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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 should be checked with aminoglycosides?
I&O and S. CR(?)
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 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.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

2. What is impt to know about anafranil? (drug type)
Valium
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
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
Tricyclic antidepressant

3. What is impt to know about imdur (isosorbide)? (use - watch for).
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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.

4. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Avandia
Increased Blood sugar - increased Na - increased H20 - and increased BP.

5. What is important to know about persantine and plavix? (contraindications)
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Aspirin (ASA) and Tylenol
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

6. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
Fluorocytosine/5 FU
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
Nausea - Sleep disturbances - constipation - gas - and vomiting.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

7. Can salt substitutes be given to Addison's patients?
No bc they are made with potassium salt.
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.
Blood sugar
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.

8. What is an example of a laxative/ ammonia detoxicant?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Lactalose
Clomid
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.

9. What is important to know about garlic? (use - contraindications)
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
No bc they are made with potassium salt.
One day
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

10. What is impt to know about zofran? (use)
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 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 antiemetic that is used to decrease N&V caused by chemo.
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.

11. For which two drugs is N&V a sign of toxicity?
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
Paxil and Prozac/fluoxetine
Digoxin and Colchicine
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.

12. Can an LPN administer all medications?
Questran
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.
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 an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.

13. With whom should nicotine be used cautiously in?
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 -
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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 an opiate analgesic. Check BP and respirations. Dose= 2-10 mg. Do Not give with kidney stones - gallstones - increased ICP - myasthenia gravis - or pancreatitis.

14. What is important to know about Synthroid? (use - teach)
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 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.).
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.

15. What is important to know about Atropine? (use - contraindications)
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
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.
Ipecac syrup
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.

16. What are 2 examples of anticoagulants?
Coumadin and Heparin
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.
Reglan
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.

17. What are 2 examples of an antiplatelet?
It is an herb used to increase memory for alzheimers and as an anticoagulant.
4 cups
(analgesic) 2-10 mgH PRN
Persantine and Plavix

18. What is important to know about Percodan/Percocet? (base)
They should be taken on a full stomach. Patients should avoid live viruses (OPV and Varicella) & infections. Check blood sugar and increase dose with stress. D/C slowly not abruptly.
Atropine
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
Reglan

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

20. What is important to know about Fosamax? (use - teach - SE)
They should be taken on a full stomach. Patients should avoid live viruses (OPV and Varicella) & infections. Check blood sugar and increase dose with stress. D/C slowly not abruptly.
Questran
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.
Levodopa

21. What is important to know about kayexelate? (time to work)
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.
It is a potassium removing resin that takes 6-8 hours to work.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
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.

22. What is an example of an anti - anxiety/anticonvulsant?
It is used to treat ulcerative colitis.
Valium
2 cups
Carafate

23. What are 4 examples of aminoglycosides?
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
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.
Azulfidine
It is an ovulation suppressant used to treat endometriosis.

24. Celsius= Farenheit .....?
Codeine - Demerol - Percodan/Percocet - and Morphine.
No because the dye exits the body in one day!
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
(F-32) divided by 1.8

25. What is an example of a med used to increase sugar?
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
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.
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.
Glucagon

26. What is important to know about amphotericin B? (use - check)
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
It is an antifungal medication and creatinine and output should be checked when administered.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
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 meds should not be taken with corticosteroids?
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
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 anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
ASA and NSAIDS

28. What is impt to know about Cozaar? (use - watch)
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).
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.).
Calcitonin - Salmon
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

29. What is important to remember about the volume of ice?
Antabuse
It melts to half its volume!
Propylthiouracil/PTU
Clozapine

30. What is important to know about Parnate? (use - watch)
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
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
NO!!!
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.

31. If someone wants to know how to measure out 1oz of medication at home What can they use?
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
Persantine and Plavix
Nausea - Sleep disturbances - constipation - gas - and vomiting.
1 shot glass=1 oz

32. What is a normal adult dose of Diazepam?
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.
(Psych med) 5-10 mg-6H
Potassium chloride and potassium
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.

33. What is important to know about Baclofen? (use - SE)
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
454 grams
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
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.

34. hat is an example of a biologic modifier?
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.
Dilantin - Neurontin - Tegretol - and Topamax
Neupogen
(analgesic) 650 mg QID

35. What is Kava and its uses/concerns?
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
454 grams
Ancef - keflex - and ceclor
I&O and S. CR(?)

36. What is important to know about Calcitonin - Salmon? (use - action - teach)
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Evista and Fosamax
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.
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.

37. What is an example of a parathyroid agent?
Calcitonin - Salmon
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
(analgesic) 2-10 mgH PRN
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.

38. What food considerations should be made for a patient on tetracycline?
Avoid milk and milk products (2 hrs prior to or after administration).
BRETHINE
Lantus
INH - Vitamin B6 - and Rifampin

39. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
No bc they are made with potassium salt.
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.
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

40. Who is EMLA cream contraindicated in?
Pitressin/Vasopressin
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is used to treat ulcerative colitis.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

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

42. What is impt to know about elavil? (teach - SE - Diet)
2 pints
Ipecac syrup
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 a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.

43. What are 3 examples of beta blockers?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Baclofen

44. What is important to know about prolixin? (use - teach)
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Fluorocytosine/5 FU
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

45. What is the benefit of a smaller needle for injections?
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
It is a vitamin and can be taken after food to reduce flushing.
Kayexelate
Less pain and decreased risk of hematoma.

46. What is important to know about Methergine? (use - check - expect)
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Os Cal
It is heparin like. The injection should be given in the abdomen and isn't massaged.
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.

47. What is important to know about procardia? (administered - use - action - SE)
Epogen
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Valtrex
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.

48. What is an example of a coronary vasodilator/antianginal?
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Nitroglycerin
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 -
(cardiac med) 40-80 mg QD

49. What is impt to know about diamox? (use)
Loose stools - vaginitis - or thrush
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
Synthroid
It is an antiviral used to treat herpes. It is toxic to the kidneys

50. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
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.
(cardiac med) .125- .250 mg QD
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 (ASA) and Tylenol