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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 an antiviral?
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.
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Lantus
Valtrex

2. What is a type of sulfa antibiotic?
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.
Gantrisin
29.573 mls
Mannitol

3. What is Kava and its uses/concerns?
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

4. What is impt to know about neurontin? (Use)
It is heparin like. The injection should be given in the abdomen and isn't massaged.
LASIX and Mannitol
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

5. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
Propylthiouracil/PTU
Gantrisin
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 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.

6. What is important to know about antabuse? (use - avoid w/ - d/c)
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 an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Prostigmin
Levodopa

7. What is a normal adult dose of Diazepam?
Danazol
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
(Psych med) 5-10 mg-6H
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

8. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
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.
DIGOXIN
No because they have opposing actions and would cancel each other out.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.

9. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
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.
Protonix
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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.

10. What is an example of an antianginal/vasodilator?
It is an opiate analgesic. SE include constipation. Monitor bowel movements. And it is the only med for head injuries. Pt should be on a high fiber diet.
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 an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Imdur (Isosorbide)

11. What is an example of antithyroid?
Propylthiouracil/PTU
One day
Lidocaine and Quinidine
Less pain and decreased risk of hematoma.

12. What is impt to know about zofran? (use)
2 pints
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is an antiemetic that is used to decrease N&V caused by chemo.
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.

13. What is important to remember about the volume of ice?
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 melts to half its volume!
Less pain and decreased risk of hematoma.
Blood sugar

14. What is important to know about procardia? (administered - use - action - SE)
Carafate
Tricyclic antidepressant
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
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.

15. 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
Questran
Pitressin/Vasopressin
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

16. What is an example of an adrenergic blocker?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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!)
Flomax
2 #3 tylenols because it contains the same amount of codeine.

17. What is important to know about all steroids? (when to take - teach - check)
(C x 1.8) + 32
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
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.
Less pain and decreased risk of hematoma.

18. What is important to know about Levitra/celias? (use - SE - contraindications)
Atropine
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
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 erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.

19. What are two examples of electrolytes?
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
No because they have opposing actions and would cancel each other out.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Potassium chloride and potassium

20. What is an example of a nonopioid analgesic?
Atropine
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.
Valium
Pryidium

21. What are considerations for lovenox?

22. What is an example of a bronchodilator/spasmolytic?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
AMINOPHYLLINE (TheOPHYLLINE)
Gram (ex: pyelogram)
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

23. What is an example of a cholinergic stimulant?
Prostigmin
Allopurinol and COLCHICINE
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
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.

24. What is a normal adult dose of meperidine?
INH - Vitamin B6 - and Rifampin
Iron
Questran
(analgesic) 50-100 mg-8H

25. What is important to know about potassium chloride and potassium? (check)
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
(analgesic) 50-100 mg-8H
It is a thrombolytic enzyme used for MI - CVA - & PE. It must be started within 6 hours and PT and PTT levels should be checked.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

26. What is impt to know about clomid?
It is an ovulation stimulant used to increase fertility.
INH - Vitamin B6 - and Rifampin
Take 2-4 hrs apart from each other.
2 #3 tylenols because it contains the same amount of codeine.

27. What is important to know about Paxil? (Use - teach)
They are TB medications. They are okay to take while pregnant.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

28. What is an example of an antiplasmotic?
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
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
Baclofen
Lidocaine and Quinidine

29. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
BRETHINE
PrednisOne - CortisOne - and DexamethasOne.
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.
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

30. What food considerations should be made for patients on iron supplements?
BETAMETHASOne
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Lactalose
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.

31. What are 5 examples of an antilipidemic?
Lipitor - Advicor - Crestor - Questran - and Zocor
Antabuse
Flomax
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

32. What teaching should be done regarding Chantix?

33. What is important to know about Valtrex? (use - watch)
It is an antiviral used to treat herpes. It is toxic to the kidneys
If a slight tingling occurs stop chewing the gum until the sensation subsides - should not eat or drink 15 mins before or during - and chew one piece for about 30 mins.
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
Nebupent

34. What is an example of an antiglaucoma/diuretic medication?
It is an opiate analgesic. SE include constipation. Monitor bowel movements. And it is the only med for head injuries. Pt should be on a high fiber diet.
Do smoke while wearing and don't apply to breast.
2.2046 pounds
Diamox

35. What medication may be prescribed in conjunction with Chantix and why?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
DIGOXIN
It is an ovulation stimulant used to increase fertility.
Places that are prone to friction (waistline) - breasts (for patches containing estrogen or nicotine) - and try to avoid hairy areas (if you must don't shave just clip the hair close to the skin).

36. What is an example of an oxytocic?
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
No bc they are made with potassium salt.
Methergine
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.

37. What is the order of steps for giving a subcutaneous injection?
No bc they are made with potassium salt.
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 a potassium removing resin that takes 6-8 hours to work.
Persantine and Plavix

38. What are 2 examples of bone reabsorption inhibitors?
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.
Evista and Fosamax
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
Amphotericin B

39. What 7 meds should alcohol be avoided while taking?
AMINOPHYLLINE (TheOPHYLLINE)
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)
Acutane
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

40. What is important to know about Iron? (take with - SE)
LITHIUM
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
They are TB medications. They are okay to take while pregnant.

41. What is important to know about ipecac syrup? (use - requirements - contraindications)
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
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.
Propylthiouracil/PTU
(C x 1.8) + 32

42. What are common side effects of Chantix?
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).
Nausea - Sleep disturbances - constipation - gas - and vomiting.
Avoid milk and milk products (2 hrs prior to or after administration).
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.

43. How many ml's in 1 fluid oz?
29.573 mls
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Prostigmin
Danazol

44. What is impt to know about prozac? (when take - teach)
It melts to half its volume!
Allopurinol and COLCHICINE
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.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

45. What should be done right after the EMLA cream is applied?
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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.
It should be covered by an occlusive dressing to keep it in place and assist absorption.
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).

46. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
Valium
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Lactalose
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

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

48. What are 8 examples of Beta blockers (antihypertensives)?
AMINOPHYLLINE (TheOPHYLLINE)
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
MOTRIN - Feldene - Indomethocin - and Advil.
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.

49. What are 4 examples of opiate analgesics?
Gram (ex: pyelogram)
Codeine - Demerol - Percodan/Percocet - and Morphine.
Avandia
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!)

50. What nursing intervention should be used for constipation from morphine?
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.
Zantac and Tagamet
Increased fiber - increased fluids - exercise. Not Colace.
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