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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.
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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 Levitra/celias? (use - SE - contraindications)
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
(analgesic) 600 mg Q6H
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.
It is very harmful to the kidneys (should be flushed out with fluids).

2. What is an example of an oxytocic?
Methergine
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.
(F-32) divided by 1.8
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.

3. 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
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Mannitol
Epogen

4. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
Os Cal
Dilantin - Neurontin - Tegretol - and Topamax
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 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.

5. What Is IMPORTANT TO Know ABOUT LASIX? (use - check - lasts - considerations - Do Not give to)
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
It is a diuretic used to decrease circulating volume. CHECK K+ And MONITOR EKG. IT LastS SIX HOURS. SCHEDULE ACTIVITIES FOR 6 HOURS AFTER The MED WAS Taken. Will have low specific gravity. Do Not give with Bumex and Do Not use with ICP or glaucoma.
Pitressin/Vasopressin
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

6. What should be done right after the EMLA cream is applied?
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
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
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
It should be covered by an occlusive dressing to keep it in place and assist absorption.

7. What is important to know about Gingko? (use)
It is an herb used to increase memory for alzheimers and as an anticoagulant.
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.
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.
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.

8. What are considerations for lovenox?

9. What is important to know about Codeine? (SE - check - use - diet)
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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 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 an antifungal medication and creatinine and output should be checked when administered.

10. What is an example of an antianginal/vasodilator?
Imdur (Isosorbide)
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.

11. What is an example of an antilipemic?
Questran
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.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

12. Can salt substitutes be given to renal failure patients?
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
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
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
No bc they are made with potassium salt.

13. What are 2 examples erectile/impotence agents?
Viagra and Levitra/Celias
No because the dye exits the body in one day!
It is a chemo agent. SE= N&V and decreased bone marrow function.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.

14. What is nicotine gum used for?
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.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
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 oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.

15. What are contraindications for nicotine gum?
Aspirin (ASA) and Tylenol
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 diuretic used to decrease circulating volume. CHECK K+ And MONITOR EKG. IT LastS SIX HOURS. SCHEDULE ACTIVITIES FOR 6 HOURS AFTER The MED WAS Taken. Will have low specific gravity. Do Not give with Bumex and Do Not use with ICP or glaucoma.
Nebupent

16. What is important to know about symmetrel? (use)
OLOL
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).

17. What is Kava and its uses/concerns?
Nebupent
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 an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Levodopa

18. What is important to know about Gantrisin? (avoid - What take).
Dilantin - Neurontin - Tegretol - and Topamax
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

19. What is important to know about Epogen? ( use - outcome)
It is a chemo agent. SE= N&V and decreased bone marrow function.
BRETHINE
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
8 ounces

20. How many pints in 1 quart?
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
2 pints
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

21. What is important to know about Baclofen? (use - SE)
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.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
It melts to half its volume!
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

22. What medication may be prescribed in conjunction with Chantix and why?
It is an ovulation stimulant used to increase fertility.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
It is a diuretic used to decrease circulating volume. CHECK K+ And MONITOR EKG. IT LastS SIX HOURS. SCHEDULE ACTIVITIES FOR 6 HOURS AFTER The MED WAS Taken. Will have low specific gravity. Do Not give with Bumex and Do Not use with ICP or glaucoma.
One day

23. What are 3 examples of Cephalosporins (Abx)?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
(cardiac med) 180-270 mg QD
Ancef - keflex - and ceclor

24. What is important to know about lactalose? (use)
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.
It is a chemo agent. SE= N&V and decreased bone marrow function.
(cardiac med) 180-270 mg QD
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

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

26. What is important to know about Calcitonin - Salmon? (use - action - teach)
29.573 mls
It is an antiviral used to treat herpes. It is toxic to the kidneys
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.
1 shot glass=1 oz

27. What is an example of a smooth muscle relaxer?
BRETHINE
Clomid
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.
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.

28. What is an example of a potassium removing resin?
(C x 1.8) + 32
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
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.
Kayexelate

29. What is important to know about heparin? (normal lab - antidote)
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
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.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.

30. What is an example of an antiplasmotic?
Baclofen
0.5-1 ml
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.
The patient needs to consume 8-10 glasses of water a day.

31. What is important to know about Fosamax? (use - teach - SE)
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.
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.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
2.2046 pounds

32. What is important to know about persantine and plavix? (contraindications)
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.
Iron
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.

33. With whom should nicotine be used cautiously in?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.
Danazol
It is used to treat ulcerative colitis.

34. What is an example of an MAOI?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
INH - Vitamin B6 - and Rifampin
Parnate
Aricept

35. Can digoxin and epinephrine given together?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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
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.
No because they have opposing actions and would cancel each other out.

36. What is an example of an antiinflammatory?
Azulfidine
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
DIGOXIN
It is an antiviral used to treat herpes. It is toxic to the kidneys

37. What is an example of a protectant/antiulcer?
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Carafate
Gantrisin
Dilantin - Neurontin - Tegretol - and Topamax

38. What is impt to know about avandia? (use - check - SE)
(cardiac med) 2.5-10 mg
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Zofran and Reglan
Carafate

39. What is important to know about singulair? (use)
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Less pain and decreased risk of hematoma.
It is an herb used to increase memory for alzheimers and as an anticoagulant.
It is a vitamin and can be taken after food to reduce flushing.

40. What are 3 types of TB meds?
I&O and S. CR(?)
Paxil and Prozac/fluoxetine
A patient with chronic renal failure and Addison's disease because potassium can harm them.
INH - Vitamin B6 - and Rifampin

41. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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.
It melts to half its volume!
They are TB medications. They are okay to take while pregnant.

42. 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.
One
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 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).

43. Farenheit=Celsius.....
Ancef - keflex - and ceclor
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.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
(C x 1.8) + 32

44. What are 4 examples of opiate analgesics?
Diamox
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
Lipitor - Advicor - Crestor - Questran - and Zocor
Codeine - Demerol - Percodan/Percocet - and Morphine.

45. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
LITHIUM
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.
Parnate
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

46. What is an example of antithyroid?
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
LITHIUM
Propylthiouracil/PTU

47. What is an example of an antiglaucoma/diuretic medication?
Diamox
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Q3 days
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

48. What is important to know about Gardasil? (use - SE - dosing - contraindications)
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.
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.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
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 -

49. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
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.
Gantrisin
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.
NO!!!!!

50. What is important to know about clozapine? (check - watch for)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
2 #3 tylenols because it contains the same amount of codeine.
One day
Pitressin/Vasopressin

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