A client with asthma is prescribed a leukotriene receptor antagonist. Which of the following statements by the client indicates a need for further teaching?
"I will take this medication on an empty stomach."
"I should notify my healthcare provider if I develop any mood changes."
"I can use this medication for immediate relief during an asthma attack."
"I will continue using my other asthma medications as prescribed."
The Correct Answer is C
C) Correct. Leukotriene receptor antagonists are not intended for immediate relief during an asthma attack. They are long-term control medications used to manage and prevent asthma symptoms. Clients should have a separate rescue inhaler for acute symptom relief.
A) Incorrect. Taking the medication on an empty stomach may enhance its absorption, although it can be taken with or without food.
B) Incorrect. Leukotriene receptor antagonists have been associated with mood changes, including depression and suicidal ideation. Therefore, it is important to notify the healthcare provider if any mood changes occur.
D) Incorrect. The client should continue using their other asthma medications as prescribed, as leukotriene receptor antagonists are often used as an adjunct therapy for asthma management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Monitoring blood glucose levels is crucial when caring for a client receiving oral corticosteroid therapy. Corticosteroids can increase blood glucose levels and may cause or worsen diabetes mellitus or steroid-induced hyperglycemia. The nurse should monitor the client's blood glucose levels regularly and collaborate with the healthcare team to manage any glucose abnormalities.
B) Incorrect. Oxygen saturation monitoring is important but is not the priority assessment specifically related to oral corticosteroid therapy.
C) Incorrect. Urinary output monitoring is not specifically required for oral corticosteroid therapy and does not require prioritization in this case.
D) Incorrect. Liver function tests are not directly related to oral corticosteroid therapy and do not require prioritization in this scenario.
Correct Answer is A
Explanation
A) Correct. Instructing the client to rinse their mouth with water after each inhalation is important when using an inhaled corticosteroid. This action helps prevent the development of oral candidiasis (thrush), a potential side effect of inhaled corticosteroids.
B) Incorrect. Inhaled corticosteroids are maintenance medications for COPD and are not intended for use on an as-needed basis during acute exacerbations. Clients should have a separate rescue inhaler for acute symptom relief.
C) Incorrect. The use of a spacer device can improve the delivery of inhaled corticosteroids to the lungs, especially for clients who have difficulty coordinating inhaler use. Therefore, it is recommended to use a spacer device when using an inhaler.
D) Incorrect. Inhaled corticosteroids provide long-term control of symptoms in COPD but do not provide immediate relief. It may take several days to weeks of consistent use for the medication to reach its full therapeutic effect.
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