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 every 2 hours if he is wheezing."

"It takes 2 months of scheduled use before this medications effective."

"I can stop giving my child this medication if he is taking a steroid."

"I will give this medication to my child once daily in the evening "

Answer and Explanation

The Correct Answer is D

Montelukast is a medication commonly used for the maintenance treatment of asthma. It is not used for immediate relief of wheezing or acute symptoms. Instead, it is taken on a scheduled basis to help control and prevent asthma symptoms over time. The recommended dosing regimen for montelukast in children is once daily in the evening.

The statement about giving the medication every 2 hours if the child is wheezing is incorrect, as this medication is not meant to be used for immediate relief of symptoms. It is a preventive medication.

The statement about it taking 2 months of scheduled use before the medication is effective is incorrect. While it may take some time for the medication to reach its full effect, improvement in symptoms can often be seen within a few days to weeks of starting treatment.

The statement about stopping the medication if the child is taking a steroid is incorrect. Montelukast can be used in conjunction with other asthma medications, including steroids, as prescribed by the healthcare provider. It is important to follow the prescribed treatment plan and not discontinue any medication without consulting the healthcare provider.

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Correct Answer is C

Explanation

For a client with a prepregnancy BMI of 30.5, the acceptable weight gain during pregnancy would be around 11 to 20 pounds (5 to 9 kilograms) according to the guidelines set by the Institute of Medicine (IOM).

A. Apply fundal pressure during contractions. B. Instruct the client to change positions frequently. C. Tell the client to push during contractions. D. Encourage the client to soak in a hot bath.

Correct Answer is B

Explanation

B. Instruct the client to change positions frequently

Encouraging the client to move around, walk, change positions during labour can help relieve discomfort, promote optimal fetal positioning positions, or use a birthing ball can help alleviate pelvic pain and potentially facilitate the progress of labour.

Applying fundal pressure during contractions in (option A) is not necessary during the latent stage of labour. Fundal pressure is typically used in the active stage of labour to assist with the descent and positioning of the baby's head.

Telling the client to push during contractions in (option C) is not appropriate during the latent stage of labour. Pushing is typically reserved for the second stage of labour when the cervix is fully dilated.

Encouraging the client to soak in a hot bath in (option D) is not recommended during labour, particularly in the hospital setting. Immersion in hot water (e.g., a hot bath) can increase the risk of infection and is generally not recommended until after the birth of the baby

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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 dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is in the latent stage of labor and has pelvic pain with contractions. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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