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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.
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 Dry secretions medication?
Atropine
An allergy to iodine
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
Actonel and Boniva

2. What is important to know about Epogen? ( use - outcome)
(cardiac med) 40-80 mg QD
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Less pain and decreased risk of hematoma.

3. What is impt to know about Allopurinol and COLCHICINE? (use - teach - toxicity)
No because they have opposing actions and would cancel each other out.
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.
Lidocaine and Quinidine
Remove before bedtime - mild headaches are common - and don't use the patch to treat an anginal attack (they are used to prevent not treat).

4. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
Aldactone
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 beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

5. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
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
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.

6. What is an example of a nonopioid analgesic?
2 #3 tylenols because it contains the same amount of codeine.
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.
Pryidium
One

7. What is an example of an antipsychotic/antimanic?
AZT/Retrovir and Norvir
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.
LITHIUM
Diamox

8. What is black cohosh and its uses?
Pryidium
Carafate
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
25-27 gauge - 5/8 inch long - insert at 45 degrees.

9. What are 2 examples of antidysrhythmic medications?
Mannitol
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Lidocaine and Quinidine
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.

10. What is an example of an emetic?
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 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.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Ipecac syrup

11. What is an example of a laxative/ ammonia detoxicant?
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.
Lactalose
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Baclofen

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

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13. What is the only diuretic that will pull fluid from the brain or the eyes?
2 #3 tylenols because it contains the same amount of codeine.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
0.5-1 ml
Mannitol

14. If a person is prescribed lasix - streptomycin - and morphine and you go into give them there medication and they can't hear you tell them what meds you are giving. Which med should be stopped?
Gram (ex: pyelogram)
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
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
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.

15. How often are fentanyl patches for pain applied?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Q3 days
Persantine and Plavix

16. What is important to know about nifedipine - verapamil - and toprol? (Use and watch)
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Allopurinol and COLCHICINE
Baclofen
4 cups

17. What is important to know about garlic? (use - contraindications)
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
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 antiemetic that slows emptying of the stomach and should be taken before meals.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

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

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19. What is an example of an ovulation stimulant?
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
(analgesic) 600 mg Q6H
Clomid
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

20. What is a normal adult dose of aspirin?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
(analgesic) 600 mg QID (with RAH)
Glucagon
4:00 pm (mid afternoon)

21. What is an example of an antiinflammatory?
Azulfidine
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.
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 an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

22. What is important to know about BIAXIN? (USE)
4 cups
DIGOXIN
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.

23. What is an example of an antiparkinson agent?
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
NO!!!!!
Levodopa
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

24. What is important to know about ipecac syrup? (use - requirements - contraindications)
Carafate - Penicillin - and Isoniazid (INH).
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
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

25. Celsius= Farenheit .....?
Atropine
(F-32) divided by 1.8
(analgesic) 650 mg QID
Increased fiber - increased fluids - exercise. Not Colace.

26. What are two examples of electrolytes?
Potassium chloride and potassium
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is a potassium removing resin that takes 6-8 hours to work.
Questran

27. What is a normal adult dose of digoxin?
(F-32) divided by 1.8
(cardiac med) .125- .250 mg QD
Synthroid
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.

28. If tylenol #4 isn't available What can you give?
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.
Fluorocytosine/5 FU
2 #3 tylenols because it contains the same amount of codeine.
No because the dye exits the body in one day!

29. What are 4 examples of aminoglycosides?
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.
MOTRIN - Feldene - Indomethocin - and Advil.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
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.

30. What are common side effects of Chantix?
It is an antiretroviral used to treat HIV.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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.
Lidocaine and Quinidine

31. What is an example of a protectant/antiulcer?
Carafate
Dilantin - Neurontin - Tegretol - and Topamax
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Glucagon

32. How many pounds in 1 kilogram?
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 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
2.2046 pounds
One

33. What is an example of a cardiac glycoside/antidysrhythmic?
DIGOXIN
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

34. What is important to know about Vitamin B6? (use - contraindication)
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
BRETHINE
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Os Cal

35. What is a normal adult dose of morphine sulfate?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
(analgesic) 2-10 mgH PRN
(analgesic) 600 mg Q6H
Blood sugar

36. What is an example of a hemantinic med?
8 ounces
Increased fiber - increased fluids - exercise. Not Colace.
Iron
Lactalose

37. What is important to know about Azulfidine? (Use)
Lipitor - Advicor - Crestor - Questran - and Zocor
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.
Imdur (Isosorbide)
It is used to treat ulcerative colitis.

38. What is St. John's Wort and its uses/concerns?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
2 cups
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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.

39. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
It is an antifungal medication and creatinine and output should be checked when administered.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
They are TB medications. They are okay to take while pregnant.
A patient with chronic renal failure and Addison's disease because potassium can harm them.

40. If NPH is given in the AM when might you see S&S of hypoglycemia?
4:00 pm (mid afternoon)
They are TB medications. They are okay to take while pregnant.
A patient with chronic renal failure and Addison's disease because potassium can harm them.
NO!!!!!

41. Farenheit=Celsius.....
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
IT Is A STEROID THAT Is USED TO HASTEN FETAL LUNG MATURITY. SE include increased blood sugar so Check moms blood sugar. REQUIRES 24 HOURS TO Work. IF MOM Is GOING TO DELiver In 12 HOURS IT SHOULDN'T BE GIVEN.
Levodopa
(C x 1.8) + 32

42. What is important to know about Synthroid? (use - teach)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
(analgesic) 650 mg QID
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.).

43. What is important to know about Propylthiouracil/PTU? (use - watch - outcome - and action)
It is an ovulation stimulant used to increase fertility.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is an antithyroid used for hyperthyroid conditions (graves disease). Frequent blood tests must be done. Outcome= normal vital signs. Action= blocks TSH - T3 and T4.
Lantus

44. Can lasix and vasopressin be given together?
Lactalose
No because they have opposing actions and would cancel each other out.
Paxil and Prozac/fluoxetine
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

45. What is important to teach you client about nicotine gum?
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
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.
29.573 mls
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.

46. What is impt to know about imdur (isosorbide)? (use - watch for).
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is a vitamin and can be taken after food to reduce flushing.

47. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
Synthroid
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).
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 cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

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

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49. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
Q3 days
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
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.

50. How do you know that mannitol is working effectively?
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
(analgesic) 600 mg Q6H
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).
Increased fiber - increased fluids - exercise. Not Colace.