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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 7 meds should alcohol be avoided while taking?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Digoxin and Colchicine
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

2. Celsius= Farenheit .....?
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Reglan
(F-32) divided by 1.8
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.

3. What are 2 examples of erythromycin antibiotics?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Ipecac syrup
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
Levodopa

4. What is St. John's Wort and its uses/concerns?
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Lactalose
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 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.

5. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
No because the dye exits the body in one day!
Clomid
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.

6. What food considerations should be made for patients on iron supplements?
Allopurinol and COLCHICINE
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.
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 antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.

7. What is a normal adult dose of motrin?
(analgesic) 600 mg Q6H
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
(analgesic) 650 mg QID
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.

8. What is impt to know about clomid?
DIGOXIN
It is an ovulation stimulant used to increase fertility.
Acutane
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

9. What is important to know about prolixin? (use - teach)
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
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.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Allopurinol and COLCHICINE

10. 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.
Lipitor - Advicor - Crestor - Questran - and Zocor
Singulair
BRETHINE

11. What is an appropriate injection volume for a subcutaneous injection?
0.5-1 ml
Aldactone
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)
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

12. What is an example of an antiglaucoma/diuretic medication?
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
Os Cal
Diamox
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

13. What is important to know about symmetrel? (use)
LASIX and Mannitol
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 antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Aricept

14. What is a normal adult dose of Diltiazem?
(cardiac med) 180-270 mg QD
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Aricept
(cardiac med) 2.5-10 mg

15. What is important to know about a oxybutynin patch?

16. What is important to know about Aricept? (use - when to take)

17. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
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 antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

18. With whom should nicotine be used cautiously in?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Coumadin and Heparin
OLOL
Do smoke while wearing and don't apply to breast.

19. Can salt substitutes be given to Addison's patients?
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
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
No bc they are made with potassium salt.
Flomax

20. What is impt to know about quinidine? (watch for)
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Loose stools - vaginitis - or thrush
(analgesic) 650 mg QID
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.

21. What is important to know about Valtrex? (use - watch)
Pancrealipase/viokase
25-27 gauge - 5/8 inch long - insert at 45 degrees.
It is an antiviral used to treat herpes. It is toxic to the kidneys
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

22. What teaching should be done regarding transdermal patches?
NO!!!
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
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Iron

23. What is important to know about garlic? (use - contraindications)
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
1 shot glass=1 oz
Propylthiouracil/PTU
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

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

25. What is impt to know about zofran? (use)
It is an antiemetic that is used to decrease N&V caused by chemo.
29.573 mls
Levodopa
It is a biologic modifier that improves a persons immune system so that they may have less infections.

26. What nursing intervention should be used for constipation from morphine?
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Increased fiber - increased fluids - exercise. Not Colace.
It melts to half its volume!
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.

27. What is an example of an antipsychotic/antimanic?
Singulair
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.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
LITHIUM

28. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
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.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.

29. hat are 2 examples of Bisphosphonate?
Actonel and Boniva
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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 reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.

30. What does olestra do?
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
Prevents absorption of fat from the GI tract.
(Psych med) 5-10 mg-6H
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

31. What is an example of an antiprotozoal?
Nebupent
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
Azulfidine

32. What is important to know about Codeine? (SE - check - use - diet)
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.
I&O and S. CR(?)
Clomid
(cardiac med) .125- .250 mg QD

33. What is a toxic level of dilantin?
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Glyset and Glyburide
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.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

34. What are 3 examples of beta blockers?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
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
Questran
Protonix

35. What are 2 examples of aminoglycoside antibiotics?

36. What is important to remember about the volume of ice?
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
'Mycin' drugs so Gentamicin and Streptomycin
It melts to half its volume!
Persantine and Plavix

37. What is an example of a vaccine?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Gardasil

38. What is important to know about thorazine and stelazine? (use - teach - watch)
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
(C x 1.8) + 32
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
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

39. How do you know that mannitol is working effectively?
(analgesic) 2-10 mgH PRN
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
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.

40. What is an example of an ovulation suppressant?
DIGOXIN
No bc they are made with potassium salt.
Danazol
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.

41. What is important to know about amphotericin B? (use - check)
It is an antiviral used to treat herpes. It is toxic to the kidneys
It is an antifungal medication and creatinine and output should be checked when administered.
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.
8 ounces

42. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
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 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 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.

43. What is a normal adult dose of morphine sulfate?
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
(analgesic) 2-10 mgH PRN
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 an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

44. What is important to know about streptomycin? (check)
(analgesic) 50-100 mg-8H
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Questran
(analgesic) 650 mg QID

45. What is an example of an adrenergic medication?
Nitroglycerin
BETAMETHASOne
2 pints
Sudafed

46. What is important to know about Mannitol? (use - if effective..)
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 antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Carafate - Penicillin - and Isoniazid (INH).
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

47. What is an example of an antiviral?
NO!!!!!
Valtrex
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.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

48. What is black cohosh and its uses?
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Calcitonin - Salmon
Zantac and Tagamet

49. What Is IMPORTANT TO Know ABOUT HALDOL?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
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.
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

50. What is Kava and its uses/concerns?
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Gantrisin
It is an ovulation suppressant used to treat endometriosis.