The nurse is planning discharge education for a client with a new prescription for montelukast. Which adverse effect should the nurse instruct the client to report to the healthcare provider?
Depression
Blurred vision
Palpitations
Constipation
The Correct Answer is A
A. Depression: Montelukast has been associated with neuropsychiatric effects, including depression, anxiety, and suicidal thoughts. Clients should be instructed to report mood changes promptly to the healthcare provider to ensure early intervention and medication safety.
B. Blurred vision: Blurred vision is not a common adverse effect of montelukast. While any new visual changes should be evaluated, it is not the primary concern related to this medication.
C. Palpitations: Palpitations are not typically linked to montelukast therapy. Cardiovascular symptoms should still be monitored if present, but they are not the main adverse effect prompting urgent reporting.
D. Constipation: Constipation is generally mild and uncommon with montelukast. It does not require immediate reporting unless severe or persistent, making it a lower-priority adverse effect compared to neuropsychiatric symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client reports a recent onset of muscle pain: Muscle pain or weakness (myalgia) is a known adverse effect of atorvastatin and can indicate a serious complication such as rhabdomyolysis. This finding requires immediate assessment and possible adjustment of the medication regimen.
B. The client's high-density lipoprotein (HDL) increased: An increase in HDL is a desired effect of atorvastatin therapy. This finding is beneficial and indicates that the medication is helping improve lipid profile and cardiovascular risk.
C. The client started taking oral contraceptive pills: While statins can slightly increase the hormone levels of birth control pills, this is a known interaction but not an immediate clinical "finding" that would be as concerning as potential muscle breakdown.
D. The client's blood pressure is 116/78 while sitting: This blood pressure reading is within normal limits for an adult. It does not indicate a concerning clinical finding in the context of atorvastatin therapy.
Correct Answer is B
Explanation
. Hypertension: Methylprednisolone is a corticosteroid used primarily for its anti-inflammatory and immunosuppressive effects. While long-term use can contribute to elevated blood pressure, hypertension itself is not an indication for this medication.
B. Asthma exacerbation: Methylprednisolone is indicated for the management of acute asthma exacerbations because it reduces airway inflammation, improves airflow, and decreases the severity and duration of symptoms. It is commonly used when inhaled therapies are insufficient.
C. Bacterial pneumonia: While corticosteroids may sometimes be used as adjunct therapy in severe bacterial pneumonia, antibiotics are the primary treatment. Methylprednisolone is not indicated as first-line therapy for bacterial infections.
D. Type 1 diabetes mellitus: Type 1 diabetes is managed with insulin therapy. Methylprednisolone does not treat the underlying autoimmune destruction of pancreatic beta cells and can actually worsen glycemic control due to its hyperglycemic effects.
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