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NCLEX Pharmacology Top 50 tested drugs questions with correct solution
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NCLEX Pharmacology Top 50 tested drugs questions with correct solution
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NCLEXPharmacology
Top
50
tested
drugs
Adenosine
-
ANSWER--Antidysrhythmic
Therapeutic
use:
slows
conduction
time
through
AV
node:
interrupts
AV
node
pathways
to
restore
normal
sinus
rhythm.
Converts
SVT
(supraventricular
tachycardia).
Precautions:
Toxicity,
caution
when
using
with
an
AV
block
and
anticholinergic
meds.
Side
Effects:
flushing
nausea
bronchospasm
prolonged
asystole.
Nursing
Interventions:
Rapid
IV
(1-2
second
push)
Flush
immediately
with
normal
saline.
Allopurinol
-
ANSWER--Antigout
Therapeutic
use:
Chronic
Gouty
Arthritis
Precautions:
Caution
with
clients
who
have
renal,
cardiac,
or
GI
dysfunction.
Side
Effects:
GI
distress
Rash
&
fever
(discontinue
immediately)
Decreases
warfarin
metabolism.
Nursing
Interventions:
Avoid
foods
high
in
purines
to
Reduce
uric
acid Avoid
aspirin
Monitor
CBC
and
uric
acid
levels
Administer
with
meals.
Amiodarone
-
ANSWER--Antidysrhythmic
Therapeutic
use:
V-Fib,
ventricular
tachycardia
Precautions:
Toxicity
Caution
with
AV
block
Caution
when
taking
anticholinergic
meds.
Side
Effects:
Bradycardia
Cardiogenic
shock
Pulmonary
disorders
Nursing
Interventions:
Incompatible
with
Heparin
May
be
given
in
PO
maintenance
dose
Monitor
for
respiratory
complications
Aripiprazole
-
ANSWER--Atypical
Antipsychotic
Therapeutic
use:
Schizophrenia
Bipolar
disorder
Major
Depressive
disorder
Autism
Precautions:
Contraindicated
for
severe
depression
Parkinson's
Prolactin-dependent
cancer
Severe
hypotension Side
Effects:
Headache
Agitation
Agranulocytosis
Dyslipidemia
Orthostatic
hypotension
Extrapyramidal
symptoms
Nursing
Interventions:
Stop
medication
for
signs
of
neuroleptic
malignant
syndrome.
Aspart
-
ANSWER--Rapid-acting
insulin
Therapeutic
use:
Type
1
&2
diabetes
mellitus
Precautions:
Allergic
reaction
Lipodystrophy
(skin
thickens
or
pits
at
injection
site)
Edema
of
hands
and
feet
Hypokalemia
Side
Effects:
Hypoglycemia
Nursing
Interventions:
Monitor
for
hypoglycemia
Monitor
fasting
glucose
and
HbA1c
If
hypokalemic,
hold
drug
and
contact
provider
Atorvastatin
-
ANSWER--Antilipemic
Therapeutic
use:
Lower
cholesterol
&
LDL:
Raise
HDL
Precautions:
Prolonged
bleeding
when
taking
warfarin
Drug
interactions:
digoxin warfarin
thyroid
hormones
thiazide
diuretics
phenobarbital
NSAIDS
tetracycline
beta
blockers
gemfibrozil
glipizide
oral
contraceptives
phenytoin
Side
Effects:
Rhabdomylosis
Hepatotoxicity
Nursing
Interventions:
Avoid
grapefruit
juice
Budesonide/Formoterol
-
ANSWER--Beta
Adrenergic
Agonist
Therapeutic
use:
Long-term
asthma
treatment
Onset
1-3min:
duration
10hr
Precautions:
Beta
blockers
will
reduce
effects
MAOIs
will
increase
effects
Contraindicated
with
tachydysrythmias
Caution
with:
diabetes
hyperthyroidism
heart
disease
hypertension
angina
Side
Effects:
Tachycardia
Palpitations
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