A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

I should take this medication only when I am having an asthma attack.

I will not need to use my inhalers twice a day when I start this medicine.

I will take the tablet every evening to control my asthma.

This medication will stop an asthma attack immediately.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

I should take this medication only when I am having an asthma attack: This statement is incorrect because montelukast is not a rescue medication. It is a maintenance medication designed to be taken regularly to prevent asthma symptoms and attacks. Using it only during an asthma attack would not provide the intended preventive benefits.

Choice B Reason:

I will not need to use my inhalers twice a day when I start this medicine: This statement is also incorrect. Montelukast is often used as an adjunct therapy and does not replace the need for inhalers, especially for those with moderate to severe asthma. Inhalers, particularly corticosteroids, remain a critical part of asthma management.

Choice C Reason:

I will take the tablet every evening to control my asthma: This statement is correct. Montelukast is typically prescribed to be taken once daily in the evening. This helps to control asthma symptoms and prevent attacks by reducing inflammation and constriction in the airways.

Choice D Reason:

This medication will stop an asthma attack immediately: This statement is incorrect. Montelukast is not a fast-acting medication and will not provide immediate relief during an asthma attack. Fast-acting bronchodilators, such as albuterol, are used for immediate relief.

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Correct Answer is B

Explanation

Choice A reason:

Insomnia is a known side effect of St. John’s wort. While it can be bothersome, it does not typically require further instruction beyond standard advice on managing insomnia. Patients should be advised to take the medication earlier in the day to minimize sleep disturbances.

Choice B reason:

St. John’s wort can interact with hormonal contraceptives, reducing their effectiveness and increasing the risk of unintended pregnancy. This interaction occurs because St. John’s wort induces the enzymes that metabolize contraceptive hormones, leading to lower levels of these hormones in the body. Therefore, it is crucial to instruct the client to use an additional form of contraception to prevent pregnancy.

Choice C reason:

Sensitivity to the sun, or photosensitivity, is a documented side effect of St. John’s wort. Patients should be advised to use sunscreen and wear protective clothing when exposed to sunlight. While this side effect requires caution, it does not necessitate further instruction beyond these preventive measures.

Choice D reason:

Using hard candy to alleviate dry mouth is a common and effective strategy. St. John’s wort can cause dry mouth, and sucking on sugar-free hard candy can help stimulate saliva production. This advice is appropriate and does not require further instruction.

A. Assess the client’s strength in moving and turning in the bed. B. Determine the frequency and consistency of bowel movements. C. Observe the skin integrity of the client’s rectal and sacral areas. D. Evaluate the client’s ability to recognize the urge to defecate.

Correct Answer is B

Explanation

Choice A reason: Assessing the client’s strength in moving and turning in bed is important for overall care, but it is not the primary assessment needed before administering a laxative. This assessment helps in understanding the client’s mobility and risk of pressure ulcers but does not directly relate to the effectiveness or necessity of a laxative.

Choice B reason: Determining the frequency and consistency of bowel movements is crucial before administering a laxative. This assessment provides information on the client’s current bowel function and helps in deciding the appropriate type and dosage of laxative. It ensures that the laxative is necessary and helps prevent complications such as diarrhea or bowel obstruction.

Choice C reason: Observing the skin integrity of the client’s rectal and sacral areas is important for preventing pressure ulcers and maintaining skin health, especially in bedfast clients. However, this assessment is not directly related to the administration of a laxative. It is more relevant to overall skin care and prevention of pressure sores.

Choice D reason: Evaluating the client’s ability to recognize the urge to defecate is important for understanding their bowel habits and potential issues with incontinence. However, it is not the primary assessment needed before administering a laxative. This assessment is more relevant to managing bowel training and incontinence.

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A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with mild depression reports to the nurse that she recently started taking St. John’s wort. Which information provided by the client requires further instruction?

Correct Answer is B

Explanation

Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?

Correct Answer is B

Explanation

A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?

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