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. While monitoring dietary potassium might be relevant for some clients on certain medications, it is not the primary action for addressing syncope related to enalapril.
B. Incorrect. Withholding the medication based solely on pulse rate is not an appropriate action.
The nurse should provide guidance on appropriate management.
C. Incorrect. Decreasing daily fluid intake is not likely to address the syncope related to enalapril.
D. Correct. Enalapril is an ACE inhibitor, and syncope can be a side effect due to changes in blood pressure. Advising the client to rise slowly from a sitting position can help prevent sudden drops in blood pressure and decrease the risk of syncope.

A. Recurring urinary tract infections B. A recent move to a new city C. Lack of nutritional knowledge D. Report of feeling depressed

Correct Answer is B

Explanation

A. Incorrect. Recurring urinary tract infections are related to health and hygiene and are not typically considered external stressors.
B. Correct. A recent move to a new city is an external stressor because it is an environmental change that can lead to feelings of stress and adjustment.
C. Incorrect. Lack of nutritional knowledge is an internal stressor related to the client's knowledge and awareness, not an external factor.
D. Incorrect. Feeling depressed is an internal emotional state and is not an external stressor.

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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 at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril. Which of the following instructions should the nurse give the client?

Correct Answer is D

Explanation

A nurse is collecting data from a client who reports feeling stress. Which of the following should the nurse identify as an external stressor?

Correct Answer is B

Explanation

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