A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?

The medication will contract the smooth muscles located in the respiratory tract.

Montelukast will help repair damaged tissue in the base of the lungs.

The medication will prophylactically limit the inflammatory response to allergens.

Montelukast will increase the production of mucus in the lungs.

Answer and Explanation

The Correct Answer is C

A) Montelukast does not directly contract smooth muscles in the respiratory tract. Instead, it helps reduce inflammation and bronchoconstriction.

B) Montelukast does not repair damaged lung tissue. It primarily addresses the inflammatory component of asthma and allergies.

The information the nurse should include in the client's teaching about montelukast is:

C) The medication will prophylactically limit the inflammatory response to allergens.

Explanation:

Montelukast is a leukotriene receptor antagonist used to manage and prevent asthma symptoms and allergies. It works by blocking the action of leukotrienes, which are chemicals in the body that contribute to inflammatory responses. By limiting the inflammatory response to allergens, montelukast helps reduce symptoms like wheezing, coughing, shortness of breath, and allergic rhinitis.

D) Montelukast does not increase the production of mucus in the lungs. In fact, it can help reduce excessive mucus production associated with allergic reactions and asthma.

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Correct Answer is D

Explanation

A. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication:

This timing doesn't align with the standard practice of drawing peak levels immediately after the IV dose is completed.

The trough level should be taken just before the next dose, not 30 minutes before.

B. Two hours after completion of the IV dose and 1 hour before the next administration of the medication:

Waiting for two hours after the dose to draw the peak level is too long. Peak levels are typically drawn immediately after completion.

Drawing the trough level one hour before the next dose doesn't provide an accurate assessment of the lowest drug concentration just before the next administration.

C. One hour after completion of the IV dose and one hour before the next administration of the medication:

Similar to choice B, waiting one hour after the dose to draw the peak level is not in line with standard practice.

Drawing the trough level one hour before the next dose is administered is too early to accurately represent the lowest concentration.

The best collection times for determining the peak and trough levels of intravenous (IV) vancomycin are:

D. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.

Explanation:

Peak Level: Peak levels of vancomycin are drawn immediately after the completion of the IV dose. This is done to assess the highest concentration of the drug in the bloodstream, which is important for ensuring its therapeutic efficacy and monitoring for potential toxicity.

Trough Level: Trough levels are drawn just before the next dose is administered. A trough level represents the lowest concentration of the drug in the bloodstream, ensuring that the drug is still present at a therapeutic level before the next dose is given. Taking the trough level 30 minutes before the next administration is appropriate, as it allows time for the drug to reach its lowest concentration before receiving the next dose.

A. Wound and blood specimens for culture and sensitivity. B. Irrigation and topical antibiotic application to wound area. C. Complete blood count and serum electrolytes. D. Monitor for signs of sodium and fluid retention

Correct Answer is A

Explanation

Before administering the first dose of a broad-spectrum antibiotic to a client with a gram-negative infection, it is most important for the nurse to implement:

A. Wound and blood specimens for culture and sensitivity.

Explanation: Collecting wound and blood specimens for culture and sensitivity is crucial before starting antibiotic therapy. This step allows healthcare providers to identify the specific pathogen causing the infection and determine its sensitivity to various antibiotics. It helps in selecting the most appropriate antibiotic and ensuring effective treatment. This is especially important in cases of gram-negative infections, as antibiotic resistance patterns can vary among different strains.

Why the other choices are not the most important at this stage:

B. Irrigation and topical antibiotic application to wound area:

While wound care is important, especially for localized infections, collecting specimens for culture and sensitivity takes precedence to determine the appropriate antibiotic treatment.

C. Complete blood count and serum electrolytes:

While monitoring blood counts and electrolytes is essential in overall client care, it may not be the most critical step before administering the first dose of an antibiotic to address a suspected infection.

D. Monitor for signs of sodium and fluid retention:

Monitoring for signs of sodium and fluid retention is important, but it is not the primary action needed before initiating antibiotic therapy for a gram-negative infection. Identifying the causative organism and selecting the appropriate antibiotic should come first to target the infection directly.

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A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving intravenous (1V) vancomycin and the nurse plans to draw blood for a peak a. trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?

Correct Answer is D

Explanation

On admission, the healthcare provider prescribes a broad spectrum antibiotic for a client with a gram-negative infection. Before administering the first dose, it is most Important for the nurse to implement which prescription?

Correct Answer is A

Explanation

Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Click to mark whether the assessment finding represents a therapeutic result of the sodium bicarbonate administered, a non-therapeutic side-effect, or an unrelated finding.

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