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NCLEX Medications

Subjects : nclex, health-sciences, nursing

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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 Chantix and Zyban? (use - teach - SE)
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Carafate - Penicillin - and Isoniazid (INH).
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

2. What is important to know about clozapine? (check - watch for)
Epogen
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 antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Calcitonin - Salmon

3. What is important to know about Demerol? (normal dose)
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
(F-32) divided by 1.8
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

4. What should be taught regarding antibiotics and antacids?
Nitroglycerin
Take 2-4 hrs apart from each other.
8 ounces
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.

5. What is important to know about neupogen? (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.
Do smoke while wearing and don't apply to breast.
MOTRIN - Feldene - Indomethocin - and Advil.
It is a biologic modifier that improves a persons immune system so that they may have less infections.

6. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
It is an herb that INHIBITS PLATELET AGGREGATION. It is used to lower cholesterol - treat hypertension - atherosclerosis - and URIs. It is REAllY effective against helicobacter pylori infections or ulcers (evens ones that some meds don't work on!)
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
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.

7. What is impt to know about anafranil? (drug type)
Aldactone
Tricyclic antidepressant
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

8. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
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

9. What is important to know about Niacin? (how to take)
Pryidium
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
It is a vitamin and can be taken after food to reduce flushing.

10. What is important to remember about the volume of ice?
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
It is heparin like. The injection should be given in the abdomen and isn't massaged.
It melts to half its volume!

11. What is important to know about a scopolamine patch?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
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.
Valtrex
Valium

12. What is important to know about resperidone? (use - check)
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 antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is an antiviral used to treat herpes. It is toxic to the kidneys
One

13. hat are 2 examples of Bisphosphonate?
Actonel and Boniva
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 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
DIGOXIN

14. What is important to know about antabuse? (use - avoid w/ - d/c)
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.
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.
Avandia
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

15. What is impt to know about reglan? (action - when to take)
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.
Loose stools - vaginitis - or thrush
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

16. What are 2 examples of a antiretroviral?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
(cardiac med) 180-270 mg QD
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.
AZT/Retrovir and Norvir

17. What is important to know about Acutane? (use - teach - SE)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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.
No because they have opposing actions and would cancel each other out.

18. How long does it take the dyes/contrast from tests to clear the body?
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Valtrex
One day

19. What is important to know about Percodan/Percocet? (base)
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 a chemo agent. SE= N&V and decreased bone marrow function.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Aldactone

20. What is nicotine gum used for?
Procardia
(cardiac med) .125- .250 mg QD
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
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

21. What is impt to know about cardizem/calan? (use - action - SE)
Increased fiber - increased fluids - exercise. Not Colace.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
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.

22. What is impt to know about clomid?
It is an ovulation stimulant used to increase fertility.
They are TB medications. They are okay to take while pregnant.
Carafate - Penicillin - and Isoniazid (INH).
Infection!!!

23. What is an example of a chemo agent?
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.
Fluorocytosine/5 FU
Procardia
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.

24. If NPH is given in the AM when might you see S&S of hypoglycemia?
Aricept
Glucagon
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
4:00 pm (mid afternoon)

25. With whom should nicotine be used cautiously in?
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
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
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

26. What are 2 examples of an oral hypoglycemic?
Glyset and Glyburide
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
1 shot glass=1 oz
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.

27. What is an example of a hormone?
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Epogen
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

28. What is Gingko Biloba and its uses/concerns?
Places that are prone to friction (waistline) - breasts (for patches containing estrogen or nicotine) - and try to avoid hairy areas (if you must don't shave just clip the hair close to the skin).
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.
Os Cal
It is an ovulation suppressant used to treat endometriosis.

29. What is important to know about Topamax? (use - teach).
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 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 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.
Prostigmin

30. What is important to know about prolixin? (use - teach)
4 cups
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.
16 ounces
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.

31. What is an example of a pituitary hormone?
Persantine and Plavix
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.
Pitressin/Vasopressin
Allopurinol and COLCHICINE

32. What are two examples of anti - smoking meds?
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.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Chantix and Zyban
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

33. What is saw palmetto and its uses/concerns?

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34. What teaching should be done regarding transdermal patches?
Blood sugar
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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.
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

35. What is an example of an antiglaucoma/diuretic medication?
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.
Diamox
No because they have opposing actions and would cancel each other out.
It is very harmful to the kidneys (should be flushed out with fluids).

36. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Lactalose
It melts to half its volume!
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

37. What is a toxic level of lithium?
It is an an antiretroviral used for AIDS treatment and reduction of maternal/fetal transmission. Only give to pregnant women after the 14th week and monitor CBC.
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.
Pryidium
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

38. What is a toxic level of dilantin?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
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.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
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.

39. What is important to know about Synthroid? (use - teach)
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
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 antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.

40. What is an example of a potassium sparing diuretic?
Procardia
Aldactone
Clozapine
Nebupent

41. How many pints in 1 quart?
2 cups
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
2 pints
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

42. What is important to know about ipecac syrup? (use - requirements - contraindications)
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
Valium
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

43. What is an example of a bronchodilator/spasmolytic?
Aspirin (ASA) and Tylenol
AMINOPHYLLINE (TheOPHYLLINE)
Diamox
Lidocaine and Quinidine

44. Can an LPN administer all medications?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
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.
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.

45. What is a normal adult dose of morphine sulfate?
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
(analgesic) 2-10 mgH PRN
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

46. How many cups in 1 quart?
4 cups
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.

47. What is Kava and its uses/concerns?
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 an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Potassium chloride and potassium
(C x 1.8) + 32

48. What is important to know about a nicotine patch?

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49. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
(cardiac med) 40-80 mg QD
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.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

50. What is an example of an adrenergic blocker?
Flomax
It is a diuretic used to decrease circulating volume. CHECK K+ And MONITOR EKG. IT LastS SIX HOURS. SCHEDULE ACTIVITIES FOR 6 HOURS AFTER The MED WAS Taken. Will have low specific gravity. Do Not give with Bumex and Do Not use with ICP or glaucoma.
Lipitor - Advicor - Crestor - Questran - and Zocor
Dilantin - Neurontin - Tegretol - and Topamax

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NCLEX Medications

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