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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 an example of a steroid?
Avoid milk and milk products (2 hrs prior to or after administration).
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
BETAMETHASOne
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.

2. What are 3 examples of beta blockers?
One day
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is a potassium sparing diuretic. Do Not give with renal failure and check output.

3. What is important to know about streptokinase? (use - check)
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.
Clomid
No because the dye exits the body in one day!
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.

4. What is important to know about St. John's Wort? (use - watch)
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Valium
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Allopurinol and COLCHICINE

5. What is important to know about Mannitol? (use - if effective..)
(cardiac med) 2.5-10 mg
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.
(analgesic) 650 mg QID
It is very harmful to the kidneys (should be flushed out with fluids).

6. Can an LPN administer all medications?
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Ipecac syrup
Azulfidine
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

7. If someone wants to know how to measure out 1oz of medication at home What can they use?
1 shot glass=1 oz
Less pain and decreased risk of hematoma.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).

8. What are considerations for lovenox?

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9. What is important to know about Norvir? (use)
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 SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
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 antiretroviral used to treat HIV.

10. What is a normal adult dose of motrin?
(analgesic) 600 mg Q6H
Baclofen
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
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

11. What medication should be taken 30 minutes before a meal?
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.).
Viagra and Levitra/Celias
Reglan
Singulair

12. How many ml's in 1 fluid oz?
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.
29.573 mls
Lipitor - Advicor - Crestor - Questran - and Zocor
Gantrisin

13. 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 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
Ipecac syrup
An allergy to iodine

14. How do you know that Tegretol is working effectively for trigeminal neuralgia?

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15. What is an example of an adrenergic medication?
Increased fiber - increased fluids - exercise. Not Colace.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
Sudafed
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.

16. 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.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
(analgesic) 50-100 mg-8H
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.

17. 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
It is an antacid. ALUMINUM based side effects include constipation and binds phosphate. MAGNESIUM based side effects include diarrhea (give 30 mins after meals). Prevents absorption of other medications.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
(F-32) divided by 1.8

18. What are 4 examples of aminoglycosides?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
BETAMETHASOne
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate

19. What is an example of a pituitary hormone?
No bc they are made with potassium salt.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Pitressin/Vasopressin
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.

20. What is impt to know about cardizem/calan? (use - action - SE)
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an ovulation suppressant used to treat endometriosis.
Danazol

21. What does olestra do?
Prevents absorption of fat from the GI tract.
It is an antiretroviral used to treat HIV.
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.
Ipecac syrup

22. What is important to remember about the volume of ice?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
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.
It melts to half its volume!
Carafate

23. 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.
(cardiac med) 40-80 mg QD
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.
MOTRIN - Feldene - Indomethocin - and Advil.

24. What is important to know about levodopa? (use - SE - avoid)
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
ASA and NSAIDS

25. What is impt to know about Sudafed? (Use and toxic effect).
Procardia
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
MAGNESIUM SULFATE
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.

26. What are common side effects of Chantix?
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.
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.
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
Nausea - Sleep disturbances - constipation - gas - and vomiting.

27. What are 2 examples erectile/impotence agents?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
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 an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
Viagra and Levitra/Celias

28. What is important to know about Atropine? (use - contraindications)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Ipecac syrup
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

29. Can digoxin and epinephrine given together?
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.
No because they have opposing actions and would cancel each other out.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
8 ounces

30. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
Anafranil and elavil
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.
Increased Blood sugar - increased Na - increased H20 - and increased BP.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

31. What is impt to know about Ancef - keflex - and ceclor? (SE - TX - check for).
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.
Allopurinol and COLCHICINE
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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.

32. What is a toxic level of theophylline?
2.2046 pounds
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Avoid milk and milk products (2 hrs prior to or after administration).
20 mcg/ml and up (therapeutic range is 10-15).

33. What is an example of a digestant - pancreatic enzyme?
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.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Pancrealipase/viokase
AZT/Retrovir and Norvir

34. What is important to know about Vitamin B6? (use - contraindication)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).

35. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
It is a potassium removing resin that takes 6-8 hours to work.
Avoid milk and milk products (2 hrs prior to or after administration).
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.
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.

36. What is important to know about clozapine? (check - watch for)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
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
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.
It is an antifungal medication and creatinine and output should be checked when administered.

37. Can lasix and vasopressin be given together?
Aldactone
No because they have opposing actions and would cancel each other out.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
AMINOPHYLLINE (TheOPHYLLINE)

38. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
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
Coumadin and Heparin
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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.

39. What is important to know about Topamax? (use - teach).
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.
It is a potassium removing resin that takes 6-8 hours to work.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
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.

40. What are contraindications for nicotine gum?
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Symmetrel

41. What are 2 examples of antigout medications?
Protonix
Allopurinol and COLCHICINE
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.
They are TB medications. They are okay to take while pregnant.

42. What is important to know about Carafate? (how to take)
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 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.
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.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.

43. What are 2 examples of tricyclic antidepressants?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
Anafranil and elavil
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
Propylthiouracil/PTU

44. What is important to know about Lantus? (how take)
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!)
Coumadin and Heparin
OLOL
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.

45. What is important to know about heparin? (normal lab - antidote)
4:00 pm (mid afternoon)
Prevents absorption of fat from the GI tract.
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.
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.

46. What is an example of a potassium sparing diuretic?
Aldactone
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
4 cups
Iron

47. What needs to be checked with a patient prior to dye/contrast administration?
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.
454 grams
It is an antifungal medication and creatinine and output should be checked when administered.
An allergy to iodine

48. What is an example of a proton pump inhibitor?
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.
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.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Protonix

49. How many pints in 1 quart?
2 pints
Propylthiouracil/PTU
Increased fiber - increased fluids - exercise. Not Colace.
Amphojel

50. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
'Mycin' drugs so Gentamicin and Streptomycin
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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.