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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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1. What is Gingko Biloba and its uses/concerns?
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.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose 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.

2. All steroids cause an increase in what?
Clozapine
Blood sugar
I&O and S. CR(?)
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

3. What is the action of beta blockers?
A patient with chronic renal failure and Addison's disease because potassium can harm them.
No because the dye exits the body in one day!
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.

4. What is important to know about singulair? (use)
It is an antiviral used to treat herpes. It is toxic to the kidneys
(cardiac med) 180-270 mg QD
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
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.

5. What is a toxic level of theophylline?
4 cups
Glucagon
Gram (ex: pyelogram)
20 mcg/ml and up (therapeutic range is 10-15).

6. What must you watch for when on corticosteroids?
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
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
Aricept
Infection!!!

7. What is important to know about levodopa? (use - SE - avoid)
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 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
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

8. What is an example of a nonopioid analgesic?
Pryidium
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.
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.
Aricept

9. What is important to know about Evista? (use - SE)
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
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.
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.
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.

10. Celsius= Farenheit .....?
Ipecac syrup
(F-32) divided by 1.8
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Flomax

11. What is important to know about Topamax? (use - teach).
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
Azulfidine
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.
Aricept

12. What is important to know about protonix? (use - SE)
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Pancrealipase/viokase
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

13. What is important to know about antabuse? (use - avoid w/ - d/c)
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.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Lipitor - Advicor - Crestor - Questran - and Zocor
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.

14. What is impt to know about imdur (isosorbide)? (use - watch for).
Imdur (Isosorbide)
DIGOXIN
Epogen
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

15. What are 2 examples of antigout medications?
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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.
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.
Allopurinol and COLCHICINE

16. What letter on the end of a test indicate Iodine?
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.
Gram (ex: pyelogram)
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.
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.

17. What are 4 examples of anticonvulsants?
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
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.
Dilantin - Neurontin - Tegretol - and Topamax
8 ounces

18. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
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.
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.
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.
Gram (ex: pyelogram)

19. Can digoxin and epinephrine given together?
Chantix and Zyban
No because they have opposing actions and would cancel each other out.
Coumadin and Heparin
(analgesic) 650 mg QID

20. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
16 ounces
One
BRETHINE
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

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

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22. What is important to know about Synthroid? (use - teach)
Symmetrel
Streptokinase
2.2046 pounds
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.).

23. What is an example of an ovulation stimulant?
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Clomid
Gardasil
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

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

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

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26. What is an example of an emetic?
Less pain and decreased risk of hematoma.
Ipecac syrup
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.
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

27. How many cups in 1 quart?
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 an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
4 cups

28. What is nicotine gum used for?
Atropine
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
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.

29. How many pounds in 1 kilogram?
2.2046 pounds
1 shot glass=1 oz
Lactalose
Acutane

30. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
LASIX and Mannitol
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

31. What is a type of sulfa antibiotic?
Gantrisin
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 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 -
MAGNESIUM SULFATE

32. What are 2 examples of a diruretic?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
LASIX and Mannitol
No bc they are made with potassium salt.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

33. What is impt to know about reglan? (action - when to take)
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
Dilantin - Neurontin - Tegretol - and Topamax
Protonix
Lipitor - Advicor - Crestor - Questran - and Zocor

34. If a person is prescribed lasix - streptomycin - and morphine and you go into give them there medication and they can't hear you tell them what meds you are giving. Which med should be stopped?
Prostigmin
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
Clozapine
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

35. What is important to know about Paxil? (Use - teach)
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
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).
Clomid

36. What is an example of a proton pump inhibitor?
Protonix
PrednisOne - CortisOne - and DexamethasOne.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
Digoxin and Colchicine

37. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
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 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 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.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

38. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
Glyset and Glyburide
No because the dye exits the body in one day!
It is an antiretroviral used to treat HIV.
Pitressin/Vasopressin

39. What is a normal adult dose of Furosemide?
454 grams
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
(cardiac med) 40-80 mg QD
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

40. What is important to know about Gardasil? (use - SE - dosing - contraindications)
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 -
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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

41. What is Garlic and it's uses?

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42. What is important to teach you client about nicotine gum?
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.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
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.

43. How many grams in 1 pound?
Diamox
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
454 grams
(C x 1.8) + 32

44. What is a normal adult dose of digoxin?
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
(cardiac med) .125- .250 mg QD
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
It is used to treat ulcerative colitis.

45. What is important to know about Lantus? (how take)
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.
Prevents absorption of fat from the GI tract.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Codeine - Demerol - Percodan/Percocet - and Morphine.

46. What is important to know about Questran? (Use - SE - diet)
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.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.

47. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
It is an antifungal medication and creatinine and output should be checked when administered.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.

48. What are 2 examples of antidysrhythmic medications?
Lidocaine and Quinidine
Ritalin
Glyset and Glyburide
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.

49. What is impt to know about neurontin? (Use)
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Fluorocytosine/5 FU
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

50. What are 2 examples of a antiretroviral?
AZT/Retrovir and Norvir
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Protonix
Baclofen

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