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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 pituitary hormone?
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
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.
It is an ovulation suppressant used to treat endometriosis.
Pitressin/Vasopressin

2. What does olestra do?
Prevents absorption of fat from the GI tract.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Tricyclic antidepressant
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.

3. Most antibiotics will cause what? (3 things)
Valium
It is an antiretroviral used to treat HIV.
Loose stools - vaginitis - or thrush
Flomax

4. hat is an example of a biologic modifier?
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 H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Neupogen
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!)

5. What are 4 examples of anticonvulsants?
Dilantin - Neurontin - Tegretol - and Topamax
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.
Synthroid
It is a vitamin and can be taken after food to reduce flushing.

6. What is important to know about neupogen? (use)
OLOL
DIGOXIN
(cardiac med) 2.5-10 mg
It is a biologic modifier that improves a persons immune system so that they may have less infections.

7. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
It is an antifungal medication and creatinine and output should be checked when administered.
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.
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
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

8. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
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.
Aspirin (ASA) and Tylenol
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Tricyclic antidepressant

9. What are considerations for lovenox?

10. What is saw palmetto and its uses/concerns?

11. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
'Mycin' drugs so Gentamicin and Streptomycin
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Pancrealipase/viokase

12. What is an example of a hormone?
It is an ovulation suppressant used to treat endometriosis.
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 -
Epogen
(cardiac med) 180-270 mg QD

13. What is a toxic level of dilantin?
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Imdur (Isosorbide)
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

14. What are 2 examples of a antiretroviral?
AZT/Retrovir and Norvir
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 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!)
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.

15. What is important to know about Norvir? (use)
2 cups
It is an antiretroviral used to treat HIV.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
4 cups

16. What part of the body does dye/contrast effect the most?
2.2046 pounds
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is very harmful to the kidneys (should be flushed out with fluids).

17. What is important to know about Pryidium? (use)
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

18. What are 2 examples of bone reabsorption inhibitors?
It is an antiretroviral used to treat HIV.
Evista and Fosamax
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Diamox

19. What should be done right after the EMLA cream is applied?
Sudafed
It is a biologic modifier that improves a persons immune system so that they may have less infections.
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
It should be covered by an occlusive dressing to keep it in place and assist absorption.

20. What is an example of antithyroid?
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Propylthiouracil/PTU
(cardiac med) 40-80 mg QD
Ancef - keflex - and ceclor

21. With whom should nicotine be used cautiously in?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Paxil and Prozac/fluoxetine
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Sudafed

22. What is an example of a bronchodilator/spasmolytic?
Aldactone
AMINOPHYLLINE (TheOPHYLLINE)
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
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.

23. What are 3 examples of Ca channel blockers (antihypertensives)?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
NO!!!!!

24. Should grapefruit juice be used to give medication?
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
NO!!!
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.

25. What is an example of a steroid?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
BETAMETHASOne
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.

26. What should be checked with aminoglycosides?
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
4:00 pm (mid afternoon)
Glucagon
I&O and S. CR(?)

27. What teaching should be done regarding Chantix?

28. What is impt to know about amphojel? (base - SE - prevents?)
Clomid
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 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 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.

29. What is important to know about Morphine? ( Check - dose - contraindications)
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.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
INH - Vitamin B6 - and Rifampin

30. What is important to know about Niacin? (how to take)
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.
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 a vitamin and can be taken after food to reduce flushing.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

31. How do you know that mannitol is working effectively?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
It is an ovulation stimulant used to increase fertility.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).

32. What do beta blocker names end in?
Lidocaine and Quinidine
Paxil and Prozac/fluoxetine
OLOL
Acutane

33. What is impt to know about reglan? (action - when to take)
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).
Mannitol
Iron
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

34. What are 3 examples of Cephalosporins (Abx)?
(analgesic) 50-100 mg-8H
Zofran and Reglan
Clomid
Ancef - keflex - and ceclor

35. What are 2 examples of an oral hypoglycemic?
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 antidysrhythmic and you should watch for QRS ectopic ventricular beats.
Glyset and Glyburide
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

36. What is important to know about Gardasil? (use - SE - dosing - contraindications)
Carafate
Fluorocytosine/5 FU
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
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 -

37. What is important to know about a lidocaine patch?
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.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
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.
Azulfidine

38. What are two examples of anti - smoking meds?
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Chantix and Zyban
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).

39. What Is IMPORTANT TO Know ABOUT BETAMETHASOne? (use - SE - check - action timing)

40. What is a normal adult dose of aspirin?
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
No bc they are made with potassium salt.
LASIX and Mannitol
(analgesic) 600 mg QID (with RAH)

41. What is important to know about lactalose? (use)
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.
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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.

42. What is important to know about Calcitonin - Salmon? (use - action - teach)
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Anafranil and elavil
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 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.

43. What 3 medications should be taken on an empty stomach (at least 1 hr before meal)?
Carafate - Penicillin - and Isoniazid (INH).
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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 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

44. What is important to know about Atropine? (use - contraindications)
Baclofen
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

45. What are 2 examples of antiemetics?
It is a potassium removing resin that takes 6-8 hours to work.
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.
Zofran and Reglan
It is an antiretroviral used to treat HIV.

46. What are 2 examples of anticoagulants?
Carafate
Lantus
Coumadin and Heparin
It is an isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.

47. What is important to know about a oxybutynin patch?

48. What is important to know about Valtrex? (use - watch)
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
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 an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is an antiviral used to treat herpes. It is toxic to the kidneys

49. What is an example of a cardiac glycoside/antidysrhythmic?
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
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.
Gram (ex: pyelogram)
DIGOXIN

50. What must you watch for when on corticosteroids?
Iron
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Infection!!!
Baclofen