The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair). Which statement by the patient indicates a need for further teaching?

A. glucagon: In an unconscious patient with type 1 diabetes, hypoglycemia is a likely cause of altered consciousness. Glucagon raises blood glucose by stimulating glycogen breakdown in the liver, providing rapid correction when the patient cannot safely swallow oral carbohydrates. Prompt administration prevents further neurologic compromise.

B. orange juice: Oral glucose sources like juice are ineffective and unsafe in an unconscious patient because they cannot swallow, increasing the risk of aspiration. Administration requires the patient to be alert and able to safely ingest liquids.

C. insulin: Insulin lowers blood glucose and would worsen hypoglycemia in an unconscious diabetic patient. Administering insulin in this scenario could lead to severe neurologic injury or death.

D. cardiopulmonary resuscitation (CPR): CPR is indicated only if the patient is pulseless or not breathing adequately. Since this patient has a pulse and the immediate concern is hypoglycemia, CPR is not the appropriate intervention at this time.

A. a diuretic: Diuretics are typically considered when lifestyle modifications are insufficient or for higher blood pressure readings. At 135/85 mm Hg, the patient is in the elevated or stage 1 hypertension range, so medication is not the first-line treatment.

B. ACE inhibitor: ACE inhibitors are prescribed for patients with hypertension requiring pharmacologic intervention, particularly with comorbidities like diabetes or heart failure. For borderline or mildly elevated BP, lifestyle changes are preferred initially.

C. a beta blocker: Beta blockers are used in patients with specific cardiovascular indications or higher blood pressure levels. Initiating a beta blocker at 135/85 mm Hg without other risk factors is not standard first-line therapy.

D. lifestyle changes: Nonpharmacologic interventions—such as reducing sodium intake, exercising regularly, limiting alcohol, and maintaining a healthy weight—are first-line treatments for patients with mildly elevated BP. These changes can help prevent progression to stage 2 hypertension and reduce cardiovascular risk.