Archer NCLEX Pharm Questions & Answers Solved 100%
Correct!!
what are the 2 types of anti-anxiety agents? What are their endings? and what
anti-anxiety medication is mostly used on the NCLEX?
short acting
-MidazoLAM
-DiazePAM
intermediate-long acting
-clonazePAM
-alprazoLAM (Xanax)
-lorazePAM (ativan)
(anti-anxiety agents end in LAM or PAM, lorazepam [ativan] is the antianxiety agen that
is mostly used within the NCLEX, the two types of anti-anxiety agents are short acting
and intermedicate-long acting)
Lorazapam (Ativan) therapeutic class, indication, action, and nursing
considerations
THERAPEUTIC CLASS: anti-anxiety agent
INDICATION: anxiety, sedation, and seizures
(lorazepam [ativan] is the first line of treatment for seizures lasting for than 5 minutes)
ACTION: general CNS depression
NURSING CONSIDERATIONS: avoid alcohol, monitor respiratory depression, antidote-
flumazenil
what is the first line of treatment for seizures lasting more than 5 minutes
anti-anxiety agent lorazepam (Ativan)
what is the antidote for lorazepam [ativan]?
the antidoite for lorazepam (ativan) is flumazenil
what are the top anti-arrhythmics listed in the NCLEX?
●Amiodarone
●ADENOSINE
●Procainamide
what is adenosine's therapeutic class, indication, action, and nursing
considerations?
THERAPEUTIC CLASS: anti - arythmic
INDICATION: SVT (super-ventricular tachycardia)
ACTION: slows conduction though AV node, interrupts re-entry pathways though AV
node, restoring normal sinus rhythm
, NURSING CONSIDERATIONS: there will be a period of asystole after administration,
warn the patient - it iwll feel like someone kicked them in the chest (bc the heart is
stopping), warn the family-they will flatline on the monitor, RAPID PUSH-OR IT WILL
NOT WORK (need adenosine to be rapidly pushed into the heart within 2 second)
if the patient has multiple IV lines, why would you use the IV line closest to the
heart to administer adenosine?
adenosine needs to be administered RAPID PUSH though an IV to reach the heart
within 2 seconds. Choosing the IV line that is closest to the heart ensures a faster route.
what must you warn the patient and the family before administering adenosine?
Because adenosine is an anti - arrhythmic agent, the action of anti - arrhythmics are to
slow conduction thought he AV node; interrupt reentry pathways though AV node; and
restore normal sinus rhythm. Tell the patient that they will experience a great amount of
pain because the heart is stopping and tell the family the monitor will show a flatline
because there will be a period of asystole after administration
what are popular anti - coagulants?
Heparin
warfarin
enoxaparin (low-molecular weight heparin)
clopidogrel (plavix)
What is the classification of Heparin?
Heparin is classified as an indirect thrombin inhibitor
what is a an example of an indirect thrombin inhibitor? and how does it work?
Heparin is an indirect thrombin inhibitor.
Normally, thrombin catalyzes fibrinogen to fibrin, and firbrin froms clots. Antithrombin III
inhibits thrombin. The indirect thrombin inhibitor, Heparin, ENHANCES antithrombin III =
stops thrombin from being activated, which therefore prevents clots from forming =
intrinsic coagulation pathway
end result? SLOWS DOWN CLOTTING
what are the uses of heparin?
the uses of heparin are to prevent blood clots
-strokes
-post-operatively
-chronic a-fib (we would want to use heparin with a pt with chronic a-fib bc the atria is
quivering, resulting to blood pooling within the atria and clotting. This is dangerous bc
the clot can breat loose and eject form the heart and go to the brain and cause a stroke,
or go in the lungs and cause a pulmonary embolism
how do you administer heparin?
sub q or IV
what is an important task to do when a patient is on a heparin drip?
patient on a heparin drip have aPTT levels drawn q4-6 hours to titrate the drip
aPTT = partial thromboplastin time
Correct!!
what are the 2 types of anti-anxiety agents? What are their endings? and what
anti-anxiety medication is mostly used on the NCLEX?
short acting
-MidazoLAM
-DiazePAM
intermediate-long acting
-clonazePAM
-alprazoLAM (Xanax)
-lorazePAM (ativan)
(anti-anxiety agents end in LAM or PAM, lorazepam [ativan] is the antianxiety agen that
is mostly used within the NCLEX, the two types of anti-anxiety agents are short acting
and intermedicate-long acting)
Lorazapam (Ativan) therapeutic class, indication, action, and nursing
considerations
THERAPEUTIC CLASS: anti-anxiety agent
INDICATION: anxiety, sedation, and seizures
(lorazepam [ativan] is the first line of treatment for seizures lasting for than 5 minutes)
ACTION: general CNS depression
NURSING CONSIDERATIONS: avoid alcohol, monitor respiratory depression, antidote-
flumazenil
what is the first line of treatment for seizures lasting more than 5 minutes
anti-anxiety agent lorazepam (Ativan)
what is the antidote for lorazepam [ativan]?
the antidoite for lorazepam (ativan) is flumazenil
what are the top anti-arrhythmics listed in the NCLEX?
●Amiodarone
●ADENOSINE
●Procainamide
what is adenosine's therapeutic class, indication, action, and nursing
considerations?
THERAPEUTIC CLASS: anti - arythmic
INDICATION: SVT (super-ventricular tachycardia)
ACTION: slows conduction though AV node, interrupts re-entry pathways though AV
node, restoring normal sinus rhythm
, NURSING CONSIDERATIONS: there will be a period of asystole after administration,
warn the patient - it iwll feel like someone kicked them in the chest (bc the heart is
stopping), warn the family-they will flatline on the monitor, RAPID PUSH-OR IT WILL
NOT WORK (need adenosine to be rapidly pushed into the heart within 2 second)
if the patient has multiple IV lines, why would you use the IV line closest to the
heart to administer adenosine?
adenosine needs to be administered RAPID PUSH though an IV to reach the heart
within 2 seconds. Choosing the IV line that is closest to the heart ensures a faster route.
what must you warn the patient and the family before administering adenosine?
Because adenosine is an anti - arrhythmic agent, the action of anti - arrhythmics are to
slow conduction thought he AV node; interrupt reentry pathways though AV node; and
restore normal sinus rhythm. Tell the patient that they will experience a great amount of
pain because the heart is stopping and tell the family the monitor will show a flatline
because there will be a period of asystole after administration
what are popular anti - coagulants?
Heparin
warfarin
enoxaparin (low-molecular weight heparin)
clopidogrel (plavix)
What is the classification of Heparin?
Heparin is classified as an indirect thrombin inhibitor
what is a an example of an indirect thrombin inhibitor? and how does it work?
Heparin is an indirect thrombin inhibitor.
Normally, thrombin catalyzes fibrinogen to fibrin, and firbrin froms clots. Antithrombin III
inhibits thrombin. The indirect thrombin inhibitor, Heparin, ENHANCES antithrombin III =
stops thrombin from being activated, which therefore prevents clots from forming =
intrinsic coagulation pathway
end result? SLOWS DOWN CLOTTING
what are the uses of heparin?
the uses of heparin are to prevent blood clots
-strokes
-post-operatively
-chronic a-fib (we would want to use heparin with a pt with chronic a-fib bc the atria is
quivering, resulting to blood pooling within the atria and clotting. This is dangerous bc
the clot can breat loose and eject form the heart and go to the brain and cause a stroke,
or go in the lungs and cause a pulmonary embolism
how do you administer heparin?
sub q or IV
what is an important task to do when a patient is on a heparin drip?
patient on a heparin drip have aPTT levels drawn q4-6 hours to titrate the drip
aPTT = partial thromboplastin time
