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 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.
will give this medication to my child once daily in the evening "
The Correct Answer is D
Montelukast is a medication commonly used for the maintenance treatment of asthma. It is not used for immediate relief of wheezing or acute symptoms. Instead, it is taken on a scheduled basis to help control and prevent asthma symptoms over time. The recommended dosing regimen for montelukast in children is once daily in the evening.
The statement about giving the medication every 2 hours, if the child is wheezing, is incorrect, as this medication is not meant to be used for immediate relief of symptoms. It is a preventive medication.
The statement about it taking 2 months of scheduled use before the medication is effective is incorrect. While it may take some time for the medication to reach its full effect, improvement in symptoms can often be seen within a few days to weeks of starting treatment.
The statement about stopping the medication if the child is taking a steroid is incorrect. Montelukast can be used in conjunction with other asthma medications, including steroids, as prescribed by the healthcare provider. It is important to follow the prescribed treatment plan and not discontinue any medication without consulting the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct answer: D
A) Encouraging the client to discuss the decision with her family can provide emotional support and help in decision-making.
B.Given that the client has already decided to stop dialysis treatment, discussing alternative treatment methods may not align with the client's wishes. It's essential for the nurse to respect the client's decision and provide support rather than trying to persuade the client to reconsider their decision.
C) Asking the facility chaplain to visit the client can offer emotional and spiritual support, addressing the client's needs in that aspect.
D. Supporting the client's decision to stop dialysis treatment is essential for respecting the client's autonomy and dignity. The nurse should provide emotional support, educate the client about what to expect, and ensure that appropriate palliative care measures are in place to keep the client comfortable and provide symptom management.
Correct Answer is B
Explanation
Disorientation is a common side effect of ECT and is typically temporary. It may include confusion and difficulty recalling recent events or personal information. This post-treatment disorientation is often referred to as the "postictal state" and usually resolves within a short period of time.
Sleep apnea, tonic-clonic seizures, and paresthesias are not expected findings following ECT and would require immediate attention and intervention if they were to occur. It is important for the nurse to closely monitor the client's vital signs, oxygen saturation levels, and neurological status after the procedure to ensure their safety and well-being.
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