A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?
Administer the granules mixed with 20 oz of water.
Administer the medication 2 hr before exercise.
Give the medication in the morning daily
Give the medication at the onset of wheezing
The Correct Answer is B
A. Administering the granules mixed with 20 oz of water is not necessary. Montelukast granules can be administered directly into the mouth or mixed with a small amount of soft food (e.g., applesauce) if necessary. The specific instructions for administration should be provided by the healthcare provider or included in the product labeling.
B. If you’re using it to prevent breathing problems related to exercise, take a single dose at least 2 hours before exercising. However, another dose cannot be taken within 24 hours.
C. Montelukast is a leukotriene receptor antagonist commonly used for the maintenance treatment of asthma in children and adults. The usual recommended dose is once daily in the evening, depending on the specific instructions from the healthcare provider.
D. Administering the medication at the onset of wheezing is not the recommended approach. Montelukast is a daily maintenance medication for asthma and should be taken regularly as prescribed, regardless of wheezing symptoms. It is not intended to be used for immediate relief of wheezing or acute asthma symptoms. Short-acting bronchodilators are typically used for quick relief of wheezing or acute asthma symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
To determine the mL of diphenhydramine elixir to administer per dose, we need to calculate the dose based on the prescribed amount and the concentration of the elixir.
Given:
Prescribed dose: 25 mg Concentration of elixir: 12.5 mg/5 mL
We can set up a proportion to find the equivalent mL for the prescribed dose: 25 mg / x mL = 12.5 mg / 5 mL
Cross-multiplying and solving for x, we get:
25 mg * 5 mL = 12.5 mg * x mL 125 mg = 12.5 mg * x mL
125 mg / 12.5 mg = x mL 10 mL = x mL
Therefore, the nurse should administer 10 mL of diphenhydramine elixir per dose.
Correct Answer is D
Explanation
Beclomethasone is an inhaled corticosteroid commonly used for the treatment of asthma. One of the potential side effects of inhaled corticosteroids is oral candidiasis, also known as thrush. Rinsing the mouth with water after each administration helps to reduce the risk of developing thrush by removing any residual medication from the mouth and throat.
The other options listed are not specific instructions for inhaled beclomethasone:
A. Check the pulse after medication administration: While it is important to monitor vital signs, such as pulse, in certain situations, checking the pulse after inhaled beclomethasone administration is not a specific instruction for this medication.
B. Limit caffeine intake: There is no specific need to limit caffeine intake when taking inhaled beclomethasone. However, it is generally advisable to discuss dietary considerations, including caffeine, with a healthcare provider, as individual factors and medication interactions can vary.
C. Take the medication with meals: Inhaled beclomethasone is usually taken as prescribed by the healthcare provider, and the timing of administration with meals is not typically specified.
However, it is important for the client to follow the specific instructions provided by their healthcare provider regarding the timing and frequency of inhaled medication administration.
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