A nurse is teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

"Once I take this for a while, I won't need my inhaler anymore."

"I'll take this medication every day, even when I don't have symptoms."

"I'll take this medication to stop wheezing when I have an attack."

"I'll make sure I take these tablets on an empty stomach."

Answer and Explanation

The Correct Answer is B

Rationale:

A. "Once I take this for a while, I won't need my inhaler anymore." Montelukast is a maintenance medication not a rescue medication. Clients will still need their inhalers for acute asthma attacks, as montelukast is used to prevent symptoms, not provide immediate relief.

B. "I'll take this medication every day, even when I don't have symptoms." Montelukast is meant to be taken daily to prevent asthma symptoms. Taking it consistently, even when symptoms aren't present, helps reduce inflammation and prevent asthma attacks.

C. "I'll take this medication to stop wheezing when I have an attack." Montelukast is not a fast-acting medication and doesn't stop acute wheezing during an asthma attack. Short-acting bronchodilators like albuterol are used for immediate relief during an asthma attack.

D. "I'll make sure I take these tablets on an empty stomach." Montelukast can be taken with or without food, and it does not require an empty stomach. There are no specific instructions regarding food intake, so it can be taken as prescribed at any time of day.

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Correct Answer is C

Explanation

Rationale:

A. Albumin level 5.3 g/dL (3.5 to 5 g/dL): An albumin level of 5.3 g/dL is within the normal range. Adequate albumin levels are necessary for wound healing, and this level suggests that the client has sufficient protein to support the healing process.

B. BMI of 23: A BMI of 23 is within the normal weight range, which typically supports adequate healing. A normal BMI indicates that the client is not at increased risk for delayed wound healing due to malnutrition or obesity.

C. HbA1c 8.4% (less than 7.9%): An HbA1c of 8.4% indicates poor blood glucose control. Elevated blood glucose levels can impair wound healing by affecting immune function and increasing the risk of infection.

D. Braden scale score of 19: A Braden scale score of 19 suggests that the client is at a low risk for developing pressure ulcers. Pressure ulcers can delay wound healing, but this score indicates that the client has a relatively low risk.

A. Dyspnea at rest B. Pursed-lip breathing C. Clubbing of the fingers D. SP02 90%

Correct Answer is A

Explanation

Rationale:

A. Dyspnea at rest: Dyspnea at rest is a sign of advanced COPD, indicating that the client is experiencing significant respiratory difficulty. Pulmonary rehabilitation can help improve exercise tolerance and breathing, making this an appropriate reason for referral.

B. Pursed-lip breathing: Pursed-lip breathing is a technique often used by clients with COPD to help manage shortness of breath. It is not an indication for pulmonary rehabilitation, but rather a self-management strategy.

C. Clubbing of the fingers: Clubbing of the fingers can be a sign of chronic hypoxia and is commonly seen in advanced COPD. However, it does not directly indicate the need for pulmonary rehabilitation, although the condition may benefit from comprehensive care.

D. SPO2 90%: A SpO2 of 90% is low but not necessarily an indication for referral to pulmonary rehabilitation. It is important to monitor oxygen levels, but this alone does not trigger the need for rehabilitation.

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A nurse is teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

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