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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.
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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 important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
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
Chantix and Zyban
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 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

2. What is impt to know about prozac? (when take - teach)
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
(analgesic) 600 mg QID (with RAH)
2 #3 tylenols because it contains the same amount of codeine.
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.

3. What is important to know about lactalose? (use)
Aricept
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.
Take 2-4 hrs apart from each other.
Neupogen

4. How many pounds in 1 kilogram?
2.2046 pounds
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
(cardiac med) 2.5-10 mg
(cardiac med) 40-80 mg QD

5. What is an example of an antipsychotic/antimanic?
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Sudafed
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
LITHIUM

6. What is an example of an anti - anxiety/anticonvulsant?
It is an antiviral used to treat herpes. It is toxic to the kidneys
Valium
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

7. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.
(analgesic) 2-10 mgH PRN
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.

8. What is important to know about Morphine? ( Check - dose - contraindications)
ASA and NSAIDS
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 antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
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.

9. What is important to know about coumadin? (normal lab - not consume - antidote)
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
(Psych med) 5-10 mg-6H
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
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.

10. What is an example of an antiviral/antiparkinsonian?
Symmetrel
Iron
It is an ovulation suppressant used to treat endometriosis.
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.

11. What food considerations should be made for patients on iron supplements?
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 an herb used for PTSD - sleeping disorders - anxiety - restlessness - URI - and acne. Should not be used in glaucoma pts and shouldn't be taken with sleeping pills and antianxiety or antidepressant drugs. Takes 2 weeks to kick in and take at ni
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.
Reglan

12. What is important to know about levodopa? (use - SE - avoid)
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.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.

13. What is impt to know about benazepril - lisinopril - and accupril? (use - monitor)
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
It is an antiemetic that is used to decrease N&V caused by chemo.
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.

14. What is important to know about procardia? (administered - use - action - SE)
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
Increased fiber - increased fluids - exercise. Not Colace.
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.
Evista and Fosamax

15. What is impt to know about Penicillin - Amoxicillin - Ampicillin - and Augmentin? (dont give w/ - check for)

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16. All steroids cause an increase in what?
Symmetrel
Blood sugar
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Aricept

17. What are 2 examples of aminoglycoside antibiotics?

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18. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
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.
OLOL
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.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

19. What is important to know about Neomycin? (Use - effect).
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
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 -
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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.

20. What are 3 examples of Ca channel blockers (antihypertensives)?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Zofran and Reglan
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
(F-32) divided by 1.8

21. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
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.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
OLOL
(cardiac med) .125- .250 mg QD

22. What is impt to know about cardizem/calan? (use - action - SE)
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 beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
(analgesic) 2-10 mgH PRN
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.

23. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
Paxil and Prozac/fluoxetine
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.
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.
Chantix and Zyban

24. What is important to know about Topamax? (use - teach).
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 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.
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 a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

25. What are 4 examples of Vitamins?
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Questran
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Dilantin - Neurontin - Tegretol - and Topamax

26. What is an example of a hormone?
It is an oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.
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.
Evista and Fosamax
Epogen

27. What is important to know about tagament? (use - how to take)
It is an herb used to increase memory for alzheimers and as an anticoagulant.
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.
Streptokinase
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.

28. What is important to know about Feldene? (contraindication - check - teach)
It should be covered by an occlusive dressing to keep it in place and assist absorption.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
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 -
It is an ovulation stimulant used to increase fertility.

29. What is a normal adult dose of aspirin?
10 am (midmorning)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
(analgesic) 600 mg QID (with RAH)
(analgesic) 50-100 mg-8H

30. What is an example of a Dry secretions medication?
Viagra and Levitra/Celias
Loose stools - vaginitis - or thrush
Atropine
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.

31. What are 4 examples of opiate analgesics?
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.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

32. What are 2 examples of H2 Histamine Antagonist Receptors?
Zantac and Tagamet
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.
NO!!!!!
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.

33. What is important to know about a lidocaine patch?
It is an antiprotozoal used to treat protozoa infections like PCP. Pentamidine (nebupent) treats PCP (pneumocystis carnii pneumonia) IV - IM & Inhaled. Check for low BP - kidney function - and temp.
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
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 isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.

34. What is an example of an antilipemic?
454 grams
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
(F-32) divided by 1.8
Questran

35. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
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
10 am (midmorning)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.

36. What is important to know about Evista? (use - SE)
2 #3 tylenols because it contains the same amount of codeine.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Reglan
It is a bone reabsorption inhibitor used for osteoporosis in women. SE include pain/redness/swelling in legs - hands - or feet - unexplained uterine bleeding or breast abnormalities.

37. What are two examples of electrolytes?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Potassium chloride and potassium

38. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
Parnate
LITHIUM
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.
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

39. What are 2 examples erectile/impotence agents?
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.
Procardia
Viagra and Levitra/Celias
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

40. What is the benefit of a smaller needle for injections?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
MAGNESIUM SULFATE
Less pain and decreased risk of hematoma.
It is a biologic modifier that improves a persons immune system so that they may have less infections.

41. What is important to know about persantine and plavix? (contraindications)
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.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Carafate
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

42. Can an LPN administer all medications?
Avoid milk and milk products (2 hrs prior to or after administration).
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Diamox
It is an ovulation stimulant used to increase fertility.

43. How many ounces in 1 cup?
It is a vitamin given with iron foods to help absorption.
8 ounces
(analgesic) 600 mg Q6H
Gardasil

44. What is important to know about amphotericin B? (use - check)
It is an antifungal medication and creatinine and output should be checked when administered.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
It is a thrombolytic enzyme used for MI - CVA - & PE. It must be started within 6 hours and PT and PTT levels should be checked.

45. What is important to know about protonix? (use - SE)
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
Fluorocytosine/5 FU
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Aricept

46. What are 2 examples of a antiretroviral?
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
AZT/Retrovir and Norvir
It is an ovulation stimulant used to increase fertility.
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

47. What is an example of an isotretinoin?
No bc they are made with potassium salt.
It is an antiprotozoal used to treat protozoa infections like PCP. Pentamidine (nebupent) treats PCP (pneumocystis carnii pneumonia) IV - IM & Inhaled. Check for low BP - kidney function - and temp.
Acutane
Chantix and Zyban

48. What is impt to know about diamox? (use)
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 NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
20 mcg/ml and up (therapeutic range is 10-15).

49. When giving a subQ injection DONT?
Danazol
Paxil and Prozac/fluoxetine
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).

50. What is an example of a cardiac glycoside/antidysrhythmic?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
DIGOXIN
Parnate
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.