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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 black cohosh and its uses?
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.
(analgesic) 600 mg Q6H
Potassium chloride and potassium
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

2. What is a toxic level of lithium?
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
Anafranil and elavil

3. What is an example of an antiviral/antiparkinsonian?
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.
Symmetrel
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.
It is a vitamin and can be taken after food to reduce flushing.

4. What is an example of a vaccine?
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Gardasil
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Os Cal

5. What is the benefit of a smaller needle for injections?
Pancrealipase/viokase
(cardiac med) 40-80 mg QD
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
Less pain and decreased risk of hematoma.

6. What is an example of an antiprotozoal?
(analgesic) 600 mg QID (with RAH)
A patient with chronic renal failure and Addison's disease because potassium can harm them.
Nebupent
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.

7. What are 5 examples of herbs?

8. 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
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.
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 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.

9. What is Garlic and it's uses?

10. What is important to know about prolixin? (use - teach)
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
INH - Vitamin B6 - and Rifampin
Increased fiber - increased fluids - exercise. Not Colace.
It is an ovulation stimulant used to increase fertility.

11. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Flomax
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Actonel and Boniva

12. What is a normal adult dose of Diltiazem?
One
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
I&O and S. CR(?)
(cardiac med) 180-270 mg QD

13. 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.
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.
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.

14. What food considerations should be made for a patient on coumadin?
It is a potassium removing resin that takes 6-8 hours to work.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

15. What is important to know about antabuse? (use - avoid w/ - d/c)
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
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.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
It is a vitamin given with iron foods to help absorption.

16. What is important to know about Percodan/Percocet? (base)
Codeine - Demerol - Percodan/Percocet - and Morphine.
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 oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
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

17. What is an example of antithyroid?
Aspirin (ASA) and Tylenol
Propylthiouracil/PTU
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
Avandia

18. Should grapefruit juice be used to give medication?
NO!!!
Q3 days
It is used to treat ulcerative colitis.
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.

19. What are 2 examples erectile/impotence agents?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
NO!!!
Fluorocytosine/5 FU
Viagra and Levitra/Celias

20. What is an example of a laxative/ ammonia detoxicant?
Lactalose
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 used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
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.

21. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
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 an antiretroviral used for AIDS treatment and reduction of maternal/fetal transmission. Only give to pregnant women after the 14th week and monitor CBC.
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

22. What is impt to know about neurontin? (Use)
'Mycin' drugs so Gentamicin and Streptomycin
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
It is very harmful to the kidneys (should be flushed out with fluids).

23. What is important to know about neupogen? (use)
It is a biologic modifier that improves a persons immune system so that they may have less infections.
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.
Os Cal
The patient needs to consume 8-10 glasses of water a day.

24. What is an example of a nonopioid analgesic?
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
OLOL
Sudafed
Pryidium

25. What is impt to know about anafranil? (drug type)
Aldactone
Tricyclic antidepressant
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Reglan

26. What do steroid names end in?
Parnate
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.
One
Antabuse

27. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
It is a chemo agent. SE= N&V and decreased bone marrow function.

28. What are 3 types of TB meds?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
INH - Vitamin B6 - and Rifampin
Carafate - Penicillin - and Isoniazid (INH).
4:00 pm (mid afternoon)

29. What is important to know about a lidocaine patch?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
2.2046 pounds
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.
Diamox

30. What are 2 examples of antiemetics?
It is a potassium removing resin that takes 6-8 hours to work.
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.
Zofran and Reglan
Amphojel

31. What is important to know about procardia? (administered - use - action - SE)
It is an ovulation suppressant used to treat endometriosis.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
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.
Clozapine

32. What is impt to know about avandia? (use - check - SE)
Gram (ex: pyelogram)
Chantix and Zyban
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Anafranil and elavil

33. How many pounds in 1 kilogram?
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.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Nitroglycerin
2.2046 pounds

34. What is an example of an isotretinoin?
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
Check patch for leaks - place in appropriate location - make sure skin is clean and dry - when removing a patch fold it in half and discard in safe container (needle dispenser or flush not garbage) DO Not apply heat to patches (esp. fentanyl) bc medi
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Acutane

35. What is important to know about Azulfidine? (Use)
Diamox
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Valium
It is used to treat ulcerative colitis.

36. What is EMLA cream used for?
Digoxin and Colchicine
Q3 days
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
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).

37. What is important to know about viagra? (contraindications - SE)
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
Gantrisin
Infection!!!
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

38. What is important to know about Norvir? (use)
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
4:00 pm (mid afternoon)
It is an antiretroviral used to treat HIV.
Methergine

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

40. If tylenol #4 isn't available What can you give?
2 #3 tylenols because it contains the same amount of codeine.
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
Singulair
Neupogen

41. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
It is used to treat ulcerative colitis.
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
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.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

42. What is important to know about Synthroid? (use - teach)
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.).
Ipecac syrup
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.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.

43. What is an example of an oxytocic?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
2.2046 pounds
Methergine
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!)

44. What is a type of sulfa antibiotic?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Flomax
It is an antiviral used to treat herpes. It is toxic to the kidneys
Gantrisin

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

46. What is important to know about prostigmin? (use/patients)
LITHIUM
Fluorocytosine/5 FU
Sudafed
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.

47. What are common side effects of Chantix?
Zofran and Reglan
Trigeminal neuralgia (cheek nerve pain)= don't want to chew so don't eat= loose weight. If med is working the person will GAIN WEIGHT.
Prevents absorption of fat from the GI tract.
Nausea - Sleep disturbances - constipation - gas - and vomiting.

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.
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
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.
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.).

49. What is an example of a steroid?
BETAMETHASOne
Take 2-4 hrs apart from each other.
Evista and Fosamax
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.

50. What is important to know about singulair? (use)
Chantix and Zyban
It is an antiviral used to treat herpes. It is toxic to the kidneys
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.