A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma and a prescription for montelukast.
Which of the following instructions should the nurse include in the teaching?
Administer the medication to the toddler each evening.
Provide an additional dose of the medication prior to physical activity.
Mix the medication in juice prior to administration.
Administer the medication when the toddler has an acute asthma attack.
The Correct Answer is A
Explanation
A. Administer the medication to the toddler each evening.
Montelukast is a long-term control medication used for the management of asthma in both children and adults. It is typically taken once daily in the evening to provide continuous asthma control. Consistency in taking the medication is important to maintain its effectiveness.
Providing an additional dose of the medication prior to physical activity in (option B) is not a standard recommendation for montelukast use. Montelukast is not a rescue medication and does not provide immediate relief for asthma symptoms triggered by physical activity. In such cases, a short-acting bronchodilator medication, such as albuterol, is commonly used prior to physical activity.
Mixing the medication in juice prior to administration in (option C) is not recommended unless specifically instructed by the healthcare provider or indicated in the medication instructions.
Montelukast is available in various formulations, including chewable tablets and granules, which can be taken directly or mixed with certain foods or liquids. However, the specific instructions should be followed as provided by the healthcare provider or medication label.
Administering the medication when the toddler in (option D) has an acute asthma attack is not the intended use of montelukast. Montelukast is a long-term control medication aimed at preventing asthma symptoms and maintaining asthma control over time. For acute asthma attacks, a short-acting bronchodilator medication is typically used.
Therefore, the nurse should instruct the parents to administer the medication to the toddler each evening (option A) as part of the routine, long-term management of asthma.
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Related Questions
Correct Answer is A
Explanation
Explanation
A. Write the information at an 8 th grade reading level
Writing the information at an 8th-grade reading level ensures that it is accessible and understandable to a wide range of individuals in the community. Hypertension is a common health condition, and it is important to provide information in a clear and concise manner that can be easily comprehended by the target audience.
Explaining medical terminology using basic, one-syllable in words in (option B) is not recommendable because it may oversimplify the information and potentially undermine the importance of accuracy and precision in healthcare communication.
Using a 12-point font size in (option C) is not recommendable because it is a general guideline for readability, but it is not the most critical aspect when developing a brochure. The readability of the content itself is more important than the specific font size.
D. Presenting information from complex to simple in (option D) is not recommendable because it is not the most effective approach when developing a brochure about hypertension. It is more beneficial to present information in a simple and straightforward manner from the beginning to enhance understanding and engagement.
Therefore, the nurse should write the information at an 8th-grade reading level (option A) to ensure that it is easily accessible and comprehensible for the target audience.
Correct Answer is ["C","D","E","F"]
Explanation
Case management can be beneficial in situations involving assault to help coordinate and provide ongoing support and resources for the client. This intervention is appropriate in this scenario.
Ensuring a safe and private environment is crucial to protect the client's confidentiality and provide a supportive atmosphere during this difficult time. This intervention is necessary. Since the client reports being assaulted and has sore genitals, it is important to consider the risk of sexually transmitted infections (STIs). Administering STI prophylaxis can help prevent potential infections.
The client may benefit from additional support services such as counseling or support groups. Providing resources for local support services can help the client access the necessary help and support they need.
Contacting children and youth services is not applicable in this scenario as the client is a full-time college student and not a child or youth.
While the client mentioned drinking, it is not explicitly stated that they have an alcohol addiction or problem. Therefore, providing resources for Alcoholics Anonymous may not be the most appropriate intervention at this time.
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