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. Obtain a stool specimen to evaluate for occult blood and fat content:

While assessing stool content can provide valuable information, it is not the initial action needed in response to these side effects, which are commonly associated with orlistat use.

B. Instruct the client to increase her intake of saturated fats over the next week:

Increasing the intake of saturated fats is not a recommended action, especially when taking orlistat, as it may exacerbate the gastrointestinal side effects.

C. Advise the client to stop taking the drug and contact her healthcare provider:

While contacting the healthcare provider is important if the side effects are severe or persistent, the initial step should involve assessing the client's dietary choices and discussing possible dietary modifications before discontinuing the medication.

When a female client taking orlistat (a medication used for weight management) reports experiencing increasingly frequent oily stools and flatus, the nurse should take the following action:

D. Ask the client to describe her dietary intake history for the last several days.

Explanation: Oily stools and flatus are common side effects of orlistat, which works by blocking the absorption of dietary fat in the gastrointestinal tract. To assess the situation and provide appropriate guidance, the nurse should inquire about the client's dietary intake history. This will help determine if the side effects are related to the consumption of high-fat foods while taking the medication.

A. Remind the client to drink plenty of fluids when taking the medication. B. Encourage the client to wait until bedtime to take the medication. C. Advise the client to take the medication with the noon meal. D. Explain that the client needs to allow for sleep time of at least two hours.

Correct Answer is B

Explanation

A. Remind the client to drink plenty of fluids when taking the medication:

Drinking fluids with zolpidem is not a primary concern in this situation. The main issue is the timing of the medication.

When a client with a new prescription for zolpidem, a hypnotic, plans to take a dose of the medication during the day for a short afternoon nap, the nurse should take the following action:

B. Encourage the client to wait until bedtime to take the medication.

Explanation: Zolpidem is a medication primarily prescribed to help individuals with insomnia fall asleep more easily when taken at bedtime. Taking it during the day, especially for a short nap, can lead to drowsiness, impaired coordination, and reduced alertness during activities. It is not intended for daytime use or for short naps during the day. The nurse should encourage the client to take the medication as prescribed, at bedtime, to ensure safe and effective use.

C. Advise the client to take the medication with the noon meal:

Zolpidem is not typically taken with meals. Again, the primary concern is the timing of the medication.

D. Explain that the client needs to allow for sleep time of at least two hours:

While it's important to allow for sufficient sleep time after taking zolpidem to minimize the risk of impaired alertness and coordination, the client should be encouraged to take the medication at bedtime rather than during the day to ensure it works as intended.

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Laboratory Test	Result	reference range
Serum Creatinine	1 mg/dl (88.4 μmol/L)	0.5-1.1 mg/dL (44-97 μmol/L)
BUN	9 mg/dl. (3.2 mmol/L)	10-20 mg/dl. (3.6-7.1 mmol/L)
Sodium	136 mEq/L (136 mmol/L)	136 to 145 mEq/L (136 to 145 mmol/L)
Potassium	6.1 mEq/L (6.1 mmol/L)	3.5 to 5 mEq/L (3.5 to 5 mmol/L)

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

After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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