Drug Administration
Therapeutic Use
Side Effects
Adverse Effects
Nursing Considerations
100

When antacids are administered. 

What is Take antacids 1–3 hours after meals and at bedtime or when symptoms occur. 

Do not take with other drugs. Separate by 1-2 hours. 

100

Therapeutic use of metoclopramide. 

What is for delayed gastric emptying, GERD, and nausea. 

Metoclopramide is a 'prokinetic' with side effects of hypotension, dry mouth and adverse effects of supraventricular tachycardia and neuroleptic malignant syndrome. 

100

Common side effects of most antibiotics. 

What are nausea, vomiting, and diarrhea. 

100

Adverse effect of fluoroquinolones "floxins" 

What is tendon rupture. 

100

Moderate to severe pain medication used to treat post op pain. 

What is ketorolac. 

  • Use for short-term pain management only (≤ 5 days).
  • Assess for signs of GI bleeding (black stools, hematemesis).
  • Monitor renal function (BUN, creatinine).
  • Avoid concurrent use with other NSAIDs.
  • Use cautiously in older adults due to increased bleeding risk.
200

When H2 blockers should be administered. 

H2 blocking drugs like famotidine (Pepcid) are used to prevent ulcers and GERD. 

They should be administered either with a meal or bedtime when stomach acid is produced. 

200

Therapeutic use of ondansetron. 

What is nausea related to chemotherapy and post surgical nausea. 

200

Two anti-microbials that will turn urine red-orange or brown. 

What is metronidazole and nitrofurantoin. 

200

Adverse effects of tetracyclines. 

What are tooth discoloration, thrombocytopenia, hemolytic anemia. 

200

Nursing considerations for SSRI medications such as fluoxetine. 

What are 

  • Monitor for suicidal thoughts, especially during initiation.
  • Therapeutic effects may take 2–6 weeks.
  • Monitor for serotonin syndrome:
    • Agitation
    • Hyperthermia
    • Diaphoresis
    • Hyperreflexia
  • Avoid abrupt discontinuation.
  • Teach patients to report worsening depression.
300
When to administer proton pump inhibitors. 

What is that proton pump inhibitors like omeprazole (Prilosec) should be taken 30 minutes before a meal. 

300

Therapeutic use of alprazolam. 

What is anxiety, status epilepticus, alcohol withdrawal. 

300

The anti-convulsant with common side effects of Drowsiness; Dizziness; Tremor; Nausea and vomiting; Weight gain; Hair loss (alopecia); and Indigestion

What is Valproic Acid: 

VALPROATE: 

V= vomiting, 

A = alopecia

L = lethargy

P = pancytopenia

R = pancReatitis

O = overweight

A = appetite increase

T = tremor

E = Enzyme inducer (do not use in patients with liver disease)

300

Adverse effects of taking multiple antibiotics. 

What is development of c.Diff colitis. 

300

Lithium therapeutic window and signs of lithium toxicity. 

What is 0.6 - 1.2. and nausea; vomiting; diarrhea, worsening tremor, confusion, slurred speech, and ataxia. 

Untreated Lithium toxicity can result in seizures, coma, and even death. 

400

When to administer methylphenidate. 

What is in the morning. 

Do not give at bedtime to prevent insomnia. 

400

What is therapeutic use of Valproic acid. 

What is for mood disorders (bipolar) and epilepsy. 

400

Opioid receptor anti-diarrheal that causes side effects of constipation; abdominal cramps; dizziness, drowsiness, nausea, and dry mouth. 

What is loperamide (Imodium). 

400

Adverse effects of allopurinol. 

What are 

  • Severe hypersensitivity reactions (Stevens-Johnson syndrome)
  • Hepatotoxicity
  • Bone marrow suppression
  • Acute kidney injury

Stop taking immediately if rash develops. 

400

Antidote for benzodiazepines. 

What is flumazenil. 

500

When to administer scopolamine patch. 

What is 4 hours before travel. 

Scopolamine is an anticholinergic used for nausea or motion sickness. 

500

Therapeutic use of ganciclovir.  

What is antiviral drug to treat cytomegalovirus (CMV). 

500

Common side effects of bismuth subsalicylate.  

What are black tongue, black stools, constipation, and nausea. 

Adverse effects include Salicylate toxicity (tinnitus, dizziness, confusion); Bleeding; Allergic reactions; and Reye syndrome in children and adolescents recovering from viral illnesses

500

The anticonvulsant drug that requires EKG monitoring when administered IV. 

What is fosphenytoin. 

Adverse effects include:  

  • Cardiac dysrhythmias
  • Hypotension
  • Stevens-Johnson syndrome
  • Blood dyscrasias
  • Hepatotoxicity
500

Nursing considerations for selegiline. 

  • Monitor blood pressure regularly.
  • Teach patients to avoid tyramine-rich foods (especially at higher doses):
    • Aged cheeses
    • Cured meats
    • Red wine
    • Fermented products
  • Do not administer with SSRIs, SNRIs, TCAs, or other serotonergic drugs.
  • Monitor for symptoms of hypertensive crisis:
    • Severe headache
    • Hypertension
    • Neck stiffness
    • Palpitations
600

When to administer acyclovir. 

What is within 3 days of first symptoms. 

600

Alpha 2 agonist that inhibits spinal cord neurotransmitters release to decrease muscle spasticity 

What is tizanidine, a muscle relaxant. 

Common side effects include Drowsiness; Dizziness; Dry mouth; Weakness; Fatigue; Constipation; Blurred vision. 

Adverse effects include hypotension and bradycardia. 

Nursing considerations: Change positions slowly to prevent orthostatic hypotension. 

600

The difference between common side effects of macrolides and adverse effects of macrolides. 

What are expected side effects of GI upset (Nausea; Vomiting; Diarrhea; Abdominal cramping) and adverse effects of 

Cardiac

  • QT interval prolongation
  • Ventricular dysrhythmias (including torsades de pointes)

Hepatic

  • Hepatotoxicity
  • Elevated liver enzymes
  • Jaundice
600

The MAO-B inhibitor used for Parkinson's with adverse effects of Hypertensive crisis; Serotonin syndrome; Orthostatic hypotension; and Hallucinations. 

What is selegiline. 

 

600

Antibiotics and anti-epilepti drugs that can cause cardiac dysrhythmias. 

What are 

1) antibiotic classes of macrolides (clarithromycin, erythromycin) and fluoroquinolones (moxifloxacin, and levofloxacin) and 

2) anti-epileptic drugs of phenytoin, fosphenytoin, and carbamazepine.