A nurse l monitoring an IV for a client who is to receive 120 mL of lactated Ringer's over 1 hr. The drip factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the drip rate is set for how many gtt/min? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

A) "It takes 2 months of scheduled use before this medication is effective.":
This statement is incorrect. Montelukast is a leukotriene receptor antagonist that works to prevent asthma symptoms and improve lung function. It typically takes a few days to a week for the medication to become effective, not 2 months. Immediate relief is not expected, but long-term benefits can be seen within a relatively short period after starting the medication.

B) "I will give this medication to my child every 2 hours if he is wheezing.":
This statement is incorrect. Montelukast is a maintenance medication that is taken on a daily basis to prevent asthma symptoms. It is not a rescue medication and should not be used every 2 hours when the child is wheezing. Rescue medications like short-acting beta-agonists (e.g., albuterol) should be used during an asthma attack or when wheezing occurs.

C) "I will give this medication to my child once daily in the evening.":
This statement is correct. Montelukast is typically taken once daily in the evening. It helps to reduce inflammation and prevent asthma symptoms, and taking it in the evening aligns with the medication's intended use for long-term control of asthma.

D) "I can stop giving my child this medication if he is taking steroids.":
This statement is incorrect. Montelukast is often used alongside steroids (inhaled corticosteroids) for managing asthma. The two medications work in different ways, and discontinuing montelukast while continuing steroids may not provide optimal asthma control. It is important to follow the healthcare provider's instructions regarding the use of both medications.

A) Nutritionist:
While a nutritionist can provide valuable advice on feeding, including breastfeeding or formula feeding, the primary issue here is not related to nutritional guidance but rather the financial concern about paying for baby formula. A nutritionist may provide support, but they are not typically responsible for addressing financial needs or coordinating resources for assistance.

B) Case manager:
The case manager is the most appropriate team member to refer to in this situation. A case manager is responsible for assessing the client’s needs and connecting them with resources such as financial assistance, community support programs, or social services. Since the client is unable to afford baby formula, the case manager can help by referring the client to programs that may provide formula at no cost or at a reduced price, such as the Women, Infants, and Children (WIC) program.

C) Primary care provider:
The primary care provider may offer support and referrals but would generally not be the first point of contact for addressing financial barriers to obtaining baby formula. The primary care provider can provide medical advice related to the client's postpartum care and the infant's health, but they are not typically the best person to address financial concerns directly.

D) Pediatric nurse practitioner:
A pediatric nurse practitioner focuses on providing care for the child, not necessarily addressing the financial needs of the family. While they can provide guidance on infant care and feeding, the issue of financial support for formula is outside their role. The case manager would be the more appropriate referral to assist with financial concerns.