Client teaching regarding the use of leukotriene receptor antagonist (LTRAS) drug such as Montelukast (Singulair) would include which statement by the nurse?
Take the medication when you are short of breath and begin wheezing.
It will take about 3 or 4 weeks before you notice a therapeutic effect.
Increase fiber and fluid in your diet to prevent the common adverse effect of constipation
This medication works by preventing the inflammation that causes your asthma attacks.
The Correct Answer is D
Leukotriene receptor antagonists (LTRAs) like Montelukast are commonly used in the treatment of asthma. They work by blocking the action of leukotrienes, which are inflammatory substances that can cause narrowing and inflammation of the airways in individuals with asthma. By preventing this inflammation, LTRAs help to reduce asthma symptoms and prevent asthma attacks.
The other options mentioned in the statements are not accurate or appropriate for teaching about Montelukast. Taking the medication only when experiencing symptoms is not the recommended approach, as LTRAs are typically taken regularly as part of ongoing asthma management. The statement about the therapeutic effect taking several weeks to notice is not accurate, as Montelukast can start to provide symptom relief within a shorter timeframe.
Additionally, the statement about increasing fiber and fluid intake to prevent constipation is unrelated to the use of Montelukast and may not apply to this medication specifically.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Inhaled fluticasone (Flovent) is a corticosteroid medication that is commonly used in the treatment of asthma. It works by reducing inflammation in the airway, which is a key component of asthma. By decreasing inflammation, it helps to prevent and control asthma symptoms, such as wheezing, coughing, and shortness of breath.
The other options mentioned are incorrect:
B. Relieves symptoms of an acute asthma attack: Inhaled fluticasone is not intended for immediate relief during an acute asthma attack. It is a long-term control medication used to manage and prevent asthma symptoms.
C. Causes immediate bronchodilation: Fluticasone does not cause immediate bronchodilation, which refers to the widening of the airways to improve breathing. Bronchodilation is typically achieved with short-acting beta-agonist medications, such as albuterol.
D. Reduces blood pressure and heart rate: Fluticasone is not known to have a direct effect on blood pressure or heart rate. Its primary action is to reduce inflammation in the airway for the management of asthma.
Correct Answer is D
Explanation
Acetylcysteine has a strong and distinct odor, often described as a sulfur-like smell. It is important for the adolescent to be aware of this characteristic odor so that they do not become alarmed or concerned when they encounter it.
The other options mentioned are incorrect:
A. It is necessary to monitor your serum electrolyte levels: Monitoring serum electrolyte levels is not typically required with oral acetylcysteine therapy. However, it is important to follow the healthcare provider's instructions regarding monitoring and follow-up appointments.
B. "You should avoid eating eggs": There is no specific dietary restriction or need to avoid eating eggs while taking oral acetylcysteine. However, it is always advisable to follow a balanced and healthy diet.
C. "Your mouth will become dry!": Dry mouth is not a common side effect of oral acetylcysteine. Side effects may vary from person to person, but dry mouth is not typically associated with this medication.
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