. What is an example of a electrolyte/anticonvulsant/laxative?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
MAGNESIUM SULFATE
(C x 1.8) + 32

28. What is an example of antithyroid?
Check patch for leaks - place in appropriate location - make sure skin is clean and dry - when removing a patch fold it in half and discard in safe container (needle dispenser or flush not garbage) DO Not apply heat to patches (esp. fentanyl) bc medi
It is a vitamin given with iron foods to help absorption.
Singulair
Propylthiouracil/PTU

29. What is an example of an antiviral/antiparkinsonian?
It is an anticonvulsant that is used to PREVENT SEIZURES And DECREASE NERVE PAIN. Check CBC. It suppresses bone marrow (RBC - WBC - & platelets) So at risk for infection - anemia - and bleeding. Need to PREVENT INFECTION.
If a slight tingling occurs stop chewing the gum until the sensation subsides - should not eat or drink 15 mins before or during - and chew one piece for about 30 mins.
(cardiac med) .125- .250 mg QD
Symmetrel

30. What is the action of beta blockers?
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Zofran and Reglan
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.

31. What is an example of an anti - anxiety/anticonvulsant?
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Avoid tyramine containing foods such as Avocado - sausage - fava beans - cheeses - wine - chocolate - coffee - cola - bananas - salami - sour cream - and fruit (overripe). CAN'T HAVE TYRAMINE FOR 2 WEEKS AFTER The MEDICATION Is STOPPED BC STILL In S
Valium
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.

32. What medication should be taken 30 minutes before a meal?
Zofran and Reglan
Reglan
No because the dye exits the body in one day!
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

33. What is important to know about resperidone? (use - check)
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is an herb used to increase physical endurance - help cope with stress - improved memory - and increases cortisol. Should not be used continuously for more than 3 months without 1-2 weeks break.
Take 2-4 hrs apart from each other.
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.).

34. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
10 am (midmorning)
It is a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.
Parnate
Symmetrel

35. What is important to teach you client about nicotine gum?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
If a slight tingling occurs stop chewing the gum until the sensation subsides - should not eat or drink 15 mins before or during - and chew one piece for about 30 mins.
Loose stools - vaginitis - or thrush
PrednisOne - CortisOne - and DexamethasOne.

36. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
It is a bronchodilator/spasmolytic. The NORMAL LEVEL Is 10-20 mcg/ml. Avoid coffee - tea - chocolate - and cola. Give with care to patient with heart disease. Toxicity in adult= tachycardia. In Child= nervousness.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
You must stop smoking and one piece of gum is chewed whenever the urge to smoke occurs (best results when on fixed schedule:-2H with at least 9 PIECES CHEWED PER DAY)
Symmetrel

37. What does olestra do?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Prevents absorption of fat from the GI tract.
It is an anticoagulant in which expected PTT values are 1 1/2 to 2 1/2 x normal. Protamine sulfate is given to reverse the drug. PTT < 45 = no anticoag and > 75=hemorrhage (look for bruises/red - brown urine. DO Not use with MI.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

38. What is an example of an antifungal med?
No bc they are made with potassium salt.
It is a potassium removing resin that takes 6-8 hours to work.
Amphotericin B
NO!!!!!

39. What 3 medications should be taken on an empty stomach (at least 1 hr before meal)?
Carafate - Penicillin - and Isoniazid (INH).
8 ounces
Propylthiouracil/PTU
(analgesic) 650 mg QID

40. What is important to know about Synthroid? (use - teach)
Do smoke while wearing and don't apply to breast.
Reglan
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.).
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

41. What are 5 examples of herbs?

42. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
Glucagon
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.
Clomid
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.

43. What medication may be prescribed in conjunction with Chantix and why?
It is an antiviral used to treat herpes. It is toxic to the kidneys
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
(Psych med) 5-10 mg-6H
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.

44. What is important to know about Percodan/Percocet? (base)
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.
ASA and NSAIDS
They are opiate analgesics. Percoce(T) is tylenol based and Percoda(N) is aspirin based. Stomach problems (gastric ulcer)= Percocet over Percodan bc less hard on the stomach than ASA. Dilantin hard on liver/tylenol is hard on liver so give percodan i
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

45. What is important to know about Aspirin? (avoid - check - do not give w/).
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
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.
IT Is A SMOOTH MUSCLE RELAXER USED for asthma patients And TO STOP PREMATURE LABOR. (if it doesn't stop premature labor then the patient must come into the ER).
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

46. What is an example of a potassium sparing diuretic?
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.
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
Aldactone
It is a biologic modifier that improves a persons immune system so that they may have less infections.

47. What is important to know about Vitamin C? (use)
It is very harmful to the kidneys (should be flushed out with fluids).
Symmetrel
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is a vitamin given with iron foods to help absorption.

48. What is important to know about Valtrex? (use - watch)
It is an antiviral used to treat herpes. It is toxic to the kidneys
Ipecac syrup
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.
It is an antiretroviral used to treat HIV.

49. What is important to know about Aldactone? (contraindications)
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Aspirin (ASA) and Tylenol
'Mycin' drugs so Gentamicin and Streptomycin

50. What is important to know about Codeine? (SE - check - use - diet)
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It reduces pain or various procedures including venipuncture - heel lances - and circumcision. It anesthetizes nerve endings for up to four hours and should be applied an hour prior to the procedure (although studies show it still reduces pain even 5
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.
It is a parathyroid agent used for osteoporosis. It inhibits bone reabsorption and promotes renal excretion of calcium (effects opposite of parathyroid hormone (PTH)). Teach them to call Dr. for allergic reaction or nasal irritation from nasal spray.