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 can stop giving my child this medication if he is taking a steroid."

"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."

Answer and Explanation

The Correct Answer is A

A.   Correct. Montelukast is typically given once daily in the evening to manage asthma symptoms.
B.   Montelukast is not a replacement for inhaled steroids. The parent should not stop the medication without consulting the healthcare provider.
C.   Montelukast is not used for acute wheezing; it is a maintenance medication and not for immediate relief.
D.   Montelukast can start to show benefits within a few days of starting, not necessarily 2 months.

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Correct Answer is A

Explanation

A. Correct. Chadwick's sign is a bluish or purplish discoloration of the vaginal and vulvar tissues due to increased vascularity that occurs during pregnancy. This is a normal finding in early pregnancy.
B. Incorrect. Chloasma refers to the appearance of dark patches on the skin, often seen on the face, and is not related to the vaginal and vulvar color changes seen in Chadwick's sign.
C. Incorrect. Hegar's sign refers to the softening of the cervix and isthmus of the uterus, not the color changes in the vaginal and vulvar tissues.
D. Incorrect. Ballottement is a physical examination technique used to assess a floating mass in the body, such as a fetus, and is not related to the color changes in the vaginal and vulvar tissues.

A. Increased urinary output B. Decreased BUN level C. Increased weight of 0.91 kg (2 lb. D. Decreased hemoglobin level

Correct Answer is A

Explanation

A. Correct. Furosemide is a loop diuretic that helps eliminate excess fluid and sodium from the body by increasing urine production. Increased urinary output is an indication that the medication is effectively managing fluid overload, a common issue in heart failure.

B. Incorrect. While a decreased BUN (blood urea nitrogen. level might occur due to improved kidney function, it is not a direct indicator of furosemide's effectiveness.

C. Incorrect. An increased weight suggests fluid retention, which would not indicate the effectiveness of furosemide.

D. Incorrect. Decreased hemoglobin levels may be due to various factors and are not directly related to the effectiveness of furosemide.

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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?

Nursing Test Bank

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