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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 7 meds should alcohol be avoided while taking?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
8 ounces
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
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

2. What is important to know about singulair? (use)
Clozapine
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 a bronchodilator used to prevent asthma attacks and prophylaxis.
20 mcg/ml and up (therapeutic range is 10-15).

3. What is important to know about zantac? (use - how to take)
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
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 a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
(analgesic) 600 mg Q6H

4. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
It melts to half its volume!
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.
2 pints

5. What are 3 examples of anti - inflammatory corticosteroids?
PrednisOne - CortisOne - and DexamethasOne.
The patient needs to consume 8-10 glasses of water a day.
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
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

6. What are 5 examples of an antilipidemic?
Lipitor - Advicor - Crestor - Questran - and Zocor
No because they have opposing actions and would cancel each other out.
Gantrisin
Remove before bedtime - mild headaches are common - and don't use the patch to treat an anginal attack (they are used to prevent not treat).

7. What is important to know about lidocaine? (use)
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
It is an antiretroviral used to treat HIV.
Synthroid
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

8. What are contraindications for nicotine gum?
DIGOXIN
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Blood sugar

9. What is impt to know about anafranil? (drug type)
Tricyclic antidepressant
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.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

10. What teaching should be done regarding transdermal patches?
2 cups
Amphojel
Loose stools - vaginitis - or thrush
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

11. How many ounces in 1 pint?
Diamox
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
16 ounces
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

12. How many pints in 1 quart?
It is an antiemetic that is used to decrease N&V caused by chemo.
Questran
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
2 pints

13. If someone wants to know how to measure out 1oz of medication at home What can they use?
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
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.
1 shot glass=1 oz

14. What is important to know about Levitra/celias? (use - SE - contraindications)
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
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.
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 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.

15. What is important to know about heparin? (normal lab - antidote)
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.
Iron
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/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.

16. What should be taught regarding antibiotics and antacids?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
Os Cal
Take 2-4 hrs apart from each other.
Ipecac syrup

17. What is important to know about coumadin? (normal lab - not consume - antidote)
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Methergine
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
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.

18. What is important to know about lactalose? (use)
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
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.
Valtrex
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.

19. What are 2 examples of antidysrhythmic medications?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Lidocaine and Quinidine
No bc they are made with potassium salt.

20. What is important to know about BIAXIN? (USE)
Danazol
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
Infection!!!
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.

21. What is important to know about nebupent? (use - routes - check)
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.
Levodopa
AZT/Retrovir and Norvir
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

22. What are 4 examples of anticonvulsants?
Parnate
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).
Dilantin - Neurontin - Tegretol - and Topamax
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.

23. What is an example of insulin?
Clozapine
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Tricyclic antidepressant
Lantus

24. What are two examples of electrolytes?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Potassium chloride and potassium
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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

25. If tylenol #4 isn't available What can you give?
Streptokinase
Less pain and decreased risk of hematoma.
2 #3 tylenols because it contains the same amount of codeine.
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.

26. What is an example of an antiplasmotic?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Baclofen
29.573 mls
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. What is important to know about a lidocaine patch?
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!)
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 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
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.

28. What is important to know about Azulfidine? (Use)
Nebupent
It is used to treat ulcerative colitis.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

29. What is EMLA cream used for?
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
16 ounces
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.

30. With whom should nicotine be used cautiously in?
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
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.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Neupogen

31. What are 2 examples of a diruretic?
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
LASIX and Mannitol
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
It is heparin like. The injection should be given in the abdomen and isn't massaged.

32. What are 2 examples of aminoglycoside antibiotics?

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33. What meds should not be taken with corticosteroids?
(C x 1.8) + 32
ASA and NSAIDS
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

34. What is important to know about nitroglycerin? (use - store - when take - SE)
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 a vitamin given with iron foods to help absorption.
Amphotericin B
The patient needs to consume 8-10 glasses of water a day.

35. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
(cardiac med) .125- .250 mg QD
It is a potassium removing resin that takes 6-8 hours to work.
Acutane
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.

36. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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.
Valtrex

37. What is impt to know about cardizem/calan? (use - action - SE)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
One day
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
(analgesic) 50-100 mg-8H

38. What is important to know about resperidone? (use - check)
It is heparin like. The injection should be given in the abdomen and isn't massaged.
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 used to treat schizophrenia symptoms . Check BP lying and standing.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

39. 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.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
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.
Calcitonin - Salmon

40. hat is an example of a biologic modifier?
Symmetrel
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Neupogen

41. What is a type of sulfa antibiotic?
Gantrisin
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.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.

42. What is important to know about kayexelate? (time to work)
It is a potassium removing resin that takes 6-8 hours to work.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.

43. What is an example of a Dry secretions medication?
No because they have opposing actions and would cancel each other out.
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.
Atropine
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

44. What is an example of a calcium supplement?
Os Cal
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.
It is a chemo agent. SE= N&V and decreased bone marrow function.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

45. What is an example of a reversible cholinesterase inhibitor?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
It is an herb used to increase memory for alzheimers and as an anticoagulant.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Aricept

46. What is impt to know about clomid?
It is an ovulation stimulant used to increase fertility.
Propylthiouracil/PTU
Procardia
It is a biologic modifier that improves a persons immune system so that they may have less infections.

47. Who is EMLA cream contraindicated in?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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.
Tricyclic antidepressant
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

48. What is Valerian root and its uses/concerns?

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49. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
They are TB medications. They are okay to take while pregnant.
DIGOXIN
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
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.

50. What is the benefit of a smaller needle for injections?
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
Less pain and decreased risk of hematoma.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Dilantin - Neurontin - Tegretol - and Topamax