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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Taking the tablet with a daily multivitamin may not be necessary and could potentially cause excess iron intake, which can be harmful.
B) Bedtime is not necessarily the best time to take the tablet; it's usually recommended to take it on an empty stomach, as mentioned above.
C) Crushing enteric-coated tablets and mixing them with pudding is not recommended. These tablets have a special coating that helps protect the stomach from irritation and crushing them may affect their effectiveness and cause gastric discomfort.
The information the nurse should include in the discharge instructions for an older adult with iron deficiency anemia taking ferrous sulfate enteric-coated tablets is:
D) Wait 2 hours after meals to take the tablet.
Explanation:
Ferrous sulfate is an iron supplement used to treat iron deficiency anemia. Taking it on an empty stomach (usually 1 to 2 hours before meals or 2 hours after meals) enhances its absorption in the small intestine. It's best absorbed in an acidic environment, so it's often recommended to take it with a small amount of vitamin C-rich food or juice (like orange juice) to improve absorption.
Correct Answer is D
Explanation
A) Unusual irritability: While irritability can be a side effect of metoclopramide, it is not as concerning as tardive dyskinesia. It's important to monitor and report any unusual irritability, but it's not the most critical side effect.
B) Diarrhea: Diarrhea is a common side effect of metoclopramide but is generally less concerning than tardive dyskinesia. It can often be managed with dietary adjustments or other medications.
C) Nausea: Nausea is the very symptom metoclopramide is prescribed to treat. If the client is still experiencing nausea despite taking metoclopramide, this might indicate the need for a different anti-nausea medication, but it's not the most important adverse effect to report.
D.Involutary movements: The most important adverse effect for the nurse to report when a client with chemotherapy-induced nausea is taking metoclopramide is D) Involuntary movements.
Explanation:
Metoclopramide is a medication often used to relieve nausea and vomiting, especially in cases like chemotherapy-induced nausea. However, it can have a side effect known as "tardive dyskinesia," which involves involuntary movements, typically of the face and tongue. Tardive dyskinesia is a serious and potentially irreversible side effect of metoclopramide.
In summary, involuntary movements (tardive dyskinesia) are the most critical side effect to report when a client is taking metoclopramide. This side effect needs prompt attention as it can be irreversible if not addressed.
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