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?
"This medication has a tendency to produce anaphylaxis."
"Bloodwork is required regularly to monitor the therapeutic levels of this medication."
"This medication is for long-term treatment for asthma."
"I can repeat this medication twice prior to seeking medical attention."
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. While hormonal contraceptives can affect blood pressure, the risk of significant hypertension is less immediate than thromboembolism.
B. Dysfunctional uterine bleeding can occur but is generally not as serious as thromboembolism and may resolve with continued use.
C. Combination birth control pills increase the risk of thromboembolic events, such as deep vein thrombosis (DVT) and pulmonary embolism, making it essential to monitor for signs of these complications.
D. Osteoporosis is a long-term concern but is not an acute effect of combination birth control pills; monitoring for thromboembolism is more critical.
Correct Answer is B
Explanation
A. Daily weight monitoring is not specifically indicated for doxazosin, and significant weight loss is typically not a primary concern with this medication.
B. Doxazosin can cause first-dose hypotension, leading to dizziness; thus, the client should be advised to lie down after the initial dose to minimize this risk.
C. Increasing potassium intake is not necessary with doxazosin; there are no direct interactions that would warrant dietary changes regarding potassium.
D. Impaired taste is not a commonly reported side effect of doxazosin; this statement is misleading and not relevant to the medication's profile.