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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 Echinacea and its uses? Who Shouldn't use it?
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
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.
Gram (ex: pyelogram)
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!

2. What is important to know about Danazol? (use)
Allopurinol and COLCHICINE
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
No bc they are made with potassium salt.
It is an ovulation suppressant used to treat endometriosis.

3. What is important to know about Vitamin C? (use)
2 #3 tylenols because it contains the same amount of codeine.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
It is a vitamin given with iron foods to help absorption.

4. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
Aspirin (ASA) and Tylenol
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.
Antabuse

5. What does olestra do?
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
NO!!!!!
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.
Prevents absorption of fat from the GI tract.

6. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
Parnate
10 am (midmorning)
16 ounces
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

7. What are 5 examples of herbs?

8. What is an example of an adrenergic blocker?
Infection!!!
Imdur (Isosorbide)
Flomax
MOTRIN - Feldene - Indomethocin - and Advil.

9. What are 4 examples of anticonvulsants?
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.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Dilantin - Neurontin - Tegretol - and Topamax
Avandia

10. What is impt to know about anafranil? (drug type)
Questran
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 -
Tricyclic antidepressant
Pancrealipase/viokase

11. What are 2 examples of antiemetics?
Zofran and Reglan
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.
Kayexelate
LITHIUM

12. What is an example of an antipsychotic/antimanic?
Take 2-4 hrs apart from each other.
BETAMETHASOne
LITHIUM
Imdur (Isosorbide)

13. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Zantac and Tagamet
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

14. What food considerations should be made for a patient on lithium?
The patient needs to consume 8-10 glasses of water a day.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
8 ounces
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.

15. Can salt substitutes be given to renal failure patients?
Clozapine
No bc they are made with potassium salt.
It melts to half its volume!
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

16. What is Garlic and it's uses?

17. What is important to know about BIAXIN? (USE)
Synthroid
Viagra and Levitra/Celias
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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

18. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
NO!!!!!
It melts to half its volume!
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
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

19. What is important to know about Gantrisin? (avoid - What take).
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
It is an antiemetic that is used to decrease N&V caused by chemo.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

20. What is a toxic level of theophylline?
The patient needs to consume 8-10 glasses of water a day.
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.
20 mcg/ml and up (therapeutic range is 10-15).
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

21. Can salt substitutes be given to Addison's patients?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
No bc they are made with potassium salt.
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
(cardiac med) 2.5-10 mg

22. Can lasix and vasopressin be given together?
2.2046 pounds
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Coumadin and Heparin
No because they have opposing actions and would cancel each other out.

23. What should be checked with aminoglycosides?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
I&O and S. CR(?)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Chantix and Zyban

24. What is important to know about Chantix and Zyban? (use - teach - SE)
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
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.

25. What is an example of a reversible cholinesterase inhibitor?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
It is a chemo agent. SE= N&V and decreased bone marrow function.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
Aricept

26. What are 5 examples of an antilipidemic?
Lipitor - Advicor - Crestor - Questran - and Zocor
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
2.2046 pounds
2 #3 tylenols because it contains the same amount of codeine.

27. What is impt to know about quinidine? (watch for)
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
(Psych med) 5-10 mg-6H
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
Evista and Fosamax

28. What is important to know about Neomycin? (Use - effect).
Q3 days
Imdur (Isosorbide)
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 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.

29. What is important to know about Ritalin? (use - given to elderly - check)
(cardiac med) 180-270 mg QD
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
Viagra and Levitra/Celias
Valtrex

30. What is an example of an antiglaucoma/diuretic medication?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Diamox
Singulair

31. What is an example of a chemo agent?
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
(C x 1.8) + 32
Fluorocytosine/5 FU
0.5-1 ml

32. What gauge and length needle is appropriate for a 1 inch tissue fold? Insertion angle?
It is an antiemetic that is used to decrease N&V caused by chemo.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
Increased fiber - increased fluids - exercise. Not Colace.
25-27 gauge - 5/8 inch long - insert at 45 degrees.

33. What is important to know about a scopolamine patch?
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 used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
It is an antiviral used to treat herpes. It is toxic to the kidneys
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

34. What are 4 examples of opiate analgesics?
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.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Gantrisin
20 mcg/ml and up (therapeutic range is 10-15).

35. What is an example of an antacid?
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
Amphojel
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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).

36. What is important to know about neupogen? (use)
It is a biologic modifier that improves a persons immune system so that they may have less infections.
4:00 pm (mid afternoon)
AMINOPHYLLINE (TheOPHYLLINE)
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.

37. What medication should be taken 30 minutes before a meal?
Reglan
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
Streptokinase
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.

38. What locations should be avoided when placing transdermal patches?

39. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
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 should be covered by an occlusive dressing to keep it in place and assist absorption.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

40. What is an example of a proton pump inhibitor?
Tricyclic antidepressant
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Persantine and Plavix
Protonix

41. What is an example of a protectant/antiulcer?
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Paxil and Prozac/fluoxetine
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Carafate

42. What is a type of sulfa antibiotic?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
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.
Gantrisin
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.

43. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
OLOL

44. What is important to know about lidocaine? (use)
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
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 antidysrhythmic that is the drug of choice for dysrhythmias.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

45. What is important to know about Pryidium? (use)
Protonix
10 am (midmorning)
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

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

47. Can pregnant nurses handle chemo medication?
BETAMETHASOne
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
No bc they are made with potassium salt.
NO!!!!!

48. What is important to know about resperidone? (use - check)
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 is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
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.
(analgesic) 50-100 mg-8H

49. hat is important to know about a clonidine patch?

50. What should be taught regarding antibiotics and antacids?
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
Parnate
Methergine
Take 2-4 hrs apart from each other.