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 C
Explanation
A medication error refers to any preventable event that may cause or lead to inappropriate medication use or patient harm. In this case, the nurse administering a double dose of medication due to a failure to cut the pill in half is a medication error. It involves the administration of an incorrect dose, which can potentially result in harm or adverse effects for the patient.
The other situations mentioned do not necessarily indicate medication errors. A patient developing hives after starting an IV antibiotic could have an allergic reaction, and appropriate actions should be taken to address the reaction. A patient complaining of severe pain still present after receiving pain medication may require further assessment and intervention to manage their pain effectively. A patient refusing her morning medication is not a medication error but rather a patient's right to refuse treatment, and appropriate documentation and communication should be done in such situations.
Correct Answer is C
Explanation
Acetaminophen is generally considered safe and well-tolerated when used appropriately. However, it is primarily metabolized by the liver, and in cases of severe hepatic impairment or liver failure, the metabolism of acetaminophen can be significantly impaired. This can lead to the accumulation of toxic metabolites, which can cause further liver damage and potentially result in hepatotoxicity.
Hypertension, gallbladder disease, and tachyarrhythmias are not typically considered contraindications for the use of acetaminophen. However, it is important to consider any potential interactions or precautions when using acetaminophen in patients with these conditions, and consulting with a healthcare provider is recommended to ensure the safe and appropriate use of the medication.
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