A nurse caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide to the client's parents on administering the medication?

Give the medication in the morning daily.

Administer the medication 2 hours before exercise

Administer the granules mixed with 20 ounces of water

Give the medication at the onset of wheezing

Answer and Explanation

The Correct Answer is A

A. Give the medication in the morning daily. Montelukast (a leukotriene receptor antagonist) is given once daily in the evening for long-term asthma control. If prescribed for allergic rhinitis, it can be given in the morning.

B. Administer the medication 2 hours before exercise. Montelukast is not a rescue medication but a maintenance drug. However, it can be prescribed for exercise-induced bronchospasm and is taken at least 2 hours before exercise when used for that purpose.

C. Administer the granules mixed with 20 ounces of water. Montelukast granules should be mixed with a small amount of soft food (e.g., applesauce, mashed carrots) or breast milk/formula but not a large volume of liquid.

D. Give the medication at the onset of wheezing. Montelukast is not a quick-relief medication and does not work immediately. Short-acting bronchodilators (e.g., albuterol) should be used for acute wheezing.

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Correct Answer is C

Explanation

A. Stage I Pressure Ulcer: A Stage III pressure ulcer does not regress to a Stage I as it heals. It retains its original staging classification.

B. Stage III Pressure Ulcer: While the ulcer was originally Stage III, documenting it this way without specifying healing progress does not accurately reflect its current condition.

C. Healing Stage III Pressure Ulcer: Pressure ulcers are documented at their worst stage, even as they heal. The correct terminology includes "healing" to show improvement.

D. Healing Stage II Pressure Ulcer: A Stage III ulcer does not become a Stage II ulcer as it heals; instead, it is called a healing Stage III pressure ulcer.

Correct Answer is ["1170"]

Explanation

Step 1: Convert cups and ounces to mL (1 cup = 240 mL, 1 oz = 30 mL):

Coffee: 1 cup = 240 mL
Orange juice: 4 oz × 30 mL = 120 mL
Water (first): 3 oz × 30 mL = 90 mL
Flavored gelatin: 1 cup = 240 mL
Tea: 1 cup = 240 mL
Broth: 5 oz × 30 mL = 150 mL
Water (second): 3 oz × 30 mL = 90 mL

Step 2: Add all the mL values together:
240 + 120 + 90 + 240 + 240 + 150 + 90 = 1,170 mL

Final Answer: 1,170 mL

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A nurse caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide to the client's parents on administering the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The wound care nurse is monitoring a patient with a stage III pressure ulcer whose wound presents with healthy tissue. How should the nurse document this in the patient's medical record?

Correct Answer is C

Explanation

Correct Answer is ["1170"]

Explanation

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