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The nurse is caring for an 18-year-old client who has recently been prescribed montelukast. Which statement made by the client indicates understanding of the newly prescribed medication?

A.

"This medication has a tendency to produce anaphylaxis."

B.

"Bloodwork is required regularly to monitor the therapeutic levels of this medication."

C.

"This medication is for long-term treatment for asthma."

D.

"I can repeat this medication twice prior to seeking medical attention."

Answer and Explanation

The Correct Answer is C

A. Anaphylaxis is not a common side effect of montelukast.  

 

B. Regular blood monitoring is not required with montelukast.  

 

C. Montelukast is a leukotriene receptor antagonist, used for long-term management of asthma and to prevent exercise-induced bronchoconstriction.  

 

D. Montelukast is not intended for immediate relief or repeated dosing in acute situations.


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Correct Answer is C

Explanation

A. Asking what the usual pill looks like may not provide clarity and does not address the client's concern directly.

B. While the statement is accurate, it does not provide the client with reassurance or address the reason for the difference in appearance.

C. This response acknowledges the client's concern, offers an explanation about variations in medication appearance due to different manufacturers, and reassures the client that it is the same medication prescribed.

D. Suggesting that the pill is from a different lot number does not address the fact that variations in appearance can occur due to different manufacturers, which is more common and relevant to the situation.

Correct Answer is B

Explanation

A. Diarrhea is not a direct risk of stopping TPN abruptly.

B. Abruptly stopping TPN can cause hypoglycemia because the high glucose content in TPN leads to increased insulin production. Without the continuous glucose infusion, blood sugar levels can drop rapidly.

C. Hypovolemia is not a common outcome from stopping TPN suddenly.

D. Erythema at the site is unrelated to the cessation of TPN and more commonly related to local site reactions or infection.

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