The 28-year-old female client with chronic reactive airway disease is taking montelukast sodium (Singulair). Which statement by the client indicates the client teaching is effective?
"I will not drink coffee, tea, or any type of cola."
“It is alright to take this medication if I am trying to get pregnant."
"I will take this medication at the beginning of an asthma attack."
“I should not decrease the dose or suddenly stop taking this medication."
The Correct Answer is D
A. "I will not drink coffee, tea, or any type of cola.": Caffeine restrictions are not a standard teaching point for montelukast.
B. “It is alright to take this medication if I am trying to get pregnant.": While montelukast is commonly continued if needed, pregnancy-related advice should be individualized; this statement is not the classic teaching point tested.
C. "I will take this medication at the beginning of an asthma attack.": Montelukast is a maintenance (controller) medication and is not for acute relief of asthma attacks.
D. “I should not decrease the dose or suddenly stop taking this medication.": Montelukast is a daily maintenance leukotriene modifier for chronic control; patients should take it regularly as prescribed and not stop it abruptly as it is not a rescue medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "This medication kills the bacteria which cause ulcers.": Antibiotics (with other agents) treat H. pylori; sucralfate is not an antibiotic.
B. "This medication adheres to the ulcer and protects it from gastric acid.": Sucralfate forms a viscous protective barrier over ulcer sites, shielding them from acid and pepsin while promoting healing.
C. "This medication neutralizes gastric acid after it is secreted.": Antacids neutralize acid; sucralfate acts by coating the mucosa rather than neutralizing acid.
D. "This medication prevents gastric acid secretion in the stomach.": H2 blockers and proton-pump inhibitors reduce acid secretion; sucralfate does not.
Correct Answer is C
Explanation
A. Vitamin A: Vitamin A does not enhance intestinal calcium absorption.
B. Vitamin C: Vitamin C helps iron absorption but not the primary enhancer of calcium absorption.
C. Vitamin D: Vitamin D (calciferol) increases intestinal absorption of calcium and is recommended when taking calcium supplements.
D. Vitamin E: Vitamin E does not enhance calcium GI absorption.
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