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 D

Explanation

A. Incorrect. Tingling of the scalp is not a common adverse reaction following electroconvulsive therapy (ECT.
B. Incorrect. Voice alteration is not a common adverse reaction following ECT.
C. Incorrect. Neck pain is not a common adverse reaction following ECT.
D. Correct. Temporary memory loss is a common adverse reaction following ECT. Some clients may experience confusion and memory deficits immediately after the procedure, but these effects are typically temporary and resolve as the client recovers from the treatment.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The nurse should identify that the client is at risk of developing heart failure and may require further assessment and intervention.

Heart failure is suggested by the progressive decline in vital signs and laboratory results, such as increasing BUN and creatinine levels, which indicate worsening kidney function and can contribute to heart failure. The client’s fatigue, weakness, bilateral edema, and crackles in the lungs are clinical signs consistent with heart failure. The dry, flaky skin and coarse, thinning hair also reflect systemic issues that could be associated with heart failure and poor nutritional status.

The nurse should focus on further assessment to evaluate the severity of heart failure and intervention to manage symptoms, potentially including medication adjustments, fluid management, and additional diagnostic testing. These steps are crucial to addressing the client’s deteriorating condition and preventing further complications.

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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

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is about to undergo electroconvulsive therapy. The nurse should explain to the client which of the following adverse reactions can occur following the procedure.

Correct Answer is D

Explanation

A nurse is assisting with the care of a client in an outpatient provider's office. Exhibits The nurse should identify that the client is at risk of developing dropdown and may require further dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

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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?