Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NCLEX > Drugs and Stuff > Flashcards

Drugs and Stuff Flashcards

(301 cards)

Start Studying
1
Q

imipramine

A

Antidepressant and nerve pain medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Naloxone

A

narcotic antidote

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Disulfiram

A

Alcoholism medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pyrazinamide

A

treats TB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Removing PPE 4 steps:

A
  1. Gloves
  2. Eyes
  3. Gown
  4. Mask
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Doxepin HCL

A

antidepressant

watch for excitability and tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What diet for carbidopa-levodopa?

A

low protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Meningitis should be in private room/droplet precautions until __

A

24 hrs after initiation of effective therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sucralfate

A

short-term treatment for duodenal ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A client receives packed RBCs. Several minutes after infusion is started, client reports nausea and low back pain. It’s most important for nurse to take which action?

A

obtain urine specimen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3 main lab values for nutritional assessment

A

HGB, HCT, albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What diet for constipation, large bowel disorders?

A

High-roughage, high fiber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Imipramine

A

Tricyclic antidepressant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Methimazole

A

antithyroid agent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Metformin should be held for ___hours prior to tomography with contrast media

A

48

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

No thrombolytic therapy if

A

trauma within last 2 months or significant head injury within past 3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Atenolol

A

beta blocker

used to treat HTN and angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

30 large squares on EKG = ___ seconds

A

6 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

With or without meals: acyclovir

A

with

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

PKU diet:

A

Lofenalac

low-protein for kids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cytoprotective agents (Sucralfate) should be given when in relation to meals?

A

1 hr before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

If client is having trouble breathing because trach tube has been dislodged, initial action is to

A

extend clients neck

then:
call for help
place supine
check breath sounds
use hemostat to open airway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If a client is getting a cardiac cath in their femoral artery/vein, which pulses do you check?

A

pedal

check the pulse that’s distal to the puncture site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What kind of pain med is ok for hemophilia A patients?

A

Percocet (oxy w/acetaminophen)

Codeine phosphate for school age kids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
With or without meals: sucralfate
without (or before/after) separate 2 hours with digoxin
26
Eye drops: OU means to put in ___
both eyes
27
what is the drug of choice for Tic douloureaux/trigeminal neuralgia?
carbamezapine
28
2 main early signs of hypovolemic shock:
cool, clammy skin | tachypnea
29
After amputation, expose residual limb to air daily and inspect skin daily – only elevate for
first 24 hours
30
Acute kidney injury, priority is to check
urine specific gravity
31
anterior fontanel closes at
18 months
32
If PN is running low and new solution not readily available, what do you use?
10% dextrose and water
33
Levothyroxine
hormone to treat hypothyroidism take in morning to prevent insomnia
34
Should a woman bottle feeding newborn do warm showers?
no
35
NO grapefruit juice
Statins | Calcium channel blockers (nifedipine, verapamil, amlodipine)
36
Eye drops: OD means to put in the ___
right eye
37
Risperidone
antipsychotic
38
No aspirin for
kids, clients with concussion, pregnancy, GERD/ulcer people
39
Normal ESR range =
0-20mm/hr
40
If pH is low and PaCO2 is high =
respiratory acidosis
41
Flail chest: affected side goes __ with inspiration and ___ with expiration
down with I up with E opposite of normal
42
When is chickenpox contagious?
1 day before eruption of lesions until 6 days after rash disappears Isolation until all vesicles are crusted NO ASPIRIN
43
Phenelzine sulfate
MAO inhibitor
44
High bicarb (HCO3), high ph =
metabolic alkalosis (prolonged vomiting)
45
Phenelzine
MAOI
46
What diet for HTN, heart failure, cirrhosis
sodium restricted (no milk!)
47
Droplet precautions
private room maintain separation of 3 feet Wear mask Door can be open "Spiderman" ``` S: sepsis, scarlet fever, strep P: pertussis, pneumonia I: influenza D: Diphtheria E: epiglottis (croup) R: Rubella M: mumps and meningitis AN: Adenovirus ```
48
Flu vaccine can be started at ___ months
6
49
cranial nerve VI
abducens (lateral movement of eyes)
50
If chest tube becomes dislodged from client, apply
tented dressing on one side
51
Isotonic fluids:
LR or NS
52
When do you give Sucralfate in relation to meals?
1 hour before or 2 hours after
53
What diet for acute or chronic kidney disease?
low protein low potassium low sodium
54
#1 cause of chronic kidney disease
HTN
55
Hypertonic fluids
D5NS D5LR D51/2NS
56
Always start blood transfusion with
normal saline
57
Cisplatin
antineoplastic
58
With or without meals: beta blockers
with
59
EDT 20-35 years (young adulthood)
intimacy vs. isolation
60
With or without meals: tetracycline
without (or before/after)
61
cranial nerve V
trigeminal (jaw movement and sensation on face -- pin and cotton ball)
62
Heart sound landmark: Pulmonic
2nd ICS, left sternal border
63
If pH is high and PaCO2 is low =
respiratory alkalosis (hyperventilating like asthma attack)
64
Morning or bedtime? levothyroxine, liothyronine
morning
65
EDT 6-12 years (school age)
industry vs. inferiority
66
Initial rate of PN infusion should be ___mL/hr then gradually increased to ___mL/hr
50 100-105
67
Cromolyn sodium
bronchodilator
68
Nuchel rigidity and photophobia = ___ precautions
droplet precautions
69
Which information is essential for nurse to gather before administering IV potassium supplement to 85 y/o?
adequacy of urine output
70
What blood type is universal donor?
O
71
terbutaline
leukotriene-receptor blocker (works as bronchodilator)
72
With or without meals: estrogen
without (or before/after)
73
For client with tracheostomy and on humidified oxygen, suction should be set at
80-120 mm hg
74
Morning or bedtime? cyclosporine
morning
75
Heart sound landmark: Mitral
5th ICS, left mid-clavicular line
76
Hypotonic fluids:
0.45% saline or D5W
77
Sequence for physical assessment (4 steps) - everywhere except abdomen
1. Inspection 2. Palpation 3. Percussion 4. Auscultation
78
Morning or bedtime? alendronate, risedronate, ibandronate
morning
79
cranial nerve VII
facial
80
Morning or bedtime? prenatal vitamins
bedtime
81
Paracentesis – need what tool?
BP cuff
82
Which inhaler do you use first: bronchodilator or steroid?
bronchodilator BEFORE steroid
83
Aminophylline
leukotriene-receptor blocker (works as bronchodilator)
84
EDT 1-3 years (toddler)
autonomy vs shame/doubt
85
Didanosine
antiviral
86
1 L fluid = __ kg = __ lbs
1 kg, 2.2 lbs
87
In Buck's traction, weight should
hang freely at all times
88
Stage 3 of labor
birth to delivery of placenta
89
With or without meals: cipro
without (or before/after)
90
Stage 1 of labor
beginning of labor to full dilation (10cm)
91
IPV (inactivated polio) immunization schedule - 4 doses
2 months 4 months 6-18 months 4-6 years
92
Hepatitis diet
low fat | high calorie, carbs, protein
93
What diet for atherosclerosis, cystic fibrosis?
low-fat, cholesterol restricted CF: high protein high calorie
94
What diuretic is the only one that's potassium sparing?
spironolactone
95
cranial nerve X
vagus (swallowing, speaking)
96
Use what kind of precautions for Hep A?
standard and contact
97
Where is the radial pulse palpated?
Along the thumb side of the inner wrist
98
fluid volume overload (3)
cool skin resp crackles pulse 86 and bounding
99
2 main signs of cardiovascular fluid overload
rales and tachycardia
100
With or without meals: diuretics
with
101
rifampin
antibiotic
102
Enlapril
ace inhibitor remember the first dose of ace inhibitors increases risk of orthostatic hypotension, so no diuretics (i.e. furosemide) in combination
103
Radioactive iodine
antithyroid agent
104
Sertraline
SSRI
105
Hep A is contagious until
1 week after clinical symptoms arise
106
Allopurinol
inhibits production of uric acid
107
Fundal height at 20 weeks
at umbilicus or 20 cm
108
Effects of aminophylline include (5)
``` nervousness nausea dizziness tachycardia seizures ```
109
Station: negative numbers are __, positive numbers are ___ ischial spine (0)
negative means ABOVE ischial spine positive means BELOW ischial spine
110
2 main symptoms of aspirin OD:
tinnitus and GI distress
111
Acyclovir
antiviral used to treat herpes
112
Early signs of lithium toxicity
- fine motor tremors - N/V - diarrhea
113
With or without meals: morphine sulfate
without (or before/after)
114
wet-to-dry dressing 5 steps:
1. free dressing 2. dry skin surrounding wound 3. moisten clean gauze and wring out excess liquid 4. apply wet gauze as single layer 5. apply dry dressings
115
Chlorpromazine
Antipsychotic
116
Propylthiouracil
antithyroid agent
117
Digoxin therapeutic level
0.5-2.0
118
Prednisone/glucocorticoids/steroids affects (7)
- Osteoporosis - Hypokalemia - Hypernatremia - Fluid retention - Hyperglycemia and glycosuria - Increased risk of cataracts and glaucoma - Depressed immune response but not low WBC
119
Right-sided heart failure 3 main symptoms
1. Dependent edema 2. Distended jugular veins 3. Weight gain
120
Diuretics S/E (5)
``` dizziness orthostatic hypotension leukopenia hypokalemia (except spironolactone) thirst, dry mouth ```
121
PN tolerance is assessed by what 2 metrics?
urine output and blood glucose levels
122
Morning or bedtime? prazosin, doxazosin
bedtime
123
Morning or bedtime? oral steroids
morning
124
Glipizide
Antidiabetic for type 2
125
Aminophylline
xanthine bronchodilator
126
Total recommended weight gain for pregnancy
24-28 lbs
127
With or without meals: ace inhibitors (captopril)
without (or before/after)
128
Short-acting (regular) insulin onset and peak
Onset: 30-60 minutes Peak: 1-5 hours
129
cranial nerve XII
hypoglossal (tongue movements)
130
3 main symptoms of heat stroke
1. Hypotension 2. Tachypnea 3. Tachycardia
131
Elevated ASO titer indicates
glomerulonephritis
132
Antacids should be given when in relation to meals?
1 hour before or 1 hour after
133
Gerd patients should sleep on
left side with hob elevated 12 inches
134
Rotavirus immunization schedule - 2 doses
2 months | 4 months
135
After 20 weeks, fundal height rises from umbilicus ___ cm/week until 36 weeks
1 cm
136
Fluvoxamine
SSRI treats OCD
137
cranial nerve XI
spinal accessory (rotation of head, shoulders)
138
Lithium therapeutic level
1.0-1.5
139
Sign that salem sump tube (NG) is functioning effectively
hissing sound from blue lumen tube
140
propranolol hydrochloride
beta-blocker tx tremors, angina, HTN
141
BUN of 35 and serum creatinine of 2.5 indicate
chronic kidney disease
142
When caring for client over 65, most reliable sign of infection is
tachypnea (and tachycardia and confusion) – not fever
143
with IV potassium, do not give more than ___ mEq/L into peripheral IV. and always do what first?
no more than 40 cardiac monitor first
144
Disseminated herpes zoster requires what precautions?
airborne and contact
145
Amitryptyline
Tricyclic antidepressant
146
most likely symptom of Hep A in children:
anorexia
147
Heart sound landmark: Erb's point
3rd ICS, left sternal border
148
Famotidine
tx duodenal ulcer
149
Early sign of increased ICP is
diminished LOC
150
Trazodone
Heterocyclic antidepressant
151
HIV positive patient can sometimes show ___ reaction to Mantoux test
false-negative
152
Ethacrynic acid
Loop diuretic
153
Isocarboxazid
MAOI
154
Long-acting insulin (glargine) onset and peak
Onset: 3-4 hours No peak, lasts 24 hrs
155
Trifluoperazine
antipsychotic
156
Sulindac
NSAID (anti-inflammatory)
157
Cholecystitis, cholelithiasis
inflammation of gall bladder formation of gall stones
158
Morning or bedtime? ADHD (methylphenidate, dextroamphenatmine)
morning
159
APGAR 5 categories, 2 points each:
``` HR Color Muscle tone Respiratory effort Reflex irritability ```
160
Butorphanol tartrate
narcotic pain relief (similar to morphine)
161
Fundal height at 12-14 weeks
above symphysis
162
cranial nerve IX
glossopharyngeal (swallowing and taste)
163
With or without meals: ferrous sulfate/iron dextran
without (or before/after)
164
Take with OJ (3)
furosemide and digoxin iron supplements prenatal vitamins
165
Heart sound landmark: Aortic
2nd ICS, right sternal border
166
During transitional phase of labor, if umbilical cord becomes prolapsed, it's most important to put client in what position?
supine with foot of bed elevated
167
Sodium polystyrene sulfonate
given to treat hyperkalemia
168
Stage 2 of labor
complete dilation to birth
169
Heparin antidote
protamine sulfate
170
Morning or bedtime? imipramine
morning
171
Magnesium sulfate
treats preeclampsia
172
Lugol's solution
antithyroid agent
173
Morning or bedtime? SSRIs
morning
174
With or without meals: cephalosporins
with
175
Pentamidine isethionate
antiprotozoal agent to prevent/treat a certain kind of pneumonia common in AIDS patients
176
Montelukast sodium
bronchodilator
177
With or without meals: penicillin
without (or before/after)
178
With or without meals: antithyroid agents (PKU, metrimazole)
with
179
Sodium and lithium
Need to maintain adequate levels of sodium -- do not restrict sodium
180
Clozapine
Antipsychotic
181
___ is best indication of pain relief
nonverbal cues
182
Where is the femoral pulse palpated?
Below the inguinal ligament, midway between symphysis pubis and anterosuperior iliac spine
183
What blood type is universal recipient?
AB
184
Liver disease diet (high AST and ALT)
increased carbs, low protein, low sodium
185
Prednisone
steroid should be increased before surgery
186
Renal impairment symptoms (6)
``` Elevated bun and creatinine Oliguria Edema Fatigue Altered electrolytes Decreased HCT ```
187
With or without meals: oral steroids (prednisone, fludrocortisone)
with
188
Superficial partial thickness burns
pink to red, painful
189
pneumothorax
think tachypnea --> rapid respirations
190
Morning or bedtime? glargine (lantus)
bedtime
191
Priority nursing action for patient with cushion's:
prevent fluid overload
192
2 Early effects of dig toxicity are
nausea and vomiting
193
What diet for burns, infection, hyperthyroidism?
high protein diet
194
EDT 35-65 years (middle adulthood)
generatively vs stagnation
195
Iron dextran
tx iron-deficiency anemia
196
Oxycodone is contraindicated for patient with ___
bleeding disorders
197
If watery diarrhea after 7 days of antibiotic therapy, think
c. diff
198
Which is a higher priority in blood transfusion reactions: hemolytic or allergic/sensitivity
hemolytic vomiting***
199
With or without meals: anti platelets (clopidogrel, plavix, aspirin, dipyridamole)
with
200
Chlorothiazide
thiazide diuretic
201
Contact precautions
Gloves and gown when entering, and take off before leaving room Private room "Mrs. Wee" M: MRSA/multidrug resistant organism R: RSV S: Scabies W: wound infections E: Enteric (C. diff) E: Eye infection - conjunctivitis
202
PPIs like Omeprazole, Lansoprazole should be given when?
bedtime
203
MMR + Varicella immunization schedule - 2 doses
12-15 months | 4-6 years
204
Clomiphene citrate
induces ovulation
205
With or without meals: gemfibrozil
without (or before/after)
206
Furosemide
diuretic
207
Hydroxyzine
antihistamine
208
Heart sound landmark: Tricuspid
5th ICS, left sternal border
209
HPV and Meningococcal vaccines start at ___ years
11-12
210
What is the drug of choice for anaphylactic shock?
epinephrine
211
Deep full thickness burns
black, painless
212
After surgery, you should notify the provider if the patient is unable to void within ___ hours
8
213
Dexamethasone
steroid
214
Eye drops: OS means to put in the ___
left eye
215
Probenecid
prevents reoccurrence of gouty arthritis | Uric acid reducer
216
For a cuffed tracheostomy, cuff pressure should always be LESS THAN ___mm Hg
20
217
Airborne precautions
Private room negative air pressure Keep door closed N-95 mask "My chick hez TB" Measles Chickenpox (Varicella) Herpes Zoster (shingles) TB
218
How often should you change the PN tubing and filter?
Every 24 hours
219
Clonidine
centrally acting alpha-adrenergic used to treat HTN
220
What does cortisol do?
converts proteins and fat into glucose anti-inflammatory agent
221
Nifedipine
calcium channel blocker (for HTN)
222
posterior fontanel closes at
6-8 month
223
Mannitol
osmotic diuretic
224
For Alzheimer's patient, remember what 3 things
safety orientation stimulation
225
Olanzapine
Antipsychotic
226
cranial nerve IV
trochlear (downward and inward movement of eyes)
227
gentamicin toxicity
decreased hearing and vertigo
228
After surgery, Clients should be NPO until
gag relex or bowel sounds have returned
229
Beclomethasone
steroid
230
Client develops v fib and has no pulse or respirations. CPR is initiated. After unsuccessful defib attempts, which med should nurse deliver?
epinephrine
231
duodenal ulcer pain happens when? what's the impact of food?
2-3 hours after meal nighttime food intake relieves pain
232
EDT 12-20 years (adolescence)
identity vs. role diffusion
233
Rapid acting insulin onset and peak
Onset: 5-15 min Peak: 1-2 hours
234
Stage 4 of labor
first 4 hours after delivery of placenta
235
____ is priority for client in sickle cell crisis
hydration
236
Surgery-related infection will typically occur ___ days postop
3-5
237
Morning or bedtime? tamsulosin, tetrazosin
bedtime
238
EDT Birth-1 yr (infancy)
trust vs mistrust
239
Headaches in spinal cord injury =
autonomic dysreflexia = elevate HOB all the way to sitting
240
Hep B immunization schedule - 3 doses
Birth 1-2 months 6-18 months
241
Colchicine
treats acute attack of gout
242
Deep partial thickness burns
red to white, BLISTERS, painful
243
ipratropium
leukotriene-receptor blocker (works as bronchodilator)
244
Point of maximal impulse for heart
5th ICS left midclavicular line
245
Morning or bedtime? diuretics
morning
246
EDT 3-6 years (preschool)
initiative vs. guilt
247
MAOI must be discontinued __ days prior to surgery/general anesthesia
10
248
Digoxin
Cardiac glycoside Antiarrhythmic and blood pressure support
249
COPD exacerbation and aminophylline should not be given
propranolol
250
Low bicarb (HCO3), low ph =
metabolic acidosis (DKA, diarrhea)
251
Tranylcypromine
MAOI
252
After liver biopsy, patient will lie on
RIGHT
253
What diet for GERD?
low-residue (low fat, non-acidic)
254
Ranitidine hydrochloride
short-term treatment for duodenal and gastric ulcers
255
Lidocaine
antiarrhytmic
256
Patients on levodopa should be on what kind of diet?
Low protein
257
cranial nerve VIII
acoustic (hearing and balance)
258
Isoniazid
Antibiotic for TB
259
Sequence for abdominal physical assessment (4 steps)
1. Inspection 2. Auscultation 3. Percussion 4. Palpation
260
With or without meals: insulin
without (or before/after)
261
Acetylcysteine
bronchodilator
262
gastric ulcer pain happens when? what's the impact of food?
30 min to 1 hour after meal or when fasting food does NOT help vomiting gives relief
263
Metoclopramide hydrochloride
tx nausea of chemotherapy stimulates motility of upper gastro tract
264
Walker, crutches, cane – how do you go up and down stairs? How many inches in front? Elbows at what degree?
up with the good, down with the bad, 8-10 inches in front, elbows at 20-30 degrees
265
Full thickness burns
Charred, white, waxy, PAINLESS
266
Fluoxetine
SSRI treat depressive/anxiety disorders
267
With or without meals: sulfonamides
with
268
physiologic vs pathologic jaundice
physiologic: after 24 hours, peaks at 72 hours, no TX necessary pathologic: onset within the first 24 hours, phototherapy
269
Glomerulonephritis occurs ___ days after beta hemolytic strep throat (or after impetigo). What kind of diet?
21 high calorie, low protein diet
270
What treats metabolic acidosis?
sodium bicarb
271
Hypothyroidism (myxedema) treatment is effective if what?
mental processes are improved remember the disease causes slowed mental functioning
272
Paroxetine
SSRI
273
If redness and tenderness at IV site
remove IV and start warm soaks
274
With or without meals: bromocriptine
with
275
Captopril
ACE inhibitor treats HTN and heart failure
276
Intermediate acting insulin (NPH) onset and peak
Onset: 1-2 hours Peak: 6-12 hours
277
Buproprion
Heterocyclic antidepressant
278
Addison’s 3 main signs:
muscle cramps, fatigue, hypotension | tetany, low calcium
279
Naegele rule:
add 7 days to first day of LMP then subtract 3 months
280
Potassium iodine
antithyroid agent
281
Early findings of hypoxemia:
tachycardia and restlessness
282
narcotic withdrawal looks like
flu
283
Verapamil
calcium channel blocker treats HTN, angina, SVT assess heart rate first
284
Carbamazepine
Anticonvulsant and mood stabiliser | tegretol
285
Phenotyin
anticonvulsant
286
With or without meals: cimetidine and ranitidine
with
287
DTaP immunization schedule - 5 doses
``` 2 months 4 months 6 months 15-18 months 4-6 years ```
288
Indomethacin
NSAID
289
Warfarin antidote
vitamin k
290
Citalopram
SSRI
291
Antidote for magnesium sulfate
calcium gluconate
292
best time to take rantidine
sleep
293
Promethazine hydrochloride
tx n/v from surgery, allergic reactions (antihistamine), sedation
294
Can losartan and hydrocholorthiazide be taken with food or without food?
yes, either
295
Client diagnosed in stage I chronic kidney disease. Expect client to make which statement?
I urinate more at night
296
5 signs of HTN crisis:
``` Headache Sweating Palpitations Stiff neck Seizures ```
297
Constant bubbling in the water-seal chamber of a chest tube means
there’s an air leak
298
Aluminum hydroxide
antacid
299
Are cold compresses appropriate for sickle cell patient?
no
300
Cimetidine
Antacid and antihistamine
301
Diphenhydramine
antihistamine (benadryl)

NCLEX (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions