The nurse knows that montelukast (Singulair) is given for what purpose?

A. “Do you think you and your daughter may have time to go shopping for a wig between now and the time you begin treatment?”

This option recognizes the patient's concern about hair loss and offers a practical suggestion for preparing for it. It shows empathy and support by involving a family member in the process of coping with potential hair loss.

B. “Most patients just wear a hat or turban and just let their hair grow back following treatment.”

This statement provides an alternative approach to dealing with hair loss by suggesting the use of head coverings like hats or turbans. It emphasizes the temporary nature of the hair loss during treatment.

C. “I would be less concerned about cosmetic changes that you may experience and be more concerned about treating the cancer.”

This option encourages the patient to prioritize the cancer treatment over cosmetic concerns, emphasizing the importance of addressing the underlying health issue. It offers a supportive and empathetic perspective.

D. “Just pray about it.”

This option suggests relying on prayer as a sole coping mechanism, which may not address the patient's emotional concerns effectively. While spirituality and prayer can be important for some individuals, it's essential to provide practical and emotional support as well.

E. “Keep a positive attitude. Just wait until your treatment begins to before you become concerned

about losing your hair, after all, you may not experience hair loss.”

This statement encourages a positive attitude and suggests delaying concerns about hair loss until after treatment has begun. While maintaining a positive outlook is beneficial, it's also important to acknowledge and address the patient's current concerns and provide information about potential side effects.

A. Tiotropium (Spiriva) works by relaxing and dilating the bronchioles

Tiotropium is an anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD). It works by blocking the action of acetylcholine, a neurotransmitter, leading to relaxation and dilation of the bronchioles, which helps improve airflow in the lungs.

B. If you experience dry mouth, stop taking the medication immediately

Dry mouth is a common side effect of tiotropium but is not a reason to stop taking the medication. The nurse may advise the patient to manage dry mouth with measures such as increased water intake or using sugar-free gum.

C. Use tiotropium (Spiriva) as needed for sudden breathing problems

Tiotropium is typically used as a maintenance medication for long-term control of COPD symptoms, not as a rescue medication for sudden breathing problems. Short-acting bronchodilators are often prescribed for acute symptom relief.

D. Remove the capsules from the packaging and place in your 7-day med box

Tiotropium is available in a dry powder inhalation capsule, and it should be used with the inhalation device provided. Removing the capsules from the packaging and placing them in a weekly medication box is not the correct method for administration.