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."
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 B
Explanation
A. Incorrect. Placing the bedside table within easy reach of the bed is important to prevent falls, rather than placing it away from the bed.
B. Correct. Moving the client's bed to the main floor of the house reduces the need to use stairs, which can be a fall risk for clients at risk of falls.
C. Incorrect. Keeping the lighting dim increases the risk of falls. Adequate lighting is important to prevent falls.
D. Incorrect. Area rugs on slick floor surfaces can be hazardous and increase the risk of falls.
They should be removed or secured properly.
Correct Answer is A
Explanation
A. Correct. The American Academy of Pediatrics (AAP. recommends keeping infants rear-facing in their car seats until at least the age of 2, or until they reach the maximum weight and height limits recommended by the car seat manufacturer. This is to ensure optimal safety for the child's head, neck, and spine.
B. Incorrect. The retainer clip should be positioned at armpit level to ensure proper fit of the harness straps.
C. Incorrect. While it's important to ensure the proper recline angle of the car seat, the specific angle may vary based on the car seat manufacturer's instructions.
D. Incorrect. It is not safe to enable the airbag when a baby is in the front seat, as airbags can be dangerous for infants due to their size and vulnerability.
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