Order: Hydroxyzine 25 mg PO STAT

Available: Refer to the med label below

How many milliliters will you administer? (Insert the numerical value only)

A. The client takes a quick inhalation while releasing the medication from the inhaler: Inhalation should be slow and deep to ensure the medication reaches the lower airways. A quick breath may cause the medication to deposit in the mouth or throat, reducing its effectiveness.
B. The client waits 10 min between inhalations: When two puffs are prescribed, the recommended wait time between puffs is typically 1 minute, not 10. A long delay does not improve efficacy and may reduce patient adherence due to confusion or inconvenience.
C. The client exhales as the medication is released from the inhaler: Exhaling during actuation causes the medication to be blown out of the airway, drastically reducing its therapeutic effect. Patients should exhale before actuation and then inhale the medication deeply.
D. The client holds his breath for 10 seconds after inhaling the medication: Holding the breath after inhalation allows the medication to settle into the lungs and enhances its absorption and efficacy. This is a key step in effective inhaler use and indicates proper technique.

A. "I'll use a spacer device when I inhale this medication.": Montelukast is not an inhaled medication; it is taken orally in tablet or chewable form. Spacer devices are used with inhalers to improve drug delivery to the lungs, which is not applicable to Montelukast.
B. "I'll rinse my mouth after taking this medication.": Rinsing the mouth is advised after using inhaled corticosteroids to reduce the risk of oral candidiasis. Since Montelukast is taken by mouth and is not associated with this risk, rinsing is unnecessary.
C. "I'll take this medication when I get an asthma attack.": Montelukast is not a rescue medication. It is a leukotriene receptor antagonist used for long-term control and prevention of asthma symptoms. It has no role in managing acute bronchospasm.
D. "I'll take this medication once a day in the evening.": Montelukast is typically taken once daily in the evening, especially in patients with nocturnal asthma or exercise-induced symptoms. Evening dosing enhances its effectiveness in controlling nighttime symptoms and reducing airway inflammation.