-
NCLEX
Prep
Spironolactone
(Aldactone)
-
ANSWER--K+
sparing
diuretic
-->
watch
K+
intake
-Used
to
treat
HTN
and
Heart
Failure
-Patient
could
develop
hyperkalemia
-Do
not
use
salt
substitutes
Joe
is
prescribed
a
clonidine
patch.
What
is
this
patch
used
for
and
why
is
it
important
to
rotate
the
placement
sites?
-
ANSWER--Used
to
treat
HTN
-Skin
must
be
intact
for
proper
medication
absorption.
Scarred
or
hairy
skin
areas
may
prevent
this.
Irritated
skin
areas
may
become
more
irritated
or
even
painful
V enlafaxine
(Ef fexor)
-
ANSWER--Antidepressant,
SNRI
-Gradually
reduce
dosage
of
medication
if
patient
is
not
tolerating
current
dose.
Do
not
stop
abruptly
-Adverse
ef fect:
sexual
dysfunction
Meats
are
high
in
this
vitamin
-
that
is
used
to
treat
pernicious
anemia,
hemorrhage,
hepatic
and
kidney
disease
-
ANSWER-B12
Methocarbamol
(Robaxin)
-
ANSWER--Muscle
Relaxant
(CNS
depressant)
-Has
a
metallic
taste
-May
turn
urine
black,
brown
or
green
(and
that's
ok!)
-W atch
for
allergic
reactions
Joe
is
experiencing
dyspepsia
related
to
GERD.
As
his
nurse,
you
can
expect
that
he
will
probably
be
prescribed
what
class
of
medication
to
manage
his
symptoms?
-
ANSWER--Proton
Pump
Inhibitor
(PPI)
(pantoprazole)
(omeprazole)
(lansoprazole)
Alendronate
(Fosamax)
-
ANSWER--Bone
resorption
inhibitor
-T reats
osteoporosis
and
Paget
disease
-Instruct
patient
to
take
with
a
full
glass
of
water
and
remain
upright
for
30
minutes
to
prevent
esophageal
ulceration
Lansoprazole
(Prevacid)
is
taken
before/after
meals?
-
ANSWER-Before