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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 a normal adult dose of Diazepam?
Amphojel
10 am (midmorning)
(Psych med) 5-10 mg-6H
Less pain and decreased risk of hematoma.

2. What is important to know about Epogen? ( use - outcome)
Nebupent
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
(Psych med) 5-10 mg-6H

3. What is a normal adult dose of Furosemide?
(cardiac med) 40-80 mg QD
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
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.
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.

4. Should grapefruit juice be used to give medication?
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
(analgesic) 600 mg QID (with RAH)
NO!!!

5. What is impt to know about Cozaar? (use - watch)
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
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.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
MOTRIN - Feldene - Indomethocin - and Advil.

6. What are 5 examples of herbs?

7. What is an example of a cerebral stimulant?
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!)
454 grams
Ritalin
One

8. How many grams in 1 pound?
454 grams
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
(analgesic) 600 mg Q6H

9. What are 4 examples of antibiotics?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
BRETHINE
Prevents absorption of fat from the GI tract.
LITHIUM

10. What is an example of an oral antidiabetic?
Avandia
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 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.
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!)

11. What is an example of a protectant/antiulcer?
Iron
8 ounces
Carafate
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.

12. What is an example of a potassium removing resin?
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Kayexelate
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Questran

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

14. What is impt to know about Sudafed? (Use and toxic effect).
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 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.
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 adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.

15. What are two examples of electrolytes?
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.
Baclofen
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Potassium chloride and potassium

16. What is important to know about St. John's Wort? (use - watch)
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
PrednisOne - CortisOne - and DexamethasOne.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

17. What is Garlic and it's uses?

18. What is important to know about Acutane? (use - teach - SE)
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
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.
Amphojel
Paxil and Prozac/fluoxetine

19. What is an example of a thrombolytic enzyme?
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
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 antidysrhythmic that is the drug of choice for dysrhythmias.
Streptokinase

20. What is impt to know about zofran? (use)
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 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 an antiemetic that is used to decrease N&V caused by chemo.
It is an ovulation suppressant used to treat endometriosis.

21. What is impt to know about neurontin? (Use)
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
Potassium chloride and potassium
Ancef - keflex - and ceclor
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

22. What is important to know about ipecac syrup? (use - requirements - contraindications)
Protonix
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
2 cups
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. With whom should nicotine be used cautiously in?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Anafranil and elavil
Prostigmin
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

24. What is important to know about Morphine? ( Check - dose - contraindications)
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
An allergy to iodine
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.

25. What is impt to know about Allopurinol and COLCHICINE? (use - teach - toxicity)
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.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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.
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.

26. What is important to know about Codeine? (SE - check - use - diet)
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.
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.
Amphojel
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.

27. What is an example of a Dry secretions medication?
It is a potassium removing resin that takes 6-8 hours to work.
Atropine
Valtrex
Questran

28. What is an example of a potassium sparing diuretic?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
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.
Aldactone
2.2046 pounds

29. Can digoxin and epinephrine given together?
No because they have opposing actions and would cancel each other out.
Amphojel
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.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.

30. What is an example of an ovulation suppressant?
Danazol
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
LITHIUM

31. What is nicotine gum used for?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
Viagra and Levitra/Celias
Amphotericin B
Propylthiouracil/PTU

32. What is important to know about AZT/Retrovir? (use - when give pregnant - monitor)
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
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.
Singulair
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

33. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
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
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
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

34. What are 5 examples of an antilipidemic?
Baclofen
DIGOXIN
Lipitor - Advicor - Crestor - Questran - and Zocor
It is used to treat ulcerative colitis.

35. What is saw palmetto and its uses/concerns?

36. What is important to know about Vitamin B6? (use - contraindication)
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Valtrex
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

37. What is an example of an antiprotozoal?
Zantac and Tagamet
Nebupent
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.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.

38. hat is an example of a biologic modifier?
It is a potassium removing resin that takes 6-8 hours to work.
2 #3 tylenols because it contains the same amount of codeine.
Neupogen
1 shot glass=1 oz

39. If someone wants to know how to measure out 1oz of medication at home What can they use?
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
20 mcg/ml and up (therapeutic range is 10-15).
1 shot glass=1 oz

40. What is important to know about Norvir? (use)
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.
It is an antiretroviral used to treat HIV.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
PrednisOne - CortisOne - and DexamethasOne.

41. What is important to know about lactalose? (use)
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.
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
Singulair
Lactalose

42. What is important to know about tetracycline? (Avoid - do not give w/).
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 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.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Infection!!!

43. What do steroid names end in?
It is very harmful to the kidneys (should be flushed out with fluids).
One
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Sudafed

44. What is an example of a electrolyte/anticonvulsant/laxative?
Neupogen
MAGNESIUM SULFATE
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
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

45. What are 4 examples of anticonvulsants?
(analgesic) 2-10 mgH PRN
ASA and NSAIDS
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.
Dilantin - Neurontin - Tegretol - and Topamax

46. What is an example of a calcium supplement?
The patient needs to consume 8-10 glasses of water a day.
4 cups
Os Cal
Nausea - Sleep disturbances - constipation - gas - and vomiting.

47. What is EMLA cream used for?
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
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
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
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.

48. 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.
It is an antifungal medication and creatinine and output should be checked when administered.
2 #3 tylenols because it contains the same amount of codeine.
Increased fiber - increased fluids - exercise. Not Colace.

49. What is an example of an oxytocic?
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Methergine
Acutane
I&O and S. CR(?)

50. What are 3 examples of anti - inflammatory corticosteroids?
PrednisOne - CortisOne - and DexamethasOne.
Nitroglycerin
It is a vitamin given with iron foods to help absorption.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.