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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 an example of a digestant - pancreatic enzyme?
(cardiac med) .125- .250 mg QD
Pancrealipase/viokase
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Amphojel

2. What is impt to know about imdur (isosorbide)? (use - watch for).
Ritalin
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

3. What is important to know about tylenol? (Do not give w/ - not useful for - kinds/values).

4. What are two examples of anti - smoking meds?
Chantix and Zyban
Reglan
20 mcg/ml and up (therapeutic range is 10-15).
Glyset and Glyburide

5. What is an example of a cholinergic stimulant?
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Reglan
Prostigmin
(analgesic) 50-100 mg-8H

6. What is important to remember about the volume of ice?
Less pain and decreased risk of hematoma.
It melts to half its volume!
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
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.

7. What is important to know about Levitra/celias? (use - SE - contraindications)
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 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.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
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.

8. What is the order of steps for giving a subcutaneous injection?
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.
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.

9. What is important to know about Questran? (Use - SE - diet)
Carafate - Penicillin - and Isoniazid (INH).
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 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.
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.

10. What must you watch for when on corticosteroids?
MOTRIN - Feldene - Indomethocin - and Advil.
Infection!!!
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.
(analgesic) 650 mg QID

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

12. Can an LPN administer all medications?
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.
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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

13. What is important to know about thorazine and stelazine? (use - teach - watch)
Flomax
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Reglan
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

14. What 7 meds should alcohol be avoided while taking?
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
The patient needs to consume 8-10 glasses of water a day.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
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.

15. What is an example of an oral antidiabetic?
Avandia
(cardiac med) 180-270 mg QD
Azulfidine
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.

16. What is important to know about Valtrex? (use - watch)
An allergy to iodine
It is an antiviral used to treat herpes. It is toxic to the kidneys
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.
Actonel and Boniva

17. What is an example of a pituitary hormone?
Danazol
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Pitressin/Vasopressin
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

18. Can digoxin and epinephrine given together?
Coumadin and Heparin
No because they have opposing actions and would cancel each other out.
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
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate

19. What Is IMPORTANT TO Know ABOUT HALDOL?
Less pain and decreased risk of hematoma.
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.
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) 40-80 mg QD

20. What is impt to know about zofran? (use)
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.
It is an antiemetic that is used to decrease N&V caused by chemo.
(cardiac med) 40-80 mg QD
Iron

21. What is important to know about Neomycin? (Use - effect).
Azulfidine
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.
Blood sugar
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).

22. What is impt to know about Sudafed? (Use and toxic effect).
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
Coumadin and Heparin

23. What Is IMPORTANT TO Know ABOUT BRETHINE? (use - teach)

24. What is an example of a laxative/ ammonia detoxicant?
Ancef - keflex - and ceclor
Lactalose
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 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.

25. How many pints in 1 quart?
Protonix
It is heparin like. The injection should be given in the abdomen and isn't massaged.
It melts to half its volume!
2 pints

26. All steroids cause an increase in what?
Tricyclic antidepressant
Blood sugar
Gram (ex: pyelogram)
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.

27. What is an example of an ACE inhibiter (antihypertensive)?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
Procardia
Q3 days
Acutane

28. What is impt to know about avandia? (use - check - SE)
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Zantac and Tagamet
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
It is very harmful to the kidneys (should be flushed out with fluids).

29. hat is important to know about a clonidine patch?

30. What food considerations should be made for a patient on tetracycline?
Avoid milk and milk products (2 hrs prior to or after administration).
ASA and NSAIDS
Ipecac syrup
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

31. What is important to know about Fosamax? (use - teach - SE)
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!)
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.
No bc they are made with potassium salt.
It is an herb used to increase memory for alzheimers and as an anticoagulant.

32. 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.
454 grams
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.

33. hat are 2 examples of Bisphosphonate?
Epogen
Imdur (Isosorbide)
INH - Vitamin B6 - and Rifampin
Actonel and Boniva

34. What are 2 examples of antiemetics?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
LITHIUM
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Zofran and Reglan

35. What is a normal adult dose of motrin?
(analgesic) 600 mg Q6H
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
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.

36. What is important to know about tetracycline? (Avoid - do not give w/).
Less pain and decreased risk of hematoma.
Nitroglycerin
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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.

37. What is an example of a bronchodilator?
Singulair
Dilantin - Neurontin - Tegretol - and Topamax
Less pain and decreased risk of hematoma.
Reglan

38. What is an example of a hormone?
Q3 days
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
Paxil and Prozac/fluoxetine
Epogen

39. What are 8 examples of Beta blockers (antihypertensives)?
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 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.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

40. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
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.
Infection!!!
(analgesic) 600 mg QID (with RAH)

41. What are 3 types of TB meds?
Sudafed
INH - Vitamin B6 - and Rifampin
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is an antiemetic that is used to decrease N&V caused by chemo.

42. What is important to know about Percodan/Percocet? (base)
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
Kayexelate
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
BRETHINE

43. What is important to know about Norvir? (use)
Glyset and Glyburide
It is an antiretroviral used to treat HIV.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Parnate

44. What is an example of antithyroid?
16 ounces
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is an ovulation suppressant used to treat endometriosis.
Propylthiouracil/PTU

45. What is important to know about all steroids? (when to take - teach - check)
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
20 mcg/ml and up (therapeutic range is 10-15).
2 pints
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.

46. What is important to know about Paxil? (Use - teach)
(C x 1.8) + 32
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Prevents absorption of fat from the GI tract.

47. What medication may be prescribed in conjunction with Chantix and why?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
4:00 pm (mid afternoon)
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
Do smoke while wearing and don't apply to breast.

48. What is impt to know about quinidine? (watch for)
It is a vaccine used to protect against cervical cancer - abormal - and precancerous cervical/vaginal/& vulvar lesions & genital warts. SE include HA - fever - N&V - dizziness - fainting. Dose= 3 injections over 6 months (2nd is 2 months after 1st -
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
DIGOXIN
Protonix

49. What is Kava and its uses/concerns?
Acutane
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

50. What is important to know about Gardasil? (use - SE - dosing - contraindications)
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.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is a vaccine used to protect against cervical cancer - abormal - and precancerous cervical/vaginal/& vulvar lesions & genital warts. SE include HA - fever - N&V - dizziness - fainting. Dose= 3 injections over 6 months (2nd is 2 months after 1st -
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.