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NCLEX Medications

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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 are 3 types of TB meds?
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
INH - Vitamin B6 - and Rifampin
It is used to treat ulcerative colitis.
Atropine

2. What is impt to know about diamox? (use)
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
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
Gram (ex: pyelogram)

3. What is important to know about Baclofen? (use - SE)
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
They are TB medications. They are okay to take while pregnant.
NO!!!!!

4. Most antibiotics will cause what? (3 things)
Loose stools - vaginitis - or thrush
Amphotericin B
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
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

5. What is important to know about garlic? (use - contraindications)
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 prevent CVA. It is an anticoagulant so should not be taken with coumadin.
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
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

6. What is impt to know about Allopurinol and COLCHICINE? (use - teach - toxicity)
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.
Carafate
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Lipitor - Advicor - Crestor - Questran - and Zocor

7. What is important to know about prolixin? (use - teach)
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Aricept
Paxil and Prozac/fluoxetine
Azulfidine

8. hat is an example of a biologic modifier?
Neupogen
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Lidocaine and Quinidine
It is an antipsychotic used to treat psychotic symptoms. Monitor blood sugar - temp - and liver enzymes. Not safe for kids. SE is NEUROLEPTIC MALIGNANT SYNDROME. Avoid over heating.

9. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
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.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
MAGNESIUM SULFATE
A patient with chronic renal failure and Addison's disease because potassium can harm them.

10. What is impt to know about Penicillin - Amoxicillin - Ampicillin - and Augmentin? (dont give w/ - check for)

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11. What letter on the end of a test indicate Iodine?
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.
Gram (ex: pyelogram)
(cardiac med) 2.5-10 mg
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.

12. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
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 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
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

13. What is an example of an oral antidiabetic?
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Avandia
Iron

14. What is impt to know about avandia? (use - check - SE)
(analgesic) 650 mg QID
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Infection!!!
Lantus

15. What is important to know about tegretol? (use - check - at risk for - prevent)
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.
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.
Zofran and Reglan
16 ounces

16. What is a toxic level of digoxin?
20 mcg/ml and up (therapeutic range is 10-15).
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.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
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

17. Farenheit=Celsius.....
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.
(C x 1.8) + 32
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
Persantine and Plavix

18. What is a normal adult dose of aspirin?
(analgesic) 600 mg QID (with RAH)
(analgesic) 50-100 mg-8H
It is an herb used for benign prostatic hyperplasia treatment and urinary infections. It doesn't affect PSA levels but they should be tested before use.
(cardiac med) 180-270 mg QD

19. What are 5 examples of herbs?

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20. What 7 meds should alcohol be avoided while taking?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is an herb used for benign prostatic hyperplasia treatment and urinary infections. It doesn't affect PSA levels but they should be tested before use.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Actonel and Boniva

21. What is important to know about a lidocaine patch?
It is a vitamin and can be taken after food to reduce flushing.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
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.
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.

22. Who should not take tetracycline?
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
454 grams
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
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.

23. Who is EMLA cream contraindicated in?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Epogen
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Reglan

24. What is an example of an antiviral?
Aldactone
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Valtrex
Ritalin

25. What are 2 examples of antidysrhythmic medications?
DIGOXIN
Increased Blood sugar - increased Na - increased H20 - and increased BP.
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.
Lidocaine and Quinidine

26. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
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 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.
Nitroglycerin
It should be covered by an occlusive dressing to keep it in place and assist absorption.

27. What is important to know about a scopolamine patch?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Avoid milk and milk products (2 hrs prior to or after administration).
(analgesic) 600 mg QID (with RAH)
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

28. What is a normal adult dose of Coumadin (warfarin)?
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
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.
(cardiac med) 2.5-10 mg
(analgesic) 50-100 mg-8H

29. What are 2 examples of bone reabsorption inhibitors?
Evista and Fosamax
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
2 #3 tylenols because it contains the same amount of codeine.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

30. How is nicotine gum initiated?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
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)
10 am (midmorning)
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.

31. What are the two major side effects of aminoglycosides?
It is an antipsychotic used to treat psychotic symptoms. Monitor blood sugar - temp - and liver enzymes. Not safe for kids. SE is NEUROLEPTIC MALIGNANT SYNDROME. Avoid over heating.
Digoxin and Colchicine
16 ounces
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).

32. What is important to know about Iron? (take with - SE)
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 emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.

33. Can digoxin and epinephrine given together?
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
No because they have opposing actions and would cancel each other out.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.

34. What is an example of an oxytocic?
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
Avandia
Methergine
It melts to half its volume!

35. In What type of patient should vitamin K containing foods be increased?
Pancrealipase/viokase
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Antabuse
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.

36. What is an example of a coronary vasodilator/antianginal?
No because they have opposing actions and would cancel each other out.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Nitroglycerin
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.

37. What are 2 examples of a diruretic?
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.).
BETAMETHASOne
It is used to treat ulcerative colitis.
LASIX and Mannitol

38. What is important to know about Atropine? (use - contraindications)
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 a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
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.
They are TB medications. They are okay to take while pregnant.

39. What is impt to know about neurontin? (Use)
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Prostigmin
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.

40. What is an example of an antipsychotic/antimanic?
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
LITHIUM
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.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

41. What is important to know about Mannitol? (use - if effective..)
OLOL
(analgesic) 600 mg QID (with RAH)
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.
LITHIUM

42. Can an LPN administer all medications?
It is an antiretroviral used to treat HIV.
No bc they are made with potassium salt.
Tricyclic antidepressant
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

43. What is important to know about Feldene? (contraindication - check - teach)
OLOL
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

44. What are 8 examples of Beta blockers (antihypertensives)?
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
BETAMETHASOne

45. What is important to know about protonix? (use - SE)
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
It is used to treat ulcerative colitis.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

46. What is an appropriate injection volume for a subcutaneous injection?
0.5-1 ml
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.
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 antidysrhythmic and you should watch for QRS ectopic ventricular beats.

47. What is an example of a steroid?
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.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
BETAMETHASOne

48. What is important to know about singulair? (use)
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Anafranil and elavil
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.
Aldactone

49. What is important to know about clozapine? (check - watch for)
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 ovulation stimulant used to increase fertility.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Parnate

50. What is impt to know about amphojel? (base - SE - prevents?)
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
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.
2 pints
I&O and S. CR(?)