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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The Parasympathetic Nervous System utilizes the neurotransmitter acetylcholine. Acetylcholine is released by the postganglionic neurons of the parasympathetic nervous system and acts on target organs and tissues to elicit parasympathetic responses. It plays a crucial role in regulating various bodily functions, including digestion, heart rate, respiratory rate, and other rest and digestion activities.
Correct Answer is D
Explanation
Montelukast is typically prescribed as a once-daily medication for the treatment of asthma. Taking it in the evening can be beneficial as it helps to control asthma symptoms throughout the day and night. It is important to follow the prescribed dosing schedule provided by the healthcare provider.
The other statements mentioned are incorrect:
A. "I'll rinse my mouth after taking this medication": Rinsing the mouth after taking montelukast is not necessary as it is not an inhaled medication. Rinsing the mouth is typically recommended after using inhaled corticosteroids to reduce the risk of oral thrush.
B. "I'll take this medication when I get an asthma attack": Montelukast is a long-term control medication used to prevent asthma attacks and manage chronic asthma symptoms. It is not intended for immediate relief during an asthma attack.
C. "I use a spacer device when I inhale this medication": Montelukast is not an inhaled medication, so the use of a spacer device is not applicable. Spacer devices are commonly used with inhaled medications to improve the delivery of the medication to the lungs.
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