A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as needed. The provider has added montelukast (Singulair) to the child’s regimen. Which statement by the child’s parent indicates understanding of this medication?
I should notify my child’s pediatrician if I notice mood changes in my child.
I will give this medication to my child if I hear them wheezing.
This medication can cure my child’s asthma.
I should give this medication twice daily.
The Correct Answer is A
Choice A reason: Montelukast can cause mood changes or neuropsychiatric effects in children. Recognizing this side effect and notifying the pediatrician shows understanding, making this the correct statement.
Choice B reason: Montelukast is a daily maintenance drug, not for acute wheezing, which requires albuterol. This misunderstanding of its use makes it incorrect for proper administration.
Choice C reason: Montelukast controls asthma symptoms but does not cure asthma, a chronic condition. This incorrect belief about its purpose makes it wrong for understanding the medication.
Choice D reason: Montelukast is dosed once daily, typically at bedtime, not twice daily. This dosing error indicates a lack of understanding, making it incorrect for the parent’s statement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Inhaled glucocorticoids are used daily in COPD to reduce inflammation and prevent exacerbations. This shows correct understanding, making it the correct choice.
Choice B reason: Glucocorticoids are for daily maintenance, not as-needed use, which is for beta2-agonists. This misunderstanding is incorrect for the medication regimen.
Choice C reason: Beta2-agonists are used as needed for symptom relief, not daily, in stable COPD. This is incorrect, as daily use is for maintenance drugs.
Choice D reason: Beta2-agonists relax airways, not suppress inflammation; that’s the glucocorticoid’s role. This incorrect mechanism shows misunderstanding, so it’s incorrect.
Correct Answer is D
Explanation
Choice A reason: Dry cough is a common, not serious, side effect of ACE inhibitors due to bradykinin accumulation. While bothersome, it’s not life-threatening like angioedema. It often necessitates switching to an ARB, but calling it serious overstates the risk, making this choice incorrect.
Choice B reason: Dry cough occurs in 5-20% of ACE inhibitor users but doesn’t typically subside with continued use, as bradykinin accumulation persists. Patients often require a medication change (e.g., to ARBs), making the claim that it will subside over time inaccurate and incorrect.
Choice C reason: Dry cough is common but not universal in ACE inhibitor users, affecting 5-20% of patients due to variable bradykinin sensitivity. Stating it occurs in all patients is inaccurate, as many tolerate ACE inhibitors without cough, making this choice incorrect.
Choice D reason: Dry cough, caused by bradykinin buildup, affects some ACE inhibitor users and is uncomfortable, often requiring a switch to an ARB, which doesn’t affect bradykinin. This accurately reflects the side effect’s impact and management, making it the correct choice for the nurse’s response.
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