NURSING NCLEX Medications

NURSING NCLEX Medications

1. Aripiprazole discmelt (Abilify):

Answer antipsychotic treat the symptoms of psychotic conditions such as schizophrenia and bipolardisorder (manic depression).This is an orally disintegrating tablet and should not be swallowed whole.

2. Lispro insulin:

Answer a rapid-acting insulin that should only be taken with food or within15 minutes of a meal.

• (child has ADHD)

"Ever since my child has been on methyphenidate he has not been able to sleep." What is

the best response for the nurse to make?:

Answer "To prevent insomnia,give him the last daily dose at least 6 hours before bedtime." If the medication is sustained-released, administer the dose in the morning.

4. Selective serotonin reuptake inhibitor (SSRI):

Answer Therapeutic effect is usuallyreached in 1-3weeks, or longer.

• A client being treated for osteoporosis with alendronate reports experiencing slight

heartburn after taking the medicine.What should the nurse suggestto reduce this side

effect?:

Answer Increased heartburn can be reduced or prevented by -drinking plenty of water -sitting upright following the administration of the medication -avoiding sucking on the tablet.

• For any client with a head injury and abnormally high urinary output, the nurse knows

the client is at risk for ..?:

Answer ADH (anti-diuretic hormone) problems.

7. Amitriptyline:

Answer When taking tricyclic antidepressants such as amitriptyline, theskin may be sensitive to sunburn. Use sunscreens, wear protective clothing andsunglasses. Can also precipitate urinary retention.

8. Buspirone:

Answer Combined with alcohol use, the client may develop dizziness ordrowsiness.Buspirone may cause orthostatic hypotension, so position changes are made slowly.Fever, sore throat, or unusual bleeding could be side effects

9. Terbutaline:

Answer An oral tocolytic.Treats asthma, bronchitis, and other lung disorders.

10. When should a beta blocker be held?:

Answer If a client's heart rate is less than 60beats per minute, notify the primary healthcare provider BP drops below 90/60, this beta blocker should be held and the primary healthcareprovider notified.

• After making rounds on clients, a primary healthcare provider hands the nurse a client

record and gives the following verbal order: Administer cisplatin1 mg IV over 6 hours. What

should be the first action by the nurse following this verbal prescription?:

Answer inform him that this requires written perscription. Verbalorders for antineoplastic agents should NOT be permitted under any circumstances.These medications are not administered in emergency or urgent situations, and theyhave a narrow margin of safety.

• The nurse is caring for a client starting on vancomycin for MRSA infection.What

nursing intervention is appropriate?:

Answer Verify that the client's BUN and creatinine are within normal range Vancomycin is nephrotoxic, caution should be exercised in clients with impairedrenal function.

• Which symptom would prompt the nurse to discontinue the nitroglycerin?-

Answer Cool clammy skin an indication of decreased cardiac output that could come from too much vasodilatation.

14. I may expect increased sweating while taking this drug.:

Answer selective serotoninreuptake inhibitors (SSRI)

15. Depo-Provera injections for birth control:

Answer Be aware that ovulation may notoccur for many months after using Depo-Provera.It may take 6 to 18 months to reestablish normal ovulation and menstruation.

16. Glycopyrrolate:

Answer reduces secretions in the mouth, throat, airway, and stomach.It is used prior to procedures to decrease the risk of aspiration.

ie: prior to electroconvulsive therapy (ECT)

• furosemide

A client with heart failure and pulmonary edema is given furosemide intravenously:

Answer Lungs have fewer rales The goal for diuretic therapy in this client is to prevent/relieve fluid accumulation inthe lungs. This answer addresses the most life-threatening sequelae with HF. Thenumber one

thing to worry about in clients with HF is pulmonary edema, becausethis is what can kill the client.

• A client diagnosed with a duodenal ulcer is prescribed lansoprazole andsucralfate.

What should the nurse teach the client about how to take these medications?-

Answer Take the lansoprazole first, wait at least 30 minutes, then take the sucralfate.When prescribed a medication and sucralfate, avoid taking the medication at the same time you take sucralfate. Sucralfate can make it harder for your body to absorblansoprazole. Wait at least 30 minutes after taking this medicine before you take sucralfate.

• Which medications, if prescribed to a client, should indicate to a nurse thatretention of

CO2 is a possibility?:

Answer Narcotics. Narcotics sedate and decrease therespiratory rate, which increases CO2 retention.Antiemetics. Some antiemetics are very sedating and will decrease the respiratoryrate while increasing CO2 retention.Hypnotics. Sleeping pills can cause sedation to the point of hypoventilation, whichleads to CO2 retention.

20. Propanolol & pregnancy/eclampsia:

Answer a beta blocker, is not given during pregnancy as it decreases HR and the amount of blood pumped by the heart. This cancause fetal bradycardia.

21. What Med taken with SSRI can be fatal?:

Answer St. John Wort

22. What is the med that is aka norepinephrine?:

Answer Levophed Aka adrenaline Think Levophed or leave them dead bc it is the last resort drug