A nurse is assisting with the development of an education program for a group of older adults.
Which of the following actions should the nurse take first?

Choice A rationale:

Informing the client that the procedure will take 60 minutes is not a critical action before an esophagogastroduodenoscopy (EGD) The duration of the procedure may vary, but this information is not as essential as other pre-procedure considerations.

Choice B rationale:

The correct action is to "Ensure that the client gave informed consent." Before any invasive procedure like an EGD, it is crucial to confirm that the client has provided informed consent. This ensures that the client understands the procedure, its risks, and benefits, and has the opportunity to ask questions and make an informed decision.

Choice C rationale:

Administering an oral contrast solution is not typically done before an EGD. An EGD involves the insertion of a flexible scope through the mouth into the esophagus, stomach, and duodenum to visualize these structures. Contrast solutions are usually used in other imaging procedures, such as barium swallow studies.

Choice D rationale:

Ensuring that the client's bladder is full is not necessary for an EGD. This requirement may be relevant for other imaging studies, but it does not apply to this procedure. The focus should be on the client's comfort, safety, and informed consent before the EGD.

The correct answer is Choice B: Administer the medication to the toddler each evening.

Choice B rationale: Montelukast is a leukotriene receptor antagonist used for the long-term management of asthma, especially in preventing nighttime symptoms. It is typically prescribed to be administered once daily in the evening to provide optimal therapeutic benefits. By instructing the parents to give the medication each evening, the nurse promotes adherence to the prescribed dosing schedule and helps maximize the medication's effectiveness in controlling the toddler's asthma symptoms.

Choice A rationale: While some medications can be mixed with juice or other liquids to make them more palatable for children, montelukast should not be dissolved in a drink. Instead, it can be mixed with a spoonful of cold, soft food, such as applesauce or ice cream, if necessary, to facilitate administration. Mixing with juice could potentially alter the medication's efficacy or create an unpleasant taste.

Choice C rationale: Montelukast is not indicated for use as a quick-relief medication prior to physical activity. It is a maintenance medication intended for long-term asthma control rather than immediate relief of acute symptoms. Providing an additional dose of montelukast before physical activity would not serve the intended purpose and could increase the risk of side effects.

Choice D rationale: Montelukast is not meant to be used as a rescue medication for acute asthma attacks. It is a long-term control medication that helps prevent asthma attacks and improve overall symptom management. For acute asthma attacks, the toddler would require a fast-acting beta-agonist or other appropriate rescue medication prescribed by their healthcare provider. Administering montelukast during an acute asthma attack would not provide the rapid relief needed to alleviate symptoms and could potentially delay appropriate treatment.