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. Lightheadedness upon standing, also known as orthostatic hypotension, can be a common side effect of ACE inhibitors. Advising the client to sit down when experiencing lightheadedness will help prevent falls.
B. Incorrect. Discontinuing the medication without consulting a healthcare provider is not appropriate. Lightheadedness can be managed with strategies like changing positions slowly.
C. Incorrect. Restricting fluid intake is not necessary unless advised by a healthcare provider.
Adequate hydration is important, especially with the use of certain medications.
D. Incorrect. While potassium supplements might be prescribed in some cases with ACE inhibitors, the primary concern in this situation is addressing orthostatic hypotension.

A. One fingerbreadth of space between the cast and the skin B. Client report of muscle spasms of the left leg C. Diminished pulses on the affected extremity D. Ecchymosis on the inner left thigh

Correct Answer is C

Explanation

A. One fingerbreadth of space between the cast and the skin is important to prevent constriction, but diminished pulses suggest compromised blood circulation, which is a higher priority.
B. Muscle spasms are common and can cause discomfort, but diminished pulses indicate a more serious circulation issue.
C. Correct. Diminished pulses suggest reduced blood flow, which is a serious concern and requires immediate attention.
D. Ecchymosis might be related to the cast application, but it's less urgent than compromised circulation.

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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 making a follow-up call to a client who has a new prescription for an ACE Inhibitor to treat hypertension. The client reports lightheadedness upon standing. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

Correct Answer is C

Explanation

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