NCLEX-RN Need to Know Meds PDF V2: this is my NCLEX Readiness for Meds Guide v2020 -including Questions and Answers 200+ pages

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ALTEPLASE A patient is admitted to the emergency department with chest pain.An electrocardiogram shows changes consistent with an evolving myocardial infarction.The patient’s cardiac enzymes ... are pending.The nurse caring for this patient will expect to: A. administer aspirin when cardiac enzymes are completed. B. give alteplase [Activase] within 2 hours. C. give tenecteplase [TNKase] immediately. D. obtain an order for an INR. ATORVASTATIN A patient who is recovering from a STEMI 3 months prior is in the clinic for a follow-up evaluation.The patient is taking 81 mg of aspirin, a beta blocker, and an ACE inhibitor daily and uses nitroglycerine as needed for angina.The patient’s BMI is 24.5 kg/m2, and serum LDL is 150 mg/dL.The patient has a blood pressure of 135/80 mm Hg.What will the nurse expect the provider to order for this patient? A. An antihypertensive medication B. Counseling about a weight loss diet C. Discontinuing the ACE inhibitor D. High-dose statin therapy ACETAMINOPHEN A patient who is taking gentamicin and a cephalosporin for a postoperative infection requests medication for mild postsurgical pain.The nurse will expect to administer which of the following medications? A. Acetaminophen B. Aspirin C. Ibuprofen D. Morphine ACYCLOVIR The nurse is caring for a patient receiving intravenous acyclovir.To prevent nephrotoxicity associated with intravenous acyclovir, the nurse will: A. hydrate the patient during the infusion and for 2 hours after the infusion. B. increase the patient’s intake of foods rich in vitamin C. C. monitor urinary output every 30 minutes. D. provide a low-protein diet for 1 day before and 2 days after the acyclovir infusion. ALBUTEROL A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer “2 puffs every 4 hours as needed for coughing or wheezing.” The patient reports feeling jittery sometimes when taking the medication, and she doesn’t feel that the medication is always effective.Which action is outside the nurse’s scope of practice? A. Asking the patient to demonstrate use of the inhaler B. Assessing the patient’s exposure to tobacco smoke C. Auscultating lung sounds and obtaining vital signs D. Suggesting that the patient use one puff to reduce side effects ALEDRONATE ALPRAZOLAM AMIODARONE A nurse is providing teaching to a patient who is admitted to the hospital for initiation of treatment with amiodarone [Cordarone] for atrial fibrillation that has been refractory to other medications.Which statement by the patient indicates a need for further teaching? A. “I may have itching, malaise, and jaundice, but these symptoms will subside.” B. “I need to use sunblock to help keep my skin from turning bluish gray.” C. “I should not drink grapefruit juice while taking this medication.” D. “I should report shortness of breath and cough and stop taking the drug immediately.” AMITRYPTILINE AMLODIPINE AMOXICILLIN AMPICILLIN ASPIRIN ATENOLOL ATROPINE A patient is brought to the emergency department after ingesting a handful of diphenhydramine tablets.The patient has dilated pupils, a flushed face, and tremors.The patient is agitated and has a heart rate of 110 beats per minute.The nurse may anticipate administering which agents? (Select all that apply.) A. Activated charcoal B. Atropine C. Cathartics D. Lorazepam E. Second-generation H1 antagonists AZITHROMYCIN BENZOTROPINE BISCODYL BISMUTH SUBSALICYLATE A patient is taking bismuth subsalicylate to prevent diarrhea.The nurse performing an assessment notes that the patient’s tongue is black.What will the nurse do? A. Assess further for signs of gastrointestinal (GI) bleeding. B. Reassure the patient that this is an expected side effect of this drug. C. Request an order for liver function tests to evaluate for hepatotoxicity. D. Withhold the drug, because this is a sign of bismuth overdose. BUPROPION A patient who has been taking an SSRI tells the nurse that the drug has caused reduced sexual performance, weight gain, and sedation.The nurse will suggest that the patient ask the provider about using which drug? A. Bupropion B. Imipramine C. Isocarboxazid D. Trazodone BUTORPHANOL CALCIUM ACETATE CAPTOPRIL CARBAMAZEPINE CARBIDOPA/LEVODOPA CEFACLOR CEFDINIR CELECOXIB CEPHALEXIN CHLORPROMAZINE CIMETIDINE CIPROFLOXACIN CLINDAMYCIN CLOPIDOGREL CODEINE CORTISONE A patient who has chronic adrenal insufficiency is admitted to the hospital for an open cholecystectomy.The nurse obtaining the admission history learns that the patient takes hydrocortisone 25 mg PO daily in the morning.The patient’s surgery is scheduled for the next morning.The nurse will expect an order to: A. administer the usual morning dose of hydrocortisone 25 mg PO. B. administer hydrocortisone 50 mg PO in the morning. C. administer hydrocortisone 50 mg IV before surgery. D. withhold the morning dose of hydrocortisone and give it after surgery. CYCLOSPORINE DEXAMETHASONE DIAZEPAM DIGOXIN A patient who will begin taking colchicine for gout reports taking nonsteroidal anti-inflammatory drugs, simvastatin, amoxicillin, and digoxin. What will the nurse do? A. Contact the provider to discuss using a different antibiotic while this patient is taking colchicine. B. Notify the provider about the potential risk of muscle injury when simvastatin is taken with colchicine. C. Request an order for cardiorespiratory monitoring, because the patient is taking digoxin. D. Suggest that the nonsteroidal anti-inflammatory drugs (NSAIDs) be withdrawn during colchicine therapy. DILTIAZEM DIPHENHYDRAMINE DIPHENOXYLATE/ATROPINE DIVALPROEX (VALPROIC ACID DERIVATIVE) DOBUTAMINE A patient is receiving dobutamine as a continuous infusion in the immediate postoperative period.The patient also is receiving a diuretic. What adverse drug reactions are possible in this patient? (Select all that apply.) A. Angina B. Dysrhythmias C. Hypotension D. Oliguria E. Tachycardia DOPAMINE ENALAPRIL ENOXAPARIN A patient has been receiving heparin while in the hospital to treat deep vein thromboses and will be discharged home with a prescription for enoxaparin.The nurse provides teaching for the nursing student who asks about the advantages of enoxaparin over heparin.Which statement by the student indicates a need for further teaching? A. “Enoxaparin does not require coagulation monitoring.” B. “Enoxaparin has greater bioavailability than heparin.” C. “Enoxaparin is more cost-effective than heparin.” D. “Enoxaparin may be given using a fixed dosage. ” EPINEPHRINE A nurse is caring for a patient who has been taking low-dose aspirin for several days.The nurse notes that the patient has copious amounts of watery nasal secretions and an urticarial rash.The nurse will contact the provider to discuss: A. administering epinephrine. B. changing to a first-generation NSAID. C. reducing the dose of aspirin. D. giving an antihistamine. EPOETIN ERYTHROMYCIN ESCITALOPRAM FAMOTIDINE FENTANYL An adult male patient is 1 day postoperative from a total hip replacement. On a pain scale of 0 to 10, with 10 being the greatest pain, the patient reports a pain level of 10.Which medication would be most appropriate for the nurse to administer to this patient? A. 60 mg morphine sulfate PO B. 75 mg meperidine [Demerol] intramuscularly C. 6 mg morphine sulfate intravenously D. Fentanyl [Duragesic] patch 50 mcg transdermally FERROUS SULFATE FLUOXETINE FLUTICASONE FUROSEMIDE GABAPENTIN GENTAMYCIN GLIPIZIDE A patient who has type 2 diabetes will begin taking glipizide.Which statement by the patient is concerning to the nurse? A. “I will begin by taking this once daily with breakfast.” B. “It is safe to drink grapefruit juice while taking this drug.” C. “I may continue to have a glass of wine with dinner.” D. “I will need to check my blood sugar once daily or more.” GLUCAGON GUAIFENESIN HALOPERIDOL A patient with schizophrenia has been taking an antipsychotic drug for several days.The nurse enters the patient’s room to administer a dose of haloperidol and finds the patient having facial spasms.The patient’s head is thrust back, and the patient is unable to speak.What will the nurse do? A. Administer the haloperidol as ordered. B. Discuss increasing the haloperidol dose with the provider. C. Request an order to give diphenhydramine. D. Request an order to give levodopa. HEPARIN HYDRALAZINE HYDROCHLOROTHIAZIDE HYDROCODONE/ACETAMINO PHEN HYDROMORPHONE IBUPROFEN INDOMETHACIN REGULAR INSULIN NPH INSULIN DETEMIR/GLARGINE INSULIN ASPART/LISPRO/GLULISINE INSULIN LISPRO/ASPART/NPH-REGULAR INSULIN MIXTURES A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime.The patient’s blood sugar level is 317 mg/dL.Which formulation of insulin should the nurse prepare to administer? A. No insulin should be administered. B. NPH C. 70/30 mix D. Lispro IODINE ISONIAZIDE KETOROLAC LACTULOSE LAMOTRIGINE A patient who has a seizure disorder is admitted to the hospital after an increase in seizure frequency, and the prescriber orders carbamazepine 100 mg twice daily to be added to the patient’s medication regimen.The nurse reviewing the patient’s medical history notes that the patient is already taking lamotrigine 375 mg twice daily.The nurse will contact the provider to discuss which action? A. Reducing the carbamazepine dose to 50 mg twice daily B. Reducing the lamotrigine dose to 225 mg twice daily C. Increasing the carbamazepine dose to 200 mg twice daily D. Increasing the lamotrigine dose to 500 mg twice daily LEVETIRACETAM LEVOFLOXACIN LEVOTHYROXINE LISINOPRIL LITHIUM A patient admitted to the hospital has a history of peptic ulcer disease.The patient takes ranitidine and sucralfate.The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do? A. Ask the provider about ordering an endoscopic examination. B. Contact the provider to discuss serologic testing and an antibiotic. C. Contact the provider to discuss switching to a proton pump inhibitor. D. Counsel the patient to avoid beverages containing caffeine. A nurse is performing a physical assessment on a patient with tuberculosis who takes rifampin.What would be an expected finding? A. Crystalluria B. Myopathy C. Peripheral neuropathy D. Red-orange-tinged urine A nursing student is caring for a patient who is taking sucralfate and ciprofloxacin to treat peptic ulcer disease.The student asks the nurse about the pharmacokinetics of sucralfate.Which statement by the student indicates a need for further teaching? A. “Sucralfate adheres to the ulcer and blocks the back- diffusion of hydrogen ions.” B. “Sucralfate and ciprofloxacin should be administered 1 hour apart.” C. “Sucralfate does not cause systemic side effects.” D. “Sucralfate has a moderate acid-neutralizing capacity.” TRIMETHOPRIM/SULFAMET HOXAZOLE The nurse is caring for a patient who is receiving vancomycin.The nurse notes that the patient is experiencing flushing, rash, pruritus, and urticaria. The patient’s heart rate is 120 beats per minute, and the blood pressure is 92/57 mm Hg.The nurse understands that these findings are consistent with: A. allergic reaction. B. red man syndrome. C. rhabdomyolysis. D. Stevens-Johnson syndrome. VASOPRESSIN VERAPAMIL [Show More]

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