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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 an example of an ovulation stimulant?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Clomid
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 an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

2. What is an example of an antiparkinson agent?
Levodopa
Antabuse
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
It melts to half its volume!

3. What is important to know about Fosamax? (use - teach - SE)
NO!!!
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.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Do smoke while wearing and don't apply to breast.

4. What is a normal adult dose of aspirin?
(analgesic) 600 mg QID (with RAH)
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
DIGOXIN
Atropine

5. What is important to teach about a nitroglycerin patch?

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6. What is black cohosh and its uses?
It is an ovulation suppressant used to treat endometriosis.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
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.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

7. What is an example of a bronchodilator/spasmolytic?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
10 am (midmorning)
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
AMINOPHYLLINE (TheOPHYLLINE)

8. Who is EMLA cream contraindicated in?
Flomax
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

9. What are 4 examples of aminoglycosides?
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is an herb used for benign prostatic hyperplasia treatment and urinary infections. It doesn't affect PSA levels but they should be tested before use.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.

10. What is an example of a cholinergic stimulant?
Zantac and Tagamet
Potassium chloride and potassium
It is very harmful to the kidneys (should be flushed out with fluids).
Prostigmin

11. What is important to know about Acutane? (use - teach - SE)
It is an isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an erectile/impotence agent not to be taken with nitrates as BP can decrease quickly. SE include HA - flushed feeling upset stomach - trouble telling blue and green apart and seeing blue tinge to things - eyes more sensitive to light - blurred
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.

12. What is important to know about Percodan/Percocet? (base)
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
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
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

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

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14. What is a normal adult dose of motrin?
1 shot glass=1 oz
(analgesic) 600 mg Q6H
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 -
Clozapine

15. hat is important to know about a clonidine patch?

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16. What is a toxic level of dilantin?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
One day
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
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

17. What is an example of a calcium supplement?
16 ounces
Neupogen
Os Cal
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.

18. What teaching should be done regarding transdermal patches?
IT Is A STEROID THAT Is USED TO HASTEN FETAL LUNG MATURITY. SE include increased blood sugar so Check moms blood sugar. REQUIRES 24 HOURS TO Work. IF MOM Is GOING TO DELiver In 12 HOURS IT SHOULDN'T BE GIVEN.
It is an ovulation stimulant used to increase fertility.
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
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

19. What medication should be taken 30 minutes before a meal?
Dilantin - Neurontin - Tegretol - and Topamax
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.
Reglan
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

20. What is an example of a electrolyte/anticonvulsant/laxative?
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
MAGNESIUM SULFATE
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.

21. What is important to know about lactalose? (use)
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.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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.
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.

22. What is important to know about glucagon? (use)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
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.
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.
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

23. What food considerations should be made for a patient on Monoamine Oxidase Inhibitors (MAOIs) (ex: Marplan - nardil - parnate - & St. John's Wort)?

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24. What is an example of a potassium sparing diuretic?
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.
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
It is an antacid. ALUMINUM based side effects include constipation and binds phosphate. MAGNESIUM based side effects include diarrhea (give 30 mins after meals). Prevents absorption of other medications.
Aldactone

25. What is important to know about Vitamin C? (use)
It is a vitamin given with iron foods to help absorption.
They are used for acute gout and while on them you should increase fluids to 3000cc/day to decrease production of uric acid. If N&V OCCURS The MED SHOULD BE STOPPED BC IT MAY INDICATE TOXICITY.
(cardiac med) .125- .250 mg QD
DIGOXIN

26. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
Danazol
It is a chemo agent. SE= N&V and decreased bone marrow function.
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 should be covered by an occlusive dressing to keep it in place and assist absorption.

27. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
They are beta blockers (antihypertensives) used to decreased BP and treat angina. DO Not give to DM bc it will mask low blood sugar and DO Not give to asthma patients bc it will cause bronchospasms.
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.).
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
Pitressin/Vasopressin

28. Can pregnant nurses handle chemo medication?
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.
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
NO!!!!!
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.

29. How many pounds in 1 kilogram?
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
2.2046 pounds
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.

30. What are 2 examples of antigout medications?
Allopurinol and COLCHICINE
It is an antiviral used to treat herpes. It is toxic to the kidneys
Lantus
(cardiac med) 40-80 mg QD

31. What is an example of an antiplasmotic?
Baclofen
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Tricyclic antidepressant
Antabuse

32. Can digoxin and epinephrine given together?
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
No because they have opposing actions and would cancel each other out.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is an ovulation stimulant used to increase fertility.

33. How often are fentanyl patches for pain applied?
Diamox
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Q3 days
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.

34. What are 3 examples of Cephalosporins (Abx)?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Ancef - keflex - and ceclor

35. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
Kayexelate
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Trigeminal neuralgia (cheek nerve pain)= don't want to chew so don't eat= loose weight. If med is working the person will GAIN WEIGHT.
Ritalin

36. What is a normal adult dose of morphine sulfate?
Chantix and Zyban
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
(analgesic) 2-10 mgH PRN
LASIX and Mannitol

37. What is an example of antithyroid?
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.
Procardia
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Propylthiouracil/PTU

38. What is impt to know about diamox? (use)
An allergy to iodine
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.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
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.

39. What is important to know about viagra? (contraindications - SE)
It is an erectile/impotence agent not to be taken with nitrates as BP can decrease quickly. SE include HA - flushed feeling upset stomach - trouble telling blue and green apart and seeing blue tinge to things - eyes more sensitive to light - blurred
DIGOXIN
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
It is a vitamin given with iron foods to help absorption.

40. What is Kava and its uses/concerns?
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Take 2-4 hrs apart from each other.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
ASA and NSAIDS

41. What is important to know about nifedipine - verapamil - and toprol? (Use and watch)
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f

42. What is an example of a nonopioid analgesic?
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
Pryidium
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Fluorocytosine/5 FU

43. What is important to know about tagament? (use - how to take)
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 H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
10 am (midmorning)
No bc they are made with potassium salt.

44. What are 4 examples of Vitamins?
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
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 a chemo agent. SE= N&V and decreased bone marrow function.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

45. What is important to know about Lantus? (how take)
Tricyclic antidepressant
(cardiac med) 2.5-10 mg
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f
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.

46. What do steroid names end in?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
One
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.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.

47. What is an example of a potassium removing resin?
Kayexelate
Valtrex
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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).

48. What is impt to know about Cozaar? (use - watch)
(analgesic) 600 mg QID (with RAH)
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
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.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

49. What is important to know about levodopa? (use - SE - avoid)
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
I&O and S. CR(?)
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

50. What are 5 examples of an antilipidemic?
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Lipitor - Advicor - Crestor - Questran - and Zocor
Synthroid
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.