Pharmacology NCLEX-PN (Answered September 2022)

Pharmacology NCLEX-PN (Answered September 2022) Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus) two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications? 1. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the albuterol." 2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate." 3."I will alternate a single puff of each, beginning with the fluticasone propionate." 4. "I will alternate a single puff of each, beginning with the albuterol." 2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate." Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The nurse is collecting data on the client and is providing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication? 1. A history of hyperthyroidism 2. A history of diabetes insipidus 3. When the last full meal was consumed 4. When the last alcoholic drink was consumed 4. When the last alcoholic drink was consumed A nurse is caring for a client with liver disease. Laboratory studies are performed, and the client's serum calcium level is 13 mg/dL. The nurse checks to see that which medication is available in the stock medication supply area on the clinical nursing unit that may be needed to treat this calcium imbalance? 1. Vitamin D 2. Calcium chloride 3. Calcium gluconate 4. Calcitonin (Cibacalcin) 4. Calcitonin (Cibacalcin) A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of care. Which assessment finding most closely correlates to symptoms of interstitial pneumonitis, requiring reporting? 1. Productive cough with thick, yellow sputum 2. Distended neck veins with pink, frothy sputum 3. Barking cough upon exertion 4. Lung wheezing and shortness of breath 4. Lung wheezing and shortness of breath Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted on the client's record, indicates that the medication needs to be administered with caution? 1. Ulcerative colitis 2. Diabetes insipidus 3. Renal insufficiency 4. Coronary artery disease 3. Renal insufficiency A nurse employed in the emergency department is preparing to administer syrup of ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and administers one half glass of water following administration of the ipecac syrup. Which response would the nurse expect? 1. Vomiting 2. Diarrhea 3. Increased level of consciousness 4. Elevated blood pressure 1. Vomiting A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid? 1. Red meats