A nurse is reinforcing teaching with a school-age child who has mild persistent asthma and has a new prescription for therapy with montelukast. Which of the following information should the nurse include?
"This medication helps prevent bronchospasms."
"This medication is a corticosteroid."
"You should take this medication for an acute asthma attack."
"You should take this medication first thing in the morning."
The Correct Answer is A
Rationale:
A) Montelukast is a leukotriene receptor antagonist that helps prevent bronchospasms by reducing inflammation in the airways.
B) Montelukast is not a corticosteroid; it works through a different mechanism to control asthma symptoms.
C) Montelukast is not used for acute asthma attacks; it is used for long-term management and prevention of asthma symptoms.
D) Montelukast can be taken once daily, typically in the evening, and does not necessarily need to be taken first thing in the morning.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) Forcing the child to drink fluids when they have a fever is not recommended; instead, fluids should be offered frequently to prevent dehydration, but the child should not be forced to drink.
B) Using a dehumidifier in the child's room may help control humidity levels, but it is not specific to treating a bacterial upper respiratory infection.
C) Keeping the child's towels separate from those of the rest of the family helps prevent the spread of infection.
D) Ensuring the child eats three meals a day, even with reduced appetite, is important for maintaining adequate nutrition and energy levels during illness.
Correct Answer is C
Explanation
Rationale:
A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.
B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.
C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.
D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.
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