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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)
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
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
Streptokinase
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.

2. What is important to know about garlic? (use - contraindications)
(Psych med) 5-10 mg-6H
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.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.

3. What is important to know about antabuse? (use - avoid w/ - d/c)
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Aspirin (ASA) and Tylenol
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.
INH - Vitamin B6 - and Rifampin

4. What is an example of an antiparkinson agent?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Levodopa
MOTRIN - Feldene - Indomethocin - and Advil.
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.

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

6. What is important to know about Levitra/celias? (use - SE - contraindications)
(Psych med) 5-10 mg-6H
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
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.
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.

7. What are 2 examples of an oral hypoglycemic?
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.
Glyset and Glyburide
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
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.

8. What are 3 examples of Ca channel blockers (antihypertensives)?
Anafranil and elavil
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Prevents absorption of fat from the GI tract.
Protonix

9. What is important to know about resperidone? (use - check)
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.
Epogen
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

10. What is impt to know about Ancef - keflex - and ceclor? (SE - TX - check for).
No because the dye exits the body in one day!
Q3 days
Tricyclic antidepressant
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.

11. What is important to know about amphotericin B? (use - check)
It is an antifungal medication and creatinine and output should be checked when administered.
Take 2-4 hrs apart from each other.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Do not give if patient has liver disease and it's not useful for anti - inflammatory. There are 4 kinds each with the same amount of tylenol and different amounts of codeine. (1=325 T and 8mg C - 2= 325 T and 15 mg C - 3= 325 T and 30 mg C - and 4= 3

12. What are 2 examples of tricyclic antidepressants?
Anafranil and elavil
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
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.
Zantac and Tagamet

13. What are the two major side effects of aminoglycosides?
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.
(C x 1.8) + 32
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
It is an ovulation stimulant used to increase fertility.

14. Can lasix and vasopressin be given together?
Diamox
Prevents absorption of fat from the GI tract.
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
No because they have opposing actions and would cancel each other out.

15. What are 2 examples of aminoglycoside antibiotics?

16. What is important to remember about the volume of ice?
It melts to half its volume!
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
It is an oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.
Aldactone

17. What is an example of a proton pump inhibitor?
Actonel and Boniva
Clomid
Protonix
2.2046 pounds

18. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
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.
Actonel and Boniva
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).

19. What is the only diuretic that will pull fluid from the brain or the eyes?
(C x 1.8) + 32
2 #3 tylenols because it contains the same amount of codeine.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Mannitol

20. Most antibiotics will cause what? (3 things)
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
Loose stools - vaginitis - or thrush
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.

21. What is important to know about Synthroid? (use - teach)
Persantine and Plavix
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Gram (ex: pyelogram)
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.).

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

23. Should grapefruit juice be used to give medication?
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
NO!!!
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.

24. What are 5 examples of an antilipidemic?
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.
(Psych med) 5-10 mg-6H
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
Lipitor - Advicor - Crestor - Questran - and Zocor

25. What Is IMPORTANT TO Know ABOUT HALDOL?
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
Gantrisin
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
Aldactone

26. What are 3 types of TB meds?
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 used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Nebupent
INH - Vitamin B6 - and Rifampin

27. What is impt to know about neurontin? (Use)
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Acutane
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

28. What is an example of an oral antidiabetic?
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.
Avandia
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.
Aldactone

29. What food considerations should be made for a patient on diuretics (ex: hydrochlorothiazide - lasix - bumex)?
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.
(analgesic) 50-100 mg-8H
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
The patient needs to consume 8-10 glasses of water a day.

30. If NPH is given in the AM when might you see S&S of hypoglycemia?
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
4:00 pm (mid afternoon)
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Valtrex

31. What is a normal adult dose of Diltiazem?
Allopurinol and COLCHICINE
Epogen
(cardiac med) 180-270 mg QD
2 pints

32. What is important to teach about a nitroglycerin patch?

33. What is a normal adult dose of meperidine?
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 an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
(analgesic) 50-100 mg-8H
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

34. What is an example of an antiglaucoma/diuretic medication?
Diamox
Ancef - keflex - and ceclor
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

35. What is an example of a parathyroid agent?
Ipecac syrup
Viagra and Levitra/Celias
Calcitonin - Salmon
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

36. 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.
Pryidium
Ancef - keflex - and ceclor
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

37. What do steroid names end in?
One
25-27 gauge - 5/8 inch long - insert at 45 degrees.
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 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

38. What is a normal adult dose of Furosemide?
(cardiac med) 40-80 mg QD
Reglan
It is very harmful to the kidneys (should be flushed out with fluids).
One

39. What is an example of insulin?
Prostigmin
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.
Lantus
AZT/Retrovir and Norvir

40. How many pints in 1 quart?
2 pints
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
PrednisOne - CortisOne - and DexamethasOne.
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.

41. 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.
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.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
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.

42. What is an example of a steroid?
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).
I&O and S. CR(?)
BETAMETHASOne
Sudafed

43. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
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.
(analgesic) 600 mg QID (with RAH)
It is a chemo agent. SE= N&V and decreased bone marrow function.

44. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
It is an antiretroviral used to treat HIV.
Do smoke while wearing and don't apply to breast.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
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.

45. What is impt to know about quinidine? (watch for)
Lantus
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.
Lactalose
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.

46. Who should not take tetracycline?
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
No bc they are made with potassium salt.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Sudafed

47. What are 4 examples of anticonvulsants?
Dilantin - Neurontin - Tegretol - and Topamax
Amphojel
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.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

48. Celsius= Farenheit .....?
BRETHINE
Increased fiber - increased fluids - exercise. Not Colace.
(F-32) divided by 1.8
It should be covered by an occlusive dressing to keep it in place and assist absorption.

49. With whom should nicotine be used cautiously in?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.
(analgesic) 650 mg QID
INH - Vitamin B6 - and Rifampin

50. What is a normal adult dose of digoxin?
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
(cardiac med) .125- .250 mg QD
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 heparin like. The injection should be given in the abdomen and isn't massaged.