A nurse is evaluating teaching on a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
"I take this medication once a day in the evening."
"I rinse my mouth after taking this medication."
"I use a spacer device when I inhale this medication."
"I take this medication when I get an asthma attack."
The Correct Answer is A
Montelukast is an oral leukotriene receptor antagonist that prevents inflammation and bronchoconstriction in asthma. It is taken once daily in the evening to prevent nocturnal symptoms and improve morning lung function.
- "I rinse my mouth after taking this medication." This is not necessary, as montelukast is not associated with oral thrush or dysgeusia, unlike some inhaled corticosteroids.
- "I use a spacer device when I inhale this medication." This is not applicable, as montelukast is not an inhaler, but a tablet or chewable form.
- "I take this medication when I get an asthma attack." This is not appropriate, as montelukast is not a rescue medication, but a maintenance medication that should be taken regularly to prevent asthma exacerbations. A short-acting beta2 agonist such as albuterol should be used for acute relief of symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Answer: A, D
Rationale:
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A. The medication will prevent wheezing: Albuterol is a bronchodilator, specifically a beta-2 agonist, that relaxes smooth muscles in the airways. This action helps prevent wheezing by reducing airway constriction, making breathing easier for the client.
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B. The medication will decrease coughing episodes: While albuterol can help reduce cough indirectly by improving airflow and decreasing airway irritation, it is not primarily used to decrease coughing episodes. Other medications, such as corticosteroids, are often more effective for controlling chronic cough related to inflammation.
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C. The medication will reduce inflammation: Albuterol does not have anti-inflammatory properties. Its primary mechanism is bronchodilation, and anti-inflammatory treatment generally requires corticosteroids, not beta-agonists like albuterol.
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D. The medication will open the airways: Albuterol works by relaxing bronchial muscles, leading to bronchodilation and allowing the airways to open. This reduces shortness of breath and improves airflow, a primary reason for its use in conditions like asthma.
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E. The medication will stimulate flow of mucus: Albuterol does not stimulate mucus production; it primarily works by relaxing the airways. However, by improving airflow, it can help clients more effectively expel mucus through coughing.
Correct Answer is ["A","C","E"]
Explanation
These are important safety and comfort measures for a client who uses home oxygen therapy via a nasal cannula.
The other options are not correct because:
b. Verify the oxygen flow rate every other day. This is not frequent enough, as the flow rate should be checked at least daily and whenever the client feels short of breath or has changes in vital signs.
d. Apply petroleum ointment to nares if they become dry and irritated. This is not recommended, as petroleum products can ignite in the presence of oxygen and cause burns or fire. A water-based lubricant should be used instead.
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