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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypertension:
Hypertension (high blood pressure) is not typically associated with piperacillin-tazobactam. While monitoring blood pressure is important during infusions, it is not a reason to stop the infusion on its own.
B. Pupillary constriction:
Pupillary constriction (miosis) is not a common adverse reaction to piperacillin-tazobactam. It is not a primary reason to stop the infusion.
When a client receiving an infusion of piperacillin-tazobactam for a urinary tract infection reports not feeling well, the manifestation that the nurse should identify as a reason to stop the infusion is:
C. Bradycardia.
Explanation: Bradycardia (a slow heart rate) can be an adverse reaction to piperacillin-tazobactam. While it is important to monitor vital signs during the administration of antibiotics, particularly for signs of an allergic reaction or anaphylaxis, bradycardia is a specific manifestation that can be associated with this medication. Stopping the infusion and assessing the client's condition further is appropriate if bradycardia occurs.
D. Scratchy throat:
A scratchy throat could be a sign of an allergic reaction but is not specific to piperacillin-tazobactam. Other signs of an allergic reaction, such as rash, itching, swelling, or difficulty breathing, would be more concerning. In such cases, the infusion should be stopped and appropriate interventions initiated.

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.
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