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 A

Explanation

A. Report by patient that something has given way: A patient reporting a "giving way" sensation is a classic early sign of dehiscence, indicating that the wound edges are separating.

B. Drainage that is odorous and purulent: Purulent (pus-like) and foul-smelling drainage suggests infection, not necessarily dehiscence. Infection can contribute to dehiscence, but it is not the defining feature.

C. Protrusion of visceral organs through a wound opening: Evisceration occurs when internal organs protrude through the incision. Dehiscence is partial or complete separation of the wound edges without organ protrusion.

D. Chronic drainage of fluid through the incision site: Persistent drainage suggests a fistula (abnormal connection between tissues), infection, or poor wound healing, rather than wound dehiscence.

A. "I will administer the medications 10 minutes apart.” B. "I will use both medications immediately after exercising.” C. "I will be sure to take the albuterol before taking the cromolyn." D. "If my breathing begins to feel tight, I will use the cromolyn immediately."

Correct Answer is C

Explanation

A. "I will administer the medications 10 minutes apart."Timing is important, but this option does not specify which medication should be taken first. The correct sequence is albuterol first, followed by cromolyn.

B. "I will use both medications immediately after exercising." Cromolyn is a mast cell stabilizer used for prevention, not acute symptoms. It should be taken 15-30 minutes before exercise to prevent exercise-induced bronchospasm, not after.

C. "I will be sure to take the albuterol before taking the cromolyn." Albuterol (a bronchodilator) should be taken first to open the airways, allowing better absorption of cromolyn (an anti-inflammatory medication).

D. "If my breathing begins to feel tight, I will use the cromolyn immediately." Cromolyn is not a rescue medication. Albuterol should be used for acute bronchospasm, while cromolyn is for long-term asthma control.

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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?

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Naxlex Comprehensive Predictor Exams

Which finding will alert the nurse to a potential wound dehiscence?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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