A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
" I will give this medication to my child once daily in the evening."
"I will give this medication to my child every 2 hours if he is wheezing
"It takes 2 months of scheduled use before this medication is effective."
"I can stop giving my child this medication if he is taking a steroid,"
The Correct Answer is A
A. "I will give this medication to my child once daily in the evening.": Montelukast is a leukotriene receptor antagonist taken once daily, usually in the evening, to prevent asthma symptoms. Administering it at the correct time supports consistent therapeutic levels and effective long-term asthma control.
B. "I will give this medication to my child every 2 hours if he is wheezing": Montelukast is not a rescue medication and should not be administered for acute asthma attacks. Using it every 2 hours for wheezing is inappropriate and could delay effective emergency treatment.
C. "It takes 2 months of scheduled use before this medication is effective.": Montelukast generally begins working within a few days to weeks, not two months. Delaying assessment of effectiveness for two months could lead to uncontrolled asthma symptoms.
D. "I can stop giving my child this medication if he is taking a steroid.": Montelukast can be used alongside inhaled or oral steroids to manage asthma and should not be discontinued without consulting the healthcare provider. Stopping it abruptly may reduce asthma control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Recommend frequent hot baths: Heat exposure can worsen multiple sclerosis symptoms by increasing nerve conduction impairment. Hot baths may exacerbate fatigue, weakness, and neurologic deficits, making symptom management more difficult. Clients with MS are advised to avoid excessive heat.
B. Encourage the client to restrict performing range-of-motion exercises: Range-of-motion exercises are encouraged to maintain flexibility, prevent contractures, and support mobility in clients with multiple sclerosis. Restricting movement can lead to muscle stiffness and functional decline. Activity should be balanced with rest, not avoided.
C. Initiate contact precautions: Multiple sclerosis is a noninfectious, autoimmune neurologic disorder and does not require isolation precautions. Implementing contact precautions is unnecessary and may negatively impact the client’s psychosocial wellbeing. Standard precautions are sufficient.
D. Monitor the client's ability to perform ADLs: Multiple sclerosis can cause progressive physical and cognitive changes that affect self-care abilities. Monitoring activities of daily living helps identify functional decline early and guides referrals for occupational therapy and adaptive strategies. Ongoing assessment supports individualized care planning and safety.
Correct Answer is A
Explanation
A. Place a pillow under the child's head: Protecting the head prevents injury from impact with the floor during the seizure. Using a pillow or folded blanket cushions the head while allowing the seizure to run its course safely.
B. Restrain the child's upper extremities: Restraining movements during a seizure can cause fractures, dislocations, or soft tissue injury. The nurse should allow the seizure to occur naturally while ensuring the environment is safe.
C. Place a padded tongue blade in the child's mouth: Inserting any object into the mouth is unsafe and can cause dental injury, aspiration, or airway obstruction. Current guidelines advise against this practice.
D. Turn the child onto their back: Placing a child supine during a seizure increases the risk of airway obstruction and aspiration. The recommended position is lateral (side-lying) to maintain airway patency and allow secretions to drain.
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