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 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables 3. Grapefruit juice A client is being treated for acute congestive heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority assessment? 1. Monitoring weight loss 2. Monitoring temperature 3. Monitoring blood pressure 4. Monitoring potassium level 3. Monitoring blood pressure A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the following should be included in the list of instructions? 1. Restrict fluid intake. 2. Maintain a high fluid intake. 3. If the urine turns dark brown, call the health care provider (HCP) immediately. 4. Decrease the dosage when symptoms are improving to prevent an allergic response. 2. Maintain a high fluid intake. Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In addition, dexamethasone (Decadron) is prescribed to be administered before initiation of the docetaxel. The nurse tells the client that the dexamethasone is prescribed to: 1. Enhance the effects of the docetaxel. 2. Reduce the severity of fluid retention. 3. Prevent thromboembolic disorders. 4. Prevent neutropenia. 2. Reduce the severity of fluid retention. Streptokinase (Streptase) is being administered to a client following an acute inferior myocardial infarction. The nurse plans care, knowing that the primary purpose of streptokinase is to: 1. Reduce myocardial oxygen demand. 2. Inhibit further clot formation. 3. Prevent platelet aggregation. 4. Dissolve the thrombus. 4. Dissolve the thrombus. A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. The nurse tells the client to: 1. Apply a thick layer of cream to the entire body. 2. Apply the cream as prescribed for 2 days in a row. 3. Apply to the entire body and scalp, excluding the face. 4. Leave the cream on for 8 to 12 hours and then remove by washing. 4. Leave the cream on for 8 to 12 hours and then remove by washing. A nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On the basis of this data, the nurse reports the finding and makes which determination? 1. The magnesium sulfate is effective. 2. The infusion rate needs to be increased. 3. The client is experiencing cerebral edema. 4. The client is experiencing magnesium toxicity. 4. The client is experiencing magnesium toxicity. A client who is human immunodeficiency virus (HIV) seropositive has been taking zalcitabine (ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to be monitored while taking this medication? 1. Glucose level 2. Platelet count 3. Red blood cell count 4. Liver function studies