A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

" I will give this medication to my child once daily in the evening."

"I will give this medication to my child every 2 hours if he is wheezing

"It takes 2 months of scheduled use before this medication is effective."

"I can stop giving my child this medication if he is taking a steroid,"

Answer and Explanation

The Correct Answer is A

A. "I will give this medication to my child once daily in the evening.": Montelukast is a leukotriene receptor antagonist taken once daily, usually in the evening, to prevent asthma symptoms. Administering it at the correct time supports consistent therapeutic levels and effective long-term asthma control.

B. "I will give this medication to my child every 2 hours if he is wheezing": Montelukast is not a rescue medication and should not be administered for acute asthma attacks. Using it every 2 hours for wheezing is inappropriate and could delay effective emergency treatment.

C. "It takes 2 months of scheduled use before this medication is effective.": Montelukast generally begins working within a few days to weeks, not two months. Delaying assessment of effectiveness for two months could lead to uncontrolled asthma symptoms.

D. "I can stop giving my child this medication if he is taking a steroid.": Montelukast can be used alongside inhaled or oral steroids to manage asthma and should not be discontinued without consulting the healthcare provider. Stopping it abruptly may reduce asthma control.

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Correct Answer is A

Explanation

A. “Are you thinking of hurting yourself?”: This response directly and calmly assesses for suicidal ideation, which is essential when a client expresses feelings of worthlessness or passive death wishes. Asking clearly about self-harm allows the nurse to determine risk and initiate appropriate safety interventions.

B. “What would your family do without you?”: This response may increase guilt or emotional distress rather than encouraging open communication. It does not assess the client’s immediate safety or suicidal thoughts.

C. “When you get better you will not feel this way.”: This response minimizes the client’s current feelings and may make the client feel unheard or dismissed. It does not address potential suicidal risk or provide emotional support.

D. “Why would you think a thing like that?”: Asking “why” can sound judgmental and may discourage the client from sharing further. It does not assess for suicidal intent and may increase defensiveness or withdrawal.

A. The weights apply a pulling force continuously. B. The boot allows active leg movement. C. The weights are just touching the floor D. The footplate rests against the foot of the bed.

Correct Answer is A

Explanation

A. The weights apply a pulling force continuously: Proper functioning of Buck’s traction requires that the weights hang freely and apply a constant, uninterrupted pulling force. Continuous traction maintains alignment, reduces muscle spasm, and prevents further injury.

B. The boot allows active leg movement: Active movement of the affected leg is restricted in Buck’s traction to maintain proper alignment and traction. Excessive movement can interfere with the traction force and compromise treatment effectiveness.

C. The weights are just touching the floor: Weights should hang freely without touching the floor. Contact with the floor reduces the effective traction force and prevents the system from functioning as intended.

D. The footplate rests against the foot of the bed: The footplate should not rest against the bed, as this can alter alignment and reduce traction effectiveness. Proper positioning requires clear space to allow the traction system to work correctly.

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A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

Nursing Test Bank

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Correct Answer is A

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