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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 important to know about prostigmin? (use/patients)
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Prevents absorption of fat from the GI tract.
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
(cardiac med) 180-270 mg QD

2. What teaching should be done regarding transdermal patches?
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
Actonel and Boniva
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
LASIX and Mannitol

3. What is an example of an emetic?
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
LASIX and Mannitol
It is a potassium removing resin that takes 6-8 hours to work.
Ipecac syrup

4. What is important to know about potassium chloride and potassium? (check)
It is a biologic modifier that improves a persons immune system so that they may have less infections.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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.
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.

5. What Is IMPORTANT TO Know ABOUT LASIX? (use - check - lasts - considerations - Do Not give to)
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
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.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
Propylthiouracil/PTU

6. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
Glucagon
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Ritalin

7. What is important to know about all steroids? (when to take - teach - check)
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.

8. What is important to know about Iron? (take with - SE)
Sudafed
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.
20 mcg/ml and up (therapeutic range is 10-15).
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

9. Farenheit=Celsius.....
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
(C x 1.8) + 32
It is a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.

10. What is important to know about Valtrex? (use - watch)
Antabuse
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is an antiviral used to treat herpes. It is toxic to the kidneys
Dilantin - Neurontin - Tegretol - and Topamax

11. What is important to know about Levitra/celias? (use - SE - contraindications)
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.
Avoid milk and milk products (2 hrs prior to or after administration).
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Nausea - Sleep disturbances - constipation - gas - and vomiting.

12. What food considerations should be made for a patient on tetracycline?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Anafranil and elavil
Avoid milk and milk products (2 hrs prior to or after administration).
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.

13. What is important to know about a lidocaine patch?
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.
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).
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
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.

14. What is an example of a digestant - pancreatic enzyme?
(cardiac med) 2.5-10 mg
Pancrealipase/viokase
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is a biologic modifier that improves a persons immune system so that they may have less infections.

15. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Potassium chloride and potassium
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
One day

16. What is impt to know about cardizem/calan? (use - action - SE)
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 a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
Avoid milk and milk products (2 hrs prior to or after administration).
Amphojel

17. What are 4 examples of anticonvulsants?
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Levodopa
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Dilantin - Neurontin - Tegretol - and Topamax

18. What is a normal adult dose of Furosemide?
(cardiac med) 40-80 mg QD
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.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

19. What are 4 examples of opiate analgesics?
Codeine - Demerol - Percodan/Percocet - and Morphine.
Ancef - keflex - and ceclor
Nebupent
Valium

20. How many ounces in 1 pint?
Mannitol
Amphojel
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
16 ounces

21. What food considerations should be made for patients on iron supplements?
Azulfidine
No because they have opposing actions and would cancel each other out.
It is a vitamin and can be taken after food to reduce flushing.
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.

22. What is important to know about pancrealipase/viokase? (use - when administered)
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is an ovulation stimulant used to increase fertility.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
10 am (midmorning)

23. How many cups in 1 pint?
2.2046 pounds
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
2 cups
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.

24. What locations should be avoided when placing transdermal patches?

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25. What is important to know about Paxil? (Use - teach)
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
One day
Valtrex

26. What is important to know about Baclofen? (use - SE)
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
4 cups
Flomax

27. What is an example of an adrenergic medication?
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.
Propylthiouracil/PTU
Sudafed
It should be covered by an occlusive dressing to keep it in place and assist absorption.

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

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29. What are 2 examples of bone reabsorption inhibitors?
PrednisOne - CortisOne - and DexamethasOne.
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.
Evista and Fosamax
Antabuse

30. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
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 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.
MAGNESIUM SULFATE

31. Can salt substitutes be given to renal failure patients?
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.).
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
No bc they are made with potassium salt.
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

32. 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 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.
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.
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.

33. What is important to know about protonix? (use - SE)
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).
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Viagra and Levitra/Celias
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

34. What is an example of a cardiac glycoside/antidysrhythmic?
DIGOXIN
'Mycin' drugs so Gentamicin and Streptomycin
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.
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.

35. What is an example of an antacid?
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Amphojel
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
Actonel and Boniva

36. What is important to know about gentamicin? (SE - Check - Do not take w/).
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
AZT/Retrovir and Norvir
Baclofen
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.

37. What is impt to know about reglan? (action - when to take)
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).
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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.

38. Most antibiotics will cause what? (3 things)
2.2046 pounds
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Loose stools - vaginitis - or thrush
It melts to half its volume!

39. What is important to know about nebupent? (use - routes - check)
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.
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 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
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.

40. What is an example of an anti - anxiety/anticonvulsant?
It is an herb used for PTSD - sleeping disorders - anxiety - restlessness - URI - and acne. Should not be used in glaucoma pts and shouldn't be taken with sleeping pills and antianxiety or antidepressant drugs. Takes 2 weeks to kick in and take at ni
Valium
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
An allergy to iodine

41. How many cups in 1 quart?
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.
INH - Vitamin B6 - and Rifampin
1 shot glass=1 oz
4 cups

42. What is Kava and its uses/concerns?
Avandia
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
2 pints

43. What is important to know about thorazine and stelazine? (use - teach - watch)
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
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.

44. What is a drawback of a transdermal drug patch?

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45. What 3 medications should be taken on an empty stomach (at least 1 hr before meal)?
20 mcg/ml and up (therapeutic range is 10-15).
Procardia
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
Carafate - Penicillin - and Isoniazid (INH).

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

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47. What are 2 examples of antigout medications?
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.
Allopurinol and COLCHICINE
One
Nitroglycerin

48. What is an example of a coronary vasodilator/antianginal?
Nitroglycerin
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.
Ritalin
No because the dye exits the body in one day!

49. Can salt substitutes be given to Addison's patients?
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
No bc they are made with potassium salt.
PrednisOne - CortisOne - and DexamethasOne.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.

50. What is important to know about Calcitonin - Salmon? (use - action - teach)
Codeine - Demerol - Percodan/Percocet - and Morphine.
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 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 a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.