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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. If NPH is given in the AM when might you see S&S of hypoglycemia?
Sudafed
Nitroglycerin
4:00 pm (mid afternoon)
454 grams

2. What nursing intervention should be used for constipation from morphine?
LITHIUM
Increased fiber - increased fluids - exercise. Not Colace.
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 -
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

3. What is important to know about clozapine? (check - watch for)
Nebupent
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 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.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

4. What is important to know about kayexelate? (time to work)
It is a potassium removing resin that takes 6-8 hours to work.
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
10 am (midmorning)
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.

5. What is important to know about Baclofen? (use - SE)
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.
Viagra and Levitra/Celias
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
454 grams

6. What should be done right after the EMLA cream is applied?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
DIGOXIN
(analgesic) 50-100 mg-8H
One

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

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8. What food considerations should be made for a patient on coumadin?
Ancef - keflex - and ceclor
No because they have opposing actions and would cancel each other out.
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.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.

9. What letter on the end of a test indicate Iodine?
Gram (ex: pyelogram)
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Coumadin and Heparin
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.

10. How many ounces in 1 cup?
8 ounces
NO!!!!!
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.

11. What is important to know about Morphine? ( Check - dose - contraindications)
Persantine and Plavix
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.
Sudafed
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.

12. What is an example of an MAOI?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
(analgesic) 600 mg Q6H
Reglan
Parnate

13. What is important to know about a lidocaine patch?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
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.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

14. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
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.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Q3 days

15. What is important to know about prostigmin? (use/patients)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Neupogen
Diamox
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.

16. Can salt substitutes be given to renal failure patients?
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.
No bc they are made with potassium salt.
Lantus
Actonel and Boniva

17. What is an example of a potassium removing resin?
Kayexelate
Nitroglycerin
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 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.

18. What should be checked with aminoglycosides?
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
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.
I&O and S. CR(?)

19. What meds should not be taken with corticosteroids?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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.
ASA and NSAIDS
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.

20. What is an example of an antiprotozoal?
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.
Nebupent
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Pitressin/Vasopressin

21. What is the benefit of a smaller needle for injections?
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
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).
Avandia
Less pain and decreased risk of hematoma.

22. How often are fentanyl patches for pain applied?
Q3 days
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Prevents absorption of fat from the GI tract.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.

23. What is important to know about lidocaine? (use)
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
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
(analgesic) 600 mg QID (with RAH)
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.

24. What is an example of an alcohol deterrent?
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
Antabuse
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.

25. What is an example of a smooth muscle relaxer?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
BRETHINE
Carafate
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

26. What is Gingko Biloba and its uses/concerns?
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Valtrex
(analgesic) 600 mg Q6H
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 important to know about thorazine and stelazine? (use - teach - watch)
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
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 antiretroviral used to treat HIV.
2.2046 pounds

28. What is important to know about Paxil? (Use - teach)
No because the dye exits the body in one day!
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is an herb used to increase memory for alzheimers and as an anticoagulant.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.

29. What is an example of antithyroid?
Blood sugar
Propylthiouracil/PTU
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Paxil and Prozac/fluoxetine

30. What is black cohosh and its uses?
Do smoke while wearing and don't apply to breast.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Flomax

31. What is an example of a digestant - pancreatic enzyme?
I&O and S. CR(?)
Pancrealipase/viokase
Actonel and Boniva
LASIX and Mannitol

32. 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).
Methergine
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
Clozapine

33. What is impt to know about anafranil? (drug type)
(F-32) divided by 1.8
Chantix and Zyban
Tricyclic antidepressant
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

34. What is important to know about lactalose? (use)
(analgesic) 650 mg QID
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
LITHIUM
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.

35. How is nicotine gum initiated?
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)
2 #3 tylenols because it contains the same amount of codeine.
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.
An allergy to iodine

36. What is important to know about amphotericin B? (use - check)
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
It is an antifungal medication and creatinine and output should be checked when administered.
I&O and S. CR(?)

37. What is important to know about Neomycin? (Use - effect).
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
16 ounces
Amphojel
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.

38. What is an example of an emetic?
Coumadin and Heparin
One day
Ipecac syrup
Increased Blood sugar - increased Na - increased H20 - and increased BP.

39. What is important to know about levodopa? (use - SE - avoid)
It is used to treat ulcerative colitis.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
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.
Anafranil and elavil

40. What is a normal adult dose of Coumadin (warfarin)?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
(cardiac med) 2.5-10 mg
Iron
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

41. What is important to know about streptomycin? (check)
It is very harmful to the kidneys (should be flushed out with fluids).
No bc they are made with potassium salt.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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.

42. What is an example of an antiviral?
(analgesic) 600 mg Q6H
Valtrex
One
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

43. What is important to know about all steroids? (when to take - teach - check)
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 a potassium sparing diuretic. Do Not give with renal failure and check output.
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
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.

44. What is an example of an antifungal med?
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
Amphotericin B
Q3 days
Singulair

45. What is an example of a bronchodilator?
Singulair
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

46. What is important to know about Gingko? (use)
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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.

47. What is important to know about ipecac syrup? (use - requirements - contraindications)
Iron
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 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!)
Questran

48. How do you know that mannitol is working effectively?
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
Tricyclic antidepressant
Gram (ex: pyelogram)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).

49. 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
Anafranil and elavil
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Levodopa

50. What are 2 examples of antigout medications?
It is a biologic modifier that improves a persons immune system so that they may have less infections.
Antabuse
Allopurinol and COLCHICINE
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).