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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 IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
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 ovulation suppressant used to treat endometriosis.
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.
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).

2. Should grapefruit juice be used to give medication?
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
NO!!!
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

3. What is an example of an antiplasmotic?
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
Mannitol
Baclofen

4. What is important to know about glucagon? (use)
Aspirin (ASA) and Tylenol
4 cups
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Nitroglycerin

5. What is an example of a coronary vasodilator/antianginal?
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
(analgesic) 650 mg QID
Nitroglycerin
Clozapine

6. What is important to know about Valtrex? (use - watch)
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
It is a vitamin given with iron foods to help absorption.
It is an antiviral used to treat herpes. It is toxic to the kidneys
Valium

7. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
No because they have opposing actions and would cancel each other out.
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
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.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

8. What Is IMPORTANT TO Know ABOUT BRETHINE? (use - teach)

9. What is an example of a laxative/ ammonia detoxicant?
Lactalose
Imdur (Isosorbide)
Reglan
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

10. What is an example of a vaccine?
Gardasil
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.
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

11. What nursing intervention should be used for constipation from morphine?
Increased fiber - increased fluids - exercise. Not Colace.
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.
It is a vitamin given with iron foods to help absorption.
Antabuse

12. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
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.
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 drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

13. What is important to know about streptokinase? (use - check)
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
MOTRIN - Feldene - Indomethocin - and Advil.
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.
It is a vitamin and can be taken after food to reduce flushing.

14. What is an example of a cholinergic stimulant?
Lactalose
It is very harmful to the kidneys (should be flushed out with fluids).
Prostigmin
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.

15. What is important to know about antabuse? (use - avoid w/ - d/c)
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.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Acutane

16. What are 2 examples erectile/impotence agents?
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.
Viagra and Levitra/Celias
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
It is a chemo agent. SE= N&V and decreased bone marrow function.

17. What is an example of a digestant - pancreatic enzyme?
(F-32) divided by 1.8
Atropine
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.
Pancrealipase/viokase

18. What is an example of a reversible cholinesterase inhibitor?
Actonel and Boniva
Valtrex
Aricept
Kayexelate

19. If tylenol #4 isn't available What can you give?
Potassium chloride and potassium
2 #3 tylenols because it contains the same amount of codeine.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

20. What is important to know about Morphine? ( Check - dose - contraindications)
No bc they are made with potassium salt.
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.
Aricept

21. What is important to know about prolixin? (use - teach)
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.
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.
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.

22. What is important to know about streptomycin? (check)
Atropine
It is a biologic modifier that improves a persons immune system so that they may have less infections.
No bc they are made with potassium salt.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.

23. What is an example of an emetic?
It is an antiviral used to treat herpes. It is toxic to the kidneys
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.
Ipecac syrup
Evista and Fosamax

24. What is important to know about Acutane? (use - teach - SE)
Gram (ex: pyelogram)
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
'Mycin' drugs so Gentamicin and Streptomycin
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.

25. Can lasix and vasopressin be given together?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
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.
No because they have opposing actions and would cancel each other out.
Carafate - Penicillin - and Isoniazid (INH).

26. What are 3 examples of Cephalosporins (Abx)?
A patient with chronic renal failure and Addison's disease because potassium can harm them.
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.
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!
Ancef - keflex - and ceclor

27. What is an example of a hemantinic med?
Ancef - keflex - and ceclor
10 am (midmorning)
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.
Iron

28. What is important to know about Parnate? (use - watch)
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
Aldactone
16 ounces
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)

29. What is a normal adult dose of aspirin?
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
(analgesic) 600 mg QID (with RAH)
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

30. What is important to know about a lidocaine patch?
Flomax
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 drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Gram (ex: pyelogram)

31. 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.
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.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

32. What is Garlic and it's uses?

33. What is important to know about Fosamax? (use - teach - SE)
NO!!!!!
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 SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
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.

34. What is important to know about coumadin? (normal lab - not consume - antidote)
Glyset and Glyburide
OLOL
Valium
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.

35. What is important to know about Gardasil? (use - SE - dosing - contraindications)
Anafranil and elavil
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 antiretroviral used to treat HIV.
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.

36. What is an example of an antipsychotic/neuroleptic?
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 an herb used to increase physical endurance - help cope with stress - improved memory - and increases cortisol. Should not be used continuously for more than 3 months without 1-2 weeks break.
It is an antiretroviral used to treat HIV.
Clozapine

37. What are 3 examples of anti - inflammatory corticosteroids?
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
Clomid
PrednisOne - CortisOne - and DexamethasOne.
Ipecac syrup

38. What is impt to know about amphojel? (base - SE - prevents?)
No bc they are made with potassium salt.
Pancrealipase/viokase
Ritalin
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.

39. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
Loose stools - vaginitis - or thrush
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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 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.

40. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
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.
Aspirin (ASA) and Tylenol
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.

41. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Paxil and Prozac/fluoxetine
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
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.

42. Celsius= Farenheit .....?
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.
Ancef - keflex - and ceclor
(F-32) divided by 1.8
(analgesic) 600 mg QID (with RAH)

43. What are considerations for lovenox?

44. What is an example of an adrenergic blocker?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
PrednisOne - CortisOne - and DexamethasOne.
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.
Flomax

45. What is important to know about Neomycin? (Use - effect).
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
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.
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.
Paxil and Prozac/fluoxetine

46. How many cups in 1 quart?
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Mannitol
Singulair
4 cups

47. What is important to know about Levitra/celias? (use - SE - contraindications)
(analgesic) 50-100 mg-8H
Sudafed
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.
Iron

48. What is an example of an antiviral/antiparkinsonian?
BRETHINE
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.).
Symmetrel
Neupogen

49. What is impt to know about clomid?
It is an antiviral used to treat herpes. It is toxic to the kidneys
It is an ovulation stimulant used to increase fertility.
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Questran

50. What is black cohosh and its uses?
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is a vitamin and can be taken after food to reduce flushing.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.