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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 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 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 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 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

2. What is an example of an antipsychotic/neuroleptic?
Tricyclic antidepressant
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.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Clozapine

3. What is important to know about Codeine? (SE - check - use - diet)
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.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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 a potassium sparing diuretic. Do Not give with renal failure and check output.

4. What is important to know about Valtrex? (use - watch)
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 a vitamin given with iron foods to help absorption.
It is an antiviral used to treat herpes. It is toxic to the kidneys
25-27 gauge - 5/8 inch long - insert at 45 degrees.

5. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
One day
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.
Calcitonin - Salmon
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.

6. What are 2 types of SSRI antidepressants?
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Paxil and Prozac/fluoxetine

7. What medication should be taken 30 minutes before a meal?
Reglan
It is used to treat ulcerative colitis.
(cardiac med) 2.5-10 mg
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)

8. What are 3 examples of beta blockers?
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
It melts to half its volume!
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is very harmful to the kidneys (should be flushed out with fluids).

9. What are 2 examples of antidysrhythmic medications?
Azulfidine
Anafranil and elavil
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
Lidocaine and Quinidine

10. What are 2 examples of a antiretroviral?
PrednisOne - CortisOne - and DexamethasOne.
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.).
AZT/Retrovir and Norvir
Paxil and Prozac/fluoxetine

11. What are 2 examples of antiemetics?
Blood sugar
Zofran and Reglan
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
(C x 1.8) + 32

12. What is Garlic and it's uses?

13. What is an example of an anti - anxiety/anticonvulsant?
Increased fiber - increased fluids - exercise. Not Colace.
Valium
Potassium chloride and potassium
It melts to half its volume!

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

15. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
They are TB medications. They are okay to take while pregnant.
Avandia
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.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

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

17. What is an example of an adrenergic blocker?
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 used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Flomax
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

18. What is an example of a laxative/ ammonia detoxicant?
Protonix
A patient with chronic renal failure and Addison's disease because potassium can harm them.
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.
Lactalose

19. What Is IMPORTANT TO Know ABOUT HALDOL?
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
LITHIUM
BRETHINE
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.

20. What is important to know about Evista? (use - SE)
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
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.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate

21. What is important to know about protonix? (use - SE)
Methergine
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
Prostigmin
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

22. What is a normal adult dose of Diltiazem?
(cardiac med) 180-270 mg QD
Questran
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

23. What is important to know about Ritalin? (use - given to elderly - check)
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
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 (ASA) and Tylenol
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

24. What do beta blocker names end in?
Singulair
OLOL
Take 2-4 hrs apart from each other.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

25. What food considerations should be made for a patient on tetracycline?
4:00 pm (mid afternoon)
Allopurinol and COLCHICINE
Avoid milk and milk products (2 hrs prior to or after administration).
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)

26. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
No because the dye exits the body in one day!
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.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

27. What is the only diuretic that will pull fluid from the brain or the eyes?
Propylthiouracil/PTU
Zofran and Reglan
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Mannitol

28. What is important to know about singulair? (use)
1 shot glass=1 oz
No because they have opposing actions and would cancel each other out.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Propylthiouracil/PTU

29. What is an example of a electrolyte/anticonvulsant/laxative?
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.
Prevents absorption of fat from the GI tract.
MAGNESIUM SULFATE
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

30. What is a toxic level of theophylline?
Increased fiber - increased fluids - exercise. Not Colace.
Glucagon
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.
20 mcg/ml and up (therapeutic range is 10-15).

31. What is ginseng and its uses/concerns?
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Symmetrel
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.
Tricyclic antidepressant

32. How many ounces in 1 pint?
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
16 ounces

33. What is an example of a thyroid hormone?
Actonel and Boniva
Nebupent
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!
Synthroid

34. What is important to know about Epogen? ( use - outcome)
MOTRIN - Feldene - Indomethocin - and Advil.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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.

35. What is Kava and its uses/concerns?
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
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.
(cardiac med) 180-270 mg QD
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

36. Can lasix and vasopressin be given together?
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.
No because they have opposing actions and would cancel each other out.
16 ounces
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.

37. What is important to know about Morphine? ( Check - dose - contraindications)
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Atropine
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 opiate analgesic. Check BP and respirations. Dose= 2-10 mg. Do Not give with kidney stones - gallstones - increased ICP - myasthenia gravis - or pancreatitis.

38. What is important to know about tagament? (use - how to take)
ASA and NSAIDS
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
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

39. What should be taught regarding antibiotics and antacids?
Take 2-4 hrs apart from each other.
4:00 pm (mid afternoon)
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.
Calcitonin - Salmon

40. What are considerations for lovenox?

41. What is important to know about prolixin? (use - teach)
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
No bc they are made with potassium salt.
0.5-1 ml
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.

42. What 8 medications should be taken with food?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Dilantin - Neurontin - Tegretol - and Topamax
Gantrisin
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.

43. What is important to know about amphotericin B? (use - check)
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
It is an antifungal medication and creatinine and output should be checked when administered.
Infection!!!
29.573 mls

44. What are 6 examples of antipsychotics?
No because they have opposing actions and would cancel each other out.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.

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

46. What is important to know about prostigmin? (use/patients)
Evista and Fosamax
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
It is a chemo agent. SE= N&V and decreased bone marrow function.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

47. What is important to know about Aldactone? (contraindications)
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
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.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

48. 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.
OLOL
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Fluorocytosine/5 FU

49. What are two examples of electrolytes?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
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.
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
Potassium chloride and potassium

50. What is impt to know about diamox? (use)
A patient with chronic renal failure and Addison's disease because potassium can harm them.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
(cardiac med) .125- .250 mg QD
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.