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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 Niacin? (how to take)
It is a vitamin and can be taken after food to reduce flushing.
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
Mannitol
NO!!!

2. What is important to know about ipecac syrup? (use - requirements - contraindications)
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.
4 cups
Imdur (Isosorbide)
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

3. What is impt to know about Allopurinol and COLCHICINE? (use - teach - toxicity)
AZT/Retrovir and Norvir
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
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
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.

4. If tylenol #4 isn't available What can you give?
2 #3 tylenols because it contains the same amount of codeine.
It should be covered by an occlusive dressing to keep it in place and assist absorption.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Baclofen

5. What are 2 examples of bone reabsorption inhibitors?
Evista and Fosamax
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.
Avoid milk and milk products (2 hrs prior to or after administration).
Questran

6. What food considerations should be made for a patient on tetracycline?
No because they have opposing actions and would cancel each other out.
Avoid milk and milk products (2 hrs prior to or after administration).
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
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.

7. What is a toxic level of digoxin?
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.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Synthroid

8. What is important to know about Chantix and Zyban? (use - teach - SE)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.

9. What is important to know about Calcitonin - Salmon? (use - action - teach)
Zofran and Reglan
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.
(analgesic) 650 mg QID
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!)

10. If NPH is given in the AM when might you see S&S of hypoglycemia?
Glucagon
2 pints
4:00 pm (mid afternoon)
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.

11. What is important to know about Percodan/Percocet? (base)
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
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
Avoid milk and milk products (2 hrs prior to or after administration).
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

12. In What type of patient should vitamin K containing foods be increased?
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
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.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

13. What should be done right after the EMLA cream is applied?
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.
(F-32) divided by 1.8
Anafranil and elavil
It should be covered by an occlusive dressing to keep it in place and assist absorption.

14. What is important to know about Topamax? (use - teach).
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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.
Glyset and Glyburide

15. Can salt substitutes be given to renal failure patients?
Nebupent
Coumadin and Heparin
Nausea - Sleep disturbances - constipation - gas - and vomiting.
No bc they are made with potassium salt.

16. What is impt to know about cardizem/calan? (use - action - SE)
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
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.
(cardiac med) 40-80 mg QD

17. What is important to know about Aldactone? (contraindications)
0.5-1 ml
Pancrealipase/viokase
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
NO!!!!!

18. What is important to know about amphotericin B? (use - check)
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.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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 antifungal medication and creatinine and output should be checked when administered.

19. What is impt to know about clomid?
It is an ovulation stimulant used to increase fertility.
Acutane
Pitressin/Vasopressin
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.

20. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
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.
It is a vitamin given with iron foods to help absorption.
Do smoke while wearing and don't apply to breast.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

21. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
Digoxin and Colchicine
No because they have opposing actions and would cancel each other out.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
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.

22. What is impt to know about Ancef - keflex - and ceclor? (SE - TX - check for).
Ipecac syrup
Iron
MOTRIN - Feldene - Indomethocin - and Advil.
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.

23. What is an example of an emetic?
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Ipecac syrup
Nausea - Sleep disturbances - constipation - gas - and vomiting.

24. What are 2 examples of aminoglycoside antibiotics?

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25. What is impt to know about imdur (isosorbide)? (use - watch for).
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
INH - Vitamin B6 - and Rifampin
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

26. How long does it take the dyes/contrast from tests to clear the body?
Tricyclic antidepressant
Levodopa
One day
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.

27. What is important to know about tagament? (use - how to take)
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
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.
It is an ovulation stimulant used to increase fertility.
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.

28. What is a normal adult dose of Coumadin (warfarin)?
(cardiac med) 2.5-10 mg
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
Antabuse
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

29. When giving a subQ injection DONT?
Do smoke while wearing and don't apply to breast.
(cardiac med) 40-80 mg QD
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
Sudafed

30. What is an example of an antiinflammatory?
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 -
Azulfidine
Aldactone
Parnate

31. What is a toxic level of dilantin?
They are TB medications. They are okay to take while pregnant.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

32. What are contraindications for nicotine gum?
2 cups
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 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
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.

33. How is nicotine gum initiated?
Ritalin
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.
Antabuse
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)

34. What is an example of an MAOI?
Danazol
Paxil and Prozac/fluoxetine
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Parnate

35. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
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
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
454 grams

36. What is impt to know about neurontin? (Use)
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.
It is a potassium removing resin that takes 6-8 hours to work.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.

37. What is an example of a coronary vasodilator/antianginal?
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.
Actonel and Boniva
Nitroglycerin
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

38. What is important to know about Evista? (use - SE)
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 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.
(analgesic) 600 mg Q6H
25-27 gauge - 5/8 inch long - insert at 45 degrees.

39. What is an example of an antipsychotic/antimanic?
LITHIUM
Synthroid
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
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

40. What are common side effects of Chantix?
Gram (ex: pyelogram)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
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).
Nausea - Sleep disturbances - constipation - gas - and vomiting.

41. What is important to know about a lidocaine patch?
No because they have opposing actions and would cancel each other out.
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 opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate

42. How many cups in 1 quart?
Actonel and Boniva
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
(analgesic) 600 mg QID (with RAH)
4 cups

43. What is important to know about tylenol? (Do not give w/ - not useful for - kinds/values).

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44. What is an example of an antiparkinson agent?
Levodopa
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 used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.

45. How many ounces in 1 pint?
It is a vitamin and can be taken after food to reduce flushing.
Chantix and Zyban
One
16 ounces

46. What is important to know about gentamicin? (SE - Check - Do not take w/).
LASIX and Mannitol
Increased fiber - increased fluids - exercise. Not Colace.
Iron
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.

47. What is St. John's Wort and its uses/concerns?
AMINOPHYLLINE (TheOPHYLLINE)
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 SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
(F-32) divided by 1.8

48. What is important to know about viagra? (contraindications - SE)
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
Glyset and Glyburide
(analgesic) 600 mg Q6H
Prostigmin

49. What is important to know about thorazine and stelazine? (use - teach - watch)
Protonix
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Os Cal
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

50. What is impt to know about anafranil? (drug type)
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.
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.
Tricyclic antidepressant
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.