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NCLEX Medications

Subjects : nclex, health-sciences, nursing

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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 a lidocaine patch?
(Psych med) 5-10 mg-6H
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.
Parnate
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.

2. What is Garlic and it's uses?

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3. What are 2 examples of H2 Histamine Antagonist Receptors?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
Zantac and Tagamet
(analgesic) 650 mg QID
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

4. What is an example of an MAOI?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Parnate

5. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
Baclofen
No bc they are made with potassium salt.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
(cardiac med) 40-80 mg QD

6. What are 2 examples of a diruretic?
No because they have opposing actions and would cancel each other out.
LASIX and Mannitol
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
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.

7. What is important to know about Topamax? (use - teach).
You must stop smoking and one piece of gum is chewed whenever the urge to smoke occurs (best results when on fixed schedule:-2H with at least 9 PIECES CHEWED PER DAY)
Carafate - Penicillin - and Isoniazid (INH).
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

8. What are 2 examples of an oral hypoglycemic?
It is an antiviral used to treat herpes. It is toxic to the kidneys
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 antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Glyset and Glyburide

9. What are appropriate sites for subQ injections?
ASA and NSAIDS
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
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.
NO!!!!!

10. What food considerations should be made for patients on iron supplements?
Antabuse
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 an antiretroviral used for AIDS treatment and reduction of maternal/fetal transmission. Only give to pregnant women after the 14th week and monitor CBC.
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.

11. What is a normal adult dose of morphine sulfate?
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
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.
(analgesic) 2-10 mgH PRN
Singulair

12. If NPH is given in the AM when might you see S&S of hypoglycemia?
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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.
4:00 pm (mid afternoon)

13. What medication should be taken 30 minutes before a meal?
One day
(analgesic) 50-100 mg-8H
454 grams
Reglan

14. What are 2 examples of an antiplatelet?
It is an ovulation suppressant used to treat endometriosis.
Persantine and Plavix
Diamox
Ritalin

15. What are 2 examples of a antiretroviral?
Gardasil
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
AZT/Retrovir and Norvir

16. What is an example of an antifungal med?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Amphotericin B
2 pints

17. All steroids cause an increase in what?
Diamox
Blood sugar
20 mcg/ml and up (therapeutic range is 10-15).
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

18. What is a normal adult dose of aspirin?
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
(analgesic) 600 mg QID (with RAH)
Glyset and Glyburide
Nausea - Sleep disturbances - constipation - gas - and vomiting.

19. What are considerations for lovenox?

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20. What are 2 examples of erythromycin antibiotics?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
OLOL
Anafranil and elavil

21. What gauge and length needle is appropriate for a 1 inch tissue fold? Insertion angle?
Glyset and Glyburide
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
No bc they are made with potassium salt.

22. What is important to know about Evista? (use - SE)
Clomid
No bc they are made with potassium salt.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
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.

23. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
IT Is A SMOOTH MUSCLE RELAXER USED for asthma patients And TO STOP PREMATURE LABOR. (if it doesn't stop premature labor then the patient must come into the ER).
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
It is used to treat ulcerative colitis.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.

24. What is a normal adult dose of Coumadin (warfarin)?
It is an ovulation suppressant used to treat endometriosis.
(cardiac med) 2.5-10 mg
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
8 ounces

25. What is Valerian root and its uses/concerns?

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26. How is nicotine gum initiated?
You must stop smoking and one piece of gum is chewed whenever the urge to smoke occurs (best results when on fixed schedule:-2H with at least 9 PIECES CHEWED PER DAY)
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

27. What is an example of an anti - anxiety/anticonvulsant?
Methergine
ASA and NSAIDS
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.
Valium

28. What is impt to know about amphojel? (base - SE - prevents?)
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.
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
Atropine
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

29. Can salt substitutes be given to renal failure patients?
4 cups
(cardiac med) 180-270 mg QD
No bc they are made with potassium salt.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.

30. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
Increased fiber - increased fluids - exercise. Not Colace.
Chantix and Zyban
Zantac and Tagamet
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.

31. What is important to know about Questran? (Use - SE - diet)
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.
No because they have opposing actions and would cancel each other out.
Avoid tyramine containing foods such as Avocado - sausage - fava beans - cheeses - wine - chocolate - coffee - cola - bananas - salami - sour cream - and fruit (overripe). CAN'T HAVE TYRAMINE FOR 2 WEEKS AFTER The MEDICATION Is STOPPED BC STILL In S
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.

32. What are 2 examples of tricyclic antidepressants?
10 am (midmorning)
Anafranil and elavil
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
(cardiac med) 180-270 mg QD

33. What is important to know about Ritalin? (use - given to elderly - check)
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.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
20 mcg/ml and up (therapeutic range is 10-15).
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

34. What is impt to know about imdur (isosorbide)? (use - watch for).
0.5-1 ml
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.
Ritalin

35. What is ginseng and its uses/concerns?
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.).
Nebupent
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.
(cardiac med) 180-270 mg QD

36. How many pints in 1 quart?
Zantac and Tagamet
2 pints
Gantrisin
Atropine

37. What is important to know about Valtrex? (use - watch)
Aspirin (ASA) and Tylenol
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
Imdur (Isosorbide)
It is an antiviral used to treat herpes. It is toxic to the kidneys

38. What is an example of an isotretinoin?
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!
Acutane
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.
No bc they are made with potassium salt.

39. How do you know that mannitol is working effectively?
Reglan
Sudafed
NO!!!!!
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.

40. What is important to know about nitroglycerin? (use - store - when take - SE)
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.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Gantrisin
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.

41. What is important to know about tegretol? (use - check - at risk for - prevent)
(F-32) divided by 1.8
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.
(Psych med) 5-10 mg-6H
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.

42. What is impt to know about Valium? (norm dose - check)
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
AMINOPHYLLINE (TheOPHYLLINE)
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

43. What is a normal adult dose of Furosemide?
Calcitonin - Salmon
(cardiac med) 40-80 mg QD
(C x 1.8) + 32
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.

44. What is impt to know about clomid?
Procardia
No bc they are made with potassium salt.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
It is an ovulation stimulant used to increase fertility.

45. What is an example of a potassium removing resin?
Lidocaine and Quinidine
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
No because they have opposing actions and would cancel each other out.
Kayexelate

46. What is an example of an antiplasmotic?
Baclofen
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
AZT/Retrovir and Norvir
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.

47. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
MAGNESIUM SULFATE
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
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.

48. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
It is a pituitary hormone that has an effect on diabetes insipidus. It decreases urine output. Specific gravity < 1.010= not enough med - SG > 1.025= too much med. DO Not mix with lasix and measure specific gravity frequently.
Less pain and decreased risk of hematoma.
Pitressin/Vasopressin
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.

49. What is impt to know about prozac? (when take - teach)
Pancrealipase/viokase
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 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.
Parnate

50. What is an example of an adrenergic medication?
NO!!!
Sudafed
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.
(cardiac med) 180-270 mg QD

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NCLEX Medications

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