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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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Opening the fireplace dampers may allow external contaminants to enter the facility and is not recommended during an external chemical disaster.
B. Incorrect. Covering electrical outlets with wet towels may not provide effective protection against chemical contaminants and is not a recommended action.
C. Correct. Moving clients to a room above ground with few windows helps protect them from potential exposure to external chemical contaminants. Windows can allow contaminants to enter, and an aboveground location can reduce the risk of exposure.
D. Incorrect. Turning on fans may circulate contaminated air throughout the facility and is not recommended during a chemical disaster.
Correct Answer is ["A","B","C","E","F","G","H"]
Explanation
A.Caffeine can exacerbate symptoms of mania by increasing restlessness and irritability. Avoiding caffeine can help in managing these symptoms.
B.Lithium is a common medication used to manage manic episodes in bipolar disorder. Monitoring lithium levels is crucial to ensure the client's safety and therapeutic effectiveness.
C.Clients experiencing mania may have difficulty focusing and completing tasks, including personal hygiene. Step-by-step reminders can help the client maintain proper hygiene.
D.While social interaction can be beneficial, clients in a manic state may become overstimulated or disruptive in group settings. Individual activities are often more appropriate until the mania is better controlled.
E.Clients in a manic state may be too restless to sit down for meals. Offering finger foods allows them to eat while on the go, helping to maintain adequate nutrition.
F.Clients with mania may exhibit aggressive behaviors. Redirecting these behaviors to safer or more appropriate outlets is important for the safety of the client and others.
G.The client's vital signs indicate an increase in heart rate and blood pressure, which are important to monitor closely as they can be affected by the heightened physical activity and agitation associated with mania.
H.Lithium can cause fluid retention and weight gain. Daily weight monitoring helps detect sudden increases that may indicate fluid imbalance or early signs of lithium toxicity. It also assists in managing and adjusting treatment as needed to prevent complications.
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