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 B,A,C,D,E
Explanation
A. Turn the client's head to the side: Turning the head to the side helps maintain airway patency and allows saliva or secretions to drain, reducing the risk of aspiration. This action is performed once the client is safely positioned and seizing. Airway protection is a priority during active seizure activity.
B. Guide the client to the floor: Safely guiding the client to the floor prevents injury from a fall during sudden loss of muscle control. This is the first priority when a seizure begins during ambulation. Protecting the client from trauma takes precedence over all other actions.
C. Provide supplemental oxygen: After the seizure activity subsides, oxygen may be needed to address hypoxia caused by impaired breathing during the seizure. Supplemental oxygen supports adequate tissue oxygenation during the postictal phase. This action follows airway positioning and stabilization.
D. Provide hygiene: Hygiene care is provided after the seizure once the client is stable, as incontinence or excessive secretions may have occurred. Maintaining cleanliness promotes comfort and dignity. This step is not urgent and is addressed after physiologic needs are met.
E. Initiate reorientation: Reorientation is performed last, during the postictal phase, when the client may be confused or disoriented. Calm reassurance and simple explanations help reduce anxiety and support neurologic recovery. This action is appropriate only once the client is alert and stable.
Correct Answer is B
Explanation
A. Client: The nurse should verify the client’s identity when administering any medication, but the client’s name is usually clearly stated in the prescription and is not ambiguous in this scenario. Clarifying the client is not the primary concern when reading back the prescription.
B. Route: The provider did not specify the route of administration (oral, intravenous, or sublingual), which is critical for safe medication administration. Clarifying the route ensures the nurse administers the drug correctly and avoids potential complications from using the wrong method.
C. Medication: The medication name, ondansetron, is clearly stated and unambiguous. There is no need for clarification unless there is a similar-sounding drug, which is not indicated in this scenario.
D. Dose: The dose of 4 mg every 6 hours as needed is clearly stated. The nurse does not need to clarify the dose since it is complete and within standard dosing guidelines for ondansetron.
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