A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?

The medication will contract the smooth muscles located in the respiratory tract.

Montelukast will help repair damaged tissue in the base of the lungs.

The medication will prophylactically limit the inflammatory response to allergens.

Montelukast will increase the production of mucus in the lungs.

Answer and Explanation

The Correct Answer is C

A) Montelukast does not directly contract smooth muscles in the respiratory tract. Instead, it helps reduce inflammation and bronchoconstriction.

B) Montelukast does not repair damaged lung tissue. It primarily addresses the inflammatory component of asthma and allergies.

The information the nurse should include in the client's teaching about montelukast is:

C) The medication will prophylactically limit the inflammatory response to allergens.

Explanation:

Montelukast is a leukotriene receptor antagonist used to manage and prevent asthma symptoms and allergies. It works by blocking the action of leukotrienes, which are chemicals in the body that contribute to inflammatory responses. By limiting the inflammatory response to allergens, montelukast helps reduce symptoms like wheezing, coughing, shortness of breath, and allergic rhinitis.

D) Montelukast does not increase the production of mucus in the lungs. In fact, it can help reduce excessive mucus production associated with allergic reactions and asthma.

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Correct Answer is C

Explanation

A. Ingestion of St. John's Wort doesn't significantly affect sodium intake.

B. While St. John's Wort is used by some people to treat depression, it's not the most significant factor in this situation where graft rejection is a concern.

The most significant information about this finding is:

C. Wort can decrease plasma concentrations of cyclosporine.

Explanation:

Cyclosporine is an immunosuppressive medication commonly used in transplant recipients to prevent graft rejection. St. John's Wort is known to induce liver enzymes responsible for drug metabolism, which can lead to a decrease in the blood levels of certain medications, including cyclosporine. This can potentially render the immunosuppressive effects of cyclosporine less effective, increasing the risk of graft rejection. Therefore, the interaction between St. John's Wort and cyclosporine is of utmost significance in this situation.

D. St. John's Wort is unlikely to decrease the need for corticosteroids, which are often used in transplant patients as part of immunosuppressive therapy.

A. Breast feeding is not recommended while taking this medication. B. Discontinue this medication one month before attempting to conceive. C. Do not take multiple vitamins that contain vitamin A while taking this drug D. Baseline liver function results must be obtained during therapy

Correct Answer is B

Explanation

A. Breastfeeding is not recommended while taking this medication:

While it's important to avoid breastfeeding while taking isotretinoin due to potential risks to the infant, the priority in this scenario is preventing exposure to the medication during pregnancy.

The most important information for the nurse to provide to a young adult female client planning to become pregnant while taking isotretinoin for cystic acne is:

B. Discontinue this medication one month before attempting to conceive.

Explanation: Isotretinoin (commonly known as Accutane) is a teratogenic medication, which means it can cause severe birth defects if taken during pregnancy. Therefore, it is crucial for the client to discontinue this medication well before attempting to conceive. The recommended time frame to wait after stopping isotretinoin before attempting conception varies but is generally at least one month. The specific duration should be discussed with the healthcare provider.

C. Do not take multiple vitamins that contain vitamin A while taking this drug:

Avoiding excessive vitamin A intake is important to prevent vitamin A toxicity, but it is not the most critical piece of information for a client planning to become pregnant while on isotretinoin.

D. Baseline liver function results must be obtained during therapy:

Monitoring liver function is important during isotretinoin therapy, but the priority in this scenario is preventing fetal exposure to the medication by discontinuing it before attempting pregnancy.

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A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

Correct Answer is B

Explanation

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