A nurse working in an urgent care clinic is collecting data from a client who takes montelukast.
Which of the following is an expected therapeutic effect of this medication?
Improved peripheral vasodilation.
Increased WBC Count.
Neutralized gastric acid.
Reduced bronchial inflammation.
The Correct Answer is D
Choice A rationale:
Montelukast does not improve peripheral vasodilation. It is a leukotriene receptor antagonist used to reduce inflammation in the airways.
Choice B rationale:
Montelukast does not increase the WBC count. It works by reducing inflammation in the airways, not by affecting the immune system.
Choice C rationale:
Montelukast does not neutralize gastric acid. It is not an antacid or proton pump inhibitor, it is used to reduce inflammation in the airways.
Choice D rationale:
Montelukast reduces bronchial inflammation. It helps to prevent asthma attacks and exercise-induced bronchoconstriction by reducing inflammation in the airways.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice Arationale:
Aspiration (pulling back on the syringe before injection) is not recommended when administering enoxaparin. This could cause bruising.
Choice Brationale:
You should not massage the site following the injection as this could cause bruising.
Choice Crationale:
With enoxaparin and other low molecular weight heparins, you do not need to expel the air bubble before injecting the medication. The air bubble ensures that all the medication is delivered.
Choice D rationale:
Enoxaparin should be injected into abdominal tissue. This helps ensure proper absorption and reduces the risk of bruising.
Correct Answer is C
Explanation
Choice A rationale:
Increased temperature is not a direct indication of naloxone’s effectiveness. Naloxone works by reversing the effects of opioids, which do not typically include fever.
Choice B rationale:
While naloxone can cause an abrupt withdrawal in opioid-dependent individuals, leading to symptoms such as hypertension, it does not typically decrease blood pressure in opioid overdose cases.
Choice C rationale:
Naloxone works by reversing the life-threatening depression of the central nervous system and respiratory system caused by an opioid overdose. Therefore, an increased respiratory rate after administration would indicate that the medication is effective.
Choice D rationale:
Naloxone reverses the effects of opioids, including pain relief. Therefore, a report of decreased pain would not indicate that the medication is effective.
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