NCLEX-PN Medications to Know Questions And Answers

NCLEX-PN Medications to Know Questions And Answers

Heparin - AnswerAnticoagulant;Monitor pt's lab work-PTT. Antidote is protamine sulfate Lovenox - AnswerAnticoagulant; Enoxaparin sodium Plavix - Answer(Clopidogrel); This antiplatelet drug prolongs bleeding time, so it should be watched. Avoid aspirin Tylenol - AnswerAnalgesic; Antipyretic; liver toxicity with high doses; <4000mg/day; liver patient <2000mg/day Lithium - AnswerAntimanic ; a primary drug in manic depression (bipolar); 0.8-1.2 mEq/L; monitor blood levels.Vancomycin - AnswerAntibiotic; Treats MRSA, C diff; Ototoxic, nephrotoxic; Infuse slowly (60 min) to avoid red man syndrome; CDC 12-step program Gentamycin - AnswerAminoglycoside, Antibiotic; Neurotoxicity, nephrotoxicity, ototoxicity. Slow IV/IM Synergistic when combined with a B-lactam (Sepsis); carefully monitor client's taking furosemide (lasix).Dilaudid - AnswerHydromorphone, Narcotic Analgesic; CNS Depressant Morphine - Answer(MS Contin); opioid; CNS depressant, constipation, confusion, hypotension, urinary retention, tolerance; monitor respiration, pain, teach fall precaution, constipation, bright room. Should be withheld if the respirations are below 10 Valium - Answer(Diazepam); Benzodiazepine; Antianxiety; potentiates GABA, abuse potential, tolerance. SE: CNS effects (sedation, dizzy, confusion) Muscle relaxant.Ativan - Answer(Lorazepam); Antianxiety; Antiseizure; Benzodiazepine; CNS depressant (sedation), blackout, respiratory depressant; assess fall, monitor respiration if on other CNS depressant.Lipitor - Answer(Atorvastatin); Antihyperlipidemic; MONITOR LIVER ENZYMES, ASSESS FOR MUSCLE PAIN AND TENDERNESS, REPORT TO DR IF PRESENT; S tatin Prednisone - Answer(Deltasone); Antiinflammatory; Corticosteroid; Antileukemic drug; Administer before 9 AM to mimic normal peak corticosteroid blood levels; Increase dosage during stress; Taper doses; Do not give live virus vaccines Protonix - Answer(Pantoprazole Sodium); PPI; Altace - Answer(ramipril); antihypertensive ACE Inhibitor

Vasotec - Answer(Enalapril); ACE inhibitor; Antihypertensive Zovirax - AnswerAcyclovir (Antiviral) treats growth and spread of herpes virus Metaprolol - Answer(Lopressor); Selective beta blocker for Beta 1. Decrease rate and contractility. Doesn't affect respiration" Crestor - Answer(Rosuvastatin); Antihyperlipidemic Aspirin - Answer(Acetylsalicylic Acid); Do not give together with other anticoagulants.Stop taking Aspirin some days before surgery. Do not give to children with viral infection (Reye syndrome) Ibuprofen - AnswerTake with food; contraindicated for people with GI ulcers Dilantin - Answer(phenytoin); 10-20 mcg/dL; Causes gum hyperplasia. Advice client to visit dentist frequently

Predisone - Answer(Deltasone); Causes Cushing like symptoms. Common side effects are immunosupression(monitor client for infection), hyperglycemia

Coumadin - Answer(warfarin);Monitor pt's lab work--PT, INR. Antidote is Vitamin K

Cogentin - Answer(benztropine); Used to treat EPS

Sinemet - Answerlevodopa/carbidopa; Drug is effective when tremors are not observed

Theophylline - AnswerS/I for this drug: must get blood level drawn . Should be between 10-20. Used for sympatopmatic relief of, prevention of bronchial asthmas and bronchospasm. Side effects--Tachycardia

Digoxin - Answer(Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors.Side effects - most common is bradycardia. Monitor apical rate before giving. Less than 60 hold and call physician. Electrolytes - monitor potassium levels.

Magnesium Sulfate - AnswerAnticonvulsant Treatment for HTN, pre-ecclampsia, and hypomagnesium. SE incl. RR depression, arrhythmias, hypotension, hyporelfexemia.Monitor BP, for deep tendon reflex and respiratory depression

calcium gluconate - AnswerMagnesium sulfate antedote

Hydrochlothiazide - AnswerThiazides; Monitor potassium levels

Lasix - Answer(Furosemide) Loop Diuretic; Monitor potassium levels. Watch for sulfur alllergy.

Aldactone - Answer(spironolactone); A potassium sparing diuretic; is used to decrease ascites and pleural effusion.

Lithium Carbonate - AnswerA chemical used to counteract mood swings of bipolar disorder; (0.8 to 1.5mEq). Adequate fluid and salt intake is important. Monitor blood levels.

MAOI inhibitors - AnswerHave dangerous food-drug interactions. Food with Tyramine

should be avoided. For example: aged cheese, wine etc.

Disulfiram - Answer(Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach pt to avoid some over-the-counter cough preparations, mouthwash etc.

Atenolol - Answer(Tenormin); Antihypertensive;

Compazine - Answerprochlorperazine; Antiemetic; extrapyramidal effects and agranulocytosis as side effects

Thorazine - Answer(chlorpromazine) A major drug used to reduce the symptoms of schizophrenia

Diovan - Answer(Valsartan); Antihypertensive;

Celebrex - Answer(Celecoxib) NSAID

Albuterol - AnswerProventil; An inhaler used to treat an asthma attack

Advair - Answerfluticasone/salmeterol; long-acting bronchodilator

Solu-medrol - AnswerMethylprednisolone; treatment for allergic reactions, anaphylaxis, and asthma

Cipro - Answer(fluoroquinolone); treatment for prostatitis and UTI's,

Septra - Answersulfamethoxazole/trimethoprim; Antibiotic

Levaquin - Answer(levofloxacin); Antibiotic

Neurontin - Answer(Gabapentin); Antiepileptic; Analgesic Adjunct; Anticonvulsant; mood stabilizer for chronic pain or bipolar

Depakote - Answer(Divalproex Sodium); Anticonvulsant

Cyclopsporine - Answer(restasis); Immune suppressant; Prevention of allograft rejection in organ

Prelone - Answer(Prednisolone); Glucocorticoid/Corticosteroid; treatment for dermatitis, arthritis