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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 are contraindications for nicotine gum?
Gardasil
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.
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!
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.

2. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
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.
Levodopa
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.
They are TB medications. They are okay to take while pregnant.

3. In What type of patient should vitamin K containing foods be increased?
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
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!

4. What food considerations should be made for a patient on Monoamine Oxidase Inhibitors (MAOIs) (ex: Marplan - nardil - parnate - & St. John's Wort)?

5. What is important to know about a norelgestromin patch?

6. What are the two major side effects of aminoglycosides?
Baclofen
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.
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.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).

7. What is an example of an emetic?
Glyset and Glyburide
Take 2-4 hrs apart from each other.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Ipecac syrup

8. What are 2 examples of an antiplatelet?
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Persantine and Plavix
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.

9. What is an example of a chemo agent?
Os Cal
Fluorocytosine/5 FU
Lantus
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

10. What are 3 types of TB meds?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
INH - Vitamin B6 - and Rifampin
It is used to treat ulcerative colitis.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

11. How many ounces in 1 cup?
2.2046 pounds
Loose stools - vaginitis - or thrush
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.
8 ounces

12. What is important to know about AZT/Retrovir? (use - when give pregnant - monitor)
It is an an antiretroviral used for AIDS treatment and reduction of maternal/fetal transmission. Only give to pregnant women after the 14th week and monitor CBC.
Actonel and Boniva
Pryidium
Tricyclic antidepressant

13. hat are 2 examples of Bisphosphonate?
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).
Actonel and Boniva
'Mycin' drugs so Gentamicin and Streptomycin
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

14. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
They are TB medications. They are okay to take while pregnant.
No because the dye exits the body in one day!
Amphotericin B

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

16. What is an example of a vaccine?
NO!!!!!
Gardasil
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Nausea - Sleep disturbances - constipation - gas - and vomiting.

17. What is important to know about a lidocaine patch?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
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.
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.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

18. What is important to know about thorazine and stelazine? (use - teach - watch)
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
A patient with chronic renal failure and Addison's disease because potassium can harm them.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
One day

19. What is important to know about symmetrel? (use)
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Ritalin
One day
It is heparin like. The injection should be given in the abdomen and isn't massaged.

20. What is an example of an antacid?
Amphojel
Ancef - keflex - and ceclor
Lactalose
(analgesic) 50-100 mg-8H

21. What letter on the end of a test indicate Iodine?
Allopurinol and COLCHICINE
Gram (ex: pyelogram)
AMINOPHYLLINE (TheOPHYLLINE)
Clozapine

22. Can salt substitutes be given to Addison's patients?
No bc they are made with potassium salt.
Tricyclic antidepressant
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

23. What is an example of a pituitary hormone?
Pitressin/Vasopressin
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
Persantine and Plavix
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

24. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
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).
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 bronchodilator used to prevent asthma attacks and prophylaxis.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.

25. In What type of patient should high potassium foods be avoided?

26. What are 2 examples of anticoagulants?
Coumadin and Heparin
Calcitonin - Salmon
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
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

27. What is an example of an oxytocic?
Nitroglycerin
Methergine
Kayexelate
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.

28. What is important to know about Acutane? (use - teach - SE)
One day
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.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

29. What are 2 examples of aminoglycoside antibiotics?

30. What are considerations for lovenox?

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

32. What nursing intervention should be used for constipation from morphine?
BETAMETHASOne
29.573 mls
Imdur (Isosorbide)
Increased fiber - increased fluids - exercise. Not Colace.

33. What 8 medications should be taken with food?
Flomax
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.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

34. What is impt to know about benazepril - lisinopril - and accupril? (use - monitor)
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Calcitonin - Salmon
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

35. What is an example of a bronchodilator/spasmolytic?
Questran
AMINOPHYLLINE (TheOPHYLLINE)
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
It is an antiemetic that is used to decrease N&V caused by chemo.

36. What is important to know about protonix? (use - SE)
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
Prostigmin
MOTRIN - Feldene - Indomethocin - and Advil.

37. What is important to know about all steroids? (when to take - teach - check)
Calcitonin - Salmon
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 antiemetic that is used to decrease N&V caused by chemo.
It is an ovulation stimulant used to increase fertility.

38. What food considerations should be made for a patient on lithium?
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.
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
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.
The patient needs to consume 8-10 glasses of water a day.

39. What is important to know about neupogen? (use)
Amphotericin B
It is an antiretroviral used to treat HIV.
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 biologic modifier that improves a persons immune system so that they may have less infections.

40. What should be checked with aminoglycosides?
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.
I&O and S. CR(?)
Baclofen
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

41. What is an example of a digestant - pancreatic enzyme?
Pancrealipase/viokase
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
No because the dye exits the body in one day!
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.

42. What is impt to know about prozac? (when take - teach)
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
2.2046 pounds
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.
(cardiac med) 180-270 mg QD

43. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
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 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.
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.

44. With whom should nicotine be used cautiously in?
Tricyclic antidepressant
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Pancrealipase/viokase

45. What is black cohosh and its uses?
Increased fiber - increased fluids - exercise. Not Colace.
Danazol
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).

46. What are appropriate sites for subQ injections?
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Digoxin and Colchicine

47. What is important to know about Codeine? (SE - check - use - diet)
Gantrisin
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.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
25-27 gauge - 5/8 inch long - insert at 45 degrees.

48. What is important to know about Levitra/celias? (use - SE - contraindications)
Tricyclic antidepressant
It is an ovulation suppressant used to treat endometriosis.
0.5-1 ml
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.

49. What is impt to know about Valium? (norm dose - check)
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
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
Dilantin - Neurontin - Tegretol - and Topamax

50. What is important to know about Chantix and Zyban? (use - teach - SE)
Levodopa
Digoxin and Colchicine
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
(cardiac med) .125- .250 mg QD