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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 A

Explanation

A. Ciprofloxacin is a fluoroquinolone antibiotic that is effective against Bacillus anthracis, the bacterium that causes anthrax. It is often used as a first-line treatment for exposure to anthrax, especially in its inhalational form.

B. While amoxicillin/clavulanate can treat certain infections, it is not the preferred treatment for anthrax. It is less effective against anthrax compared to ciprofloxacin.

C. Nystatin is an antifungal medication used to treat fungal infections and is not indicated for anthrax treatment.

D. Metronidazole is primarily used for anaerobic bacterial and protozoal infections, making it inappropriate for treating anthrax.

Correct Answer is C

Explanation

A. Morphine is a category C medication, which means it may be used if the benefits outweigh the risks; it is not contraindicated in pregnancy.

B. Famotidine (Pepcid) is also a category B medication and is generally considered safe to use during pregnancy.

C. Misoprostol (Cytotec) is classified as category X due to its association with causing uterine contractions and the potential for fetal harm; thus, it should be avoided during pregnancy.

D. Ibuprofen (Advil) is a category C medication, and while it is not typically recommended in the third trimester, it is not classified as category X.

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