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?
- “I will take the two puffs of the fluticasone propionate first and then the two puffs of the albuterol.”
- “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.”
- “I will alternate a single puff of each, beginning with the albuterol.”
- “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?
- 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?
- 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?
- 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?
- 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?
- 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?
- 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?
- 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?
- 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:
- 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:
- 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:
- 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?
- 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?
- Liver function studies
The nurse administering medications to a group of clients notes a prescription to give a subcutaneous dose of heparin sodium. The nurse should do which of the following to give this medication safely?
- Give the injection using a 25- to 27-gauge, ⅝-inch needle.
The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy?
- Increased uric acid level
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
- Reduction of steatorrhea
Sodium hypochlorite (Dakin’s solution) is prescribed for a client with a leg wound containing purulent drainage. The nurse is assisting in developing a plan of care for the client and includes which of the following in the plan?
- Ensure that the solution is freshly prepared before use.
A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client should look for which of the following to indicate a primary therapeutic response from the medication?
- Decreased muscle spasms
A client with cancer is receiving cisplatin. Which finding indicates that the client is experiencing an adverse effect of the medication?
- Tinnitus
The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the need for further teaching when the client states which of the following?
- “I can skip a dose once a week.”
A nurse provides instructions to a client who has been prescribed betaxolol (Betoptic) eye drops for the treatment of glaucoma. The nurse instructs the client regarding the administration of the medication and about the importance of returning to the clinic for monitoring of the:
- Blood pressure and apical pulse
A nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The nurse determines that the medication is effective if the client reports a decrease in:
- Joint inflammation
A nurse is providing instructions to the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. The nurse tells the mother to:
- Administer the iron through a straw.
A nurse is caring for a client with chronic congestive heart failure who is taking digoxin (Lanoxin) 0.125 mg daily. Before administering the medication, the nurse reviews the serum digoxin level that was drawn earlier in the day. The result is 1 ng/mL. Which of the following actions should the nurse take based on this laboratory result?
- Administer the dose of the medication as scheduled.
A client has a prescription to receive albuterol (Proventil HFA) two puffs and beclomethasone dipropionate (Qvar) two puffs by metered-dose inhaler. The nurse plans to give these medications most effectively by:
- Administering the albuterol before the beclomethasone dipropionate
A urinary analgesic is prescribed for a client with a urinary tract infection. The nurse tells the client that it is best to take the medication:
- With meals
A nurse tells a client with leukemia that allopurinol (Zyloprim) has been added to the medication list. The client is currently receiving busulfan (Myleran). When the client asks the purpose of the new medication, the nurse responds that the allopurinol is intended to prevent:
- Hyperuricemia
Clients who are given a prescription for sildenafil (Viagra) should be taught that a potentially fatal medication interaction can occur with which medication?
- Nitroglycerin (Nitrostat)
A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client states that he or she will:
- Take the tablet with a full glass of water.
A nursing student is assigned to care for a 30-week gestational woman who is admitted to the maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The nursing instructor asks the student about the purpose of the medication. Which statement by the student indicates an understanding of the purpose of this medication?
- “This medication will promote fetal lung maturity.”
A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the health care provider’s prescriptions and anticipates that which of the following will be prescribed?
- Doxycycline (Vibramycin)
Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse evaluates that the medication is having the intended effect if which of the following is noted in the client?
- Decreased muscle spasms
The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas?
- Axilla
A client who has developed atrial fibrillation that is not responding to medication therapy has begun taking warfarin (Coumadin). The nurse is performing dietary discharge teaching with the client. The nurse would plan to teach the client to avoid which of the following foods while taking this medication?
- Broccoli
When discussing the rationale for levothyroxine (Synthroid) with a client with hypothyroidism, the nurse should emphasize that the client can anticipate what primary expected outcome?
- Achieving normal thyroid hormone levels
Metoclopramide (Reglan) four times daily has been prescribed for a client with reflux esophagitis, and the nurse provides instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication?
- “I need to take the medication 30 minutes before meals and at bedtime.”
PHARMACOLOGY NCLEX-PN 2024 QUESTIONS AND ANSWERS
The client with non-Hodgkin’s lymphoma is receiving daunorubicin (DaunoXome). Which of the following would indicate to the nurse that the client is experiencing a toxic effect related to the medication?
- Crackles on auscultation of the lungs
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing information to the client about the medication. Which statement made by the client indicates a lack of understanding about the treatments?
- “The medication will permanently stain my skin.”
A client has been given a prescription for chloral hydrate (Somnote) for short-term use. The nurse includes which of the following nursing interventions in caring for this client?
- Instruct the client to call for help to get out of bed.
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