Medications nclex nursing
Terms in this set (36)
aripiprazole discmelt (Abilify)
treat the symptoms of psychotic conditions such as schizophrenia and bipolar disorder (manic depression).
This is an orally disintegrating tablet and should not be swallowed whole.
a rapid-acting insulin that should only be taken with food or within 15 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?
"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.
selective serotonin reuptake inhibitor (SSRI)
Therapeutic effect is usually reached 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 suggest to reduce this side effect?
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 ..?
ADH (anti-diuretic hormone) problems.
When taking tricyclic antidepressants such as amitriptyline, the skin may be sensitive to sunburn. Use sunscreens, wear protective clothing and sunglasses. Can also precipitate urinary retention.
Combined with alcohol use, the client may develop dizziness or drowsiness.
Buspirone may cause orthostatic hypotension, so position changes are made slowly.
Fever, sore throat, or unusual bleeding could be side effects
An oral tocolytic. Treats asthma, bronchitis, and other lung disorders.
When should a beta blocker be held?
If a client's heart rate is less than 60 beats per minute, notify the primary healthcare provider
BP drops below 90/60, this beta blocker should be held and the primary healthcare provider notified.
After making rounds on clients, a primary healthcare provider hands the nurse a client record and gives the following verbal order: Administer cisplatin 1 mg IV over 6 hours. What should be the first action by the nurse following this verbal prescription?
inform him that this requires written perscription. Verbal orders for antineoplastic agents should NOT be permitted under any circumstances. These medications are not administered in emergency or urgent situations, and they have a narrow margin of safety.
The nurse is caring for a client starting on vancomycin for MRSA infection. What nursing intervention is appropriate?
Verify that the client's BUN and creatinine are within normal range
Vancomycin is nephrotoxic, caution should be exercised in clients with impaired renal function.
which symptom would prompt the nurse to discontinue the nitroglycerin?
Cool clammy skin
an indication of decreased cardiac output that could come from too much vasodilatation.
I may expect increased sweating while taking this drug.
selective serotonin reuptake inhibitors (SSRI)
Depo-Provera injections for birth control
Be aware that ovulation may not occur for many months after using Depo-Provera.
It may take 6 to 18 months to reestablish normal ovulation and menstruation.
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)
A client with heart failure and pulmonary edema is given furosemide intravenously
Lungs have fewer rales
The goal for diuretic therapy in this client is to prevent/relieve fluid accumulation in the lungs. This answer addresses the most life-threatening sequelae with HF. The number one thing to worry about in clients with HF is pulmonary edema, because this is what can kill the client.
A client diagnosed with a duodenal ulcer is prescribed lansoprazole and sucralfate.
What should the nurse teach the client about how to take these medications?
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 absorb lansoprazole. 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 that retention of CO2 is a possibility?
Narcotics. Narcotics sedate and decrease the respiratory rate, which increases CO2 retention.
Antiemetics. Some antiemetics are very sedating and will decrease the respiratory rate while increasing CO2 retention.
Hypnotics. Sleeping pills can cause sedation to the point of hypoventilation, which leads to CO2 retention.
propanolol & pregnancy/eclampsia
a beta blocker, is not given during pregnancy as it decreases HR and the amount of blood pumped by the heart. This can cause fetal bradycardia.
What Med taken with SSRI can be fatal?
St. John Wort
What is the med that is aka norepinephrine?
Think Levophed or leave them dead bc it is the last resort drug
what letters are common in antiplatelet meds
Clozapine (clozaril, flazaclo)
An antipsychotic to tx schizophrenia. Used when pt hasnt responded to more standard treatment.
What is the most serrious side effect of clozapine?
Anticholinergics are contraindicated in pt with? (2 listed)
It can precipitate urinary retention and a glaucoma episode
What meds can decrease the effectiveness of oral contraceptives?
Tetracycline & Rifamprin
Educational points on Tetracycline.
Take on empty stomach. No antacids no iron supplements no Dairy because they bind to tetracyclines and decrease its absorption. Take with a full glass of water and remain upright. Tetracyclines can cause pill-induced esophagitis and gastritis. Severe sunburn can occur so use sunblock.
Sodium polysyrene sulfonate retention enema
Assists the large intestines in removing excess K from the body
"A K removing agent"
anti-cancer ("antineoplastic" or "cytotoxic") chemotherapy drug. Check renal function before administering bc can cause renal failure.
What is a common side effect of phenytoin toxicity?
Ataxia (gait disturbance)
Jaw necrosis is associated with long-term use of which drug?
What is seen with lithium toxicity and albuterol use?
Long-term use of PPIs (-prazole) has been associated with what side effects?
decreased bone density and incresed risk for C Diff
An assessment finding associated with methotrexate must report to the Dr.
Methotrexate is associated with hepatotoxicity and bone marrow suppression which can lead to anemia, leukopenia, and thrombocytopenia. (can be prevented by folic acid supplementation)