The prescriber has changed the patient's
medication regimen to include the leukotriene receptor antagonist (LTRA) montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?
a. The proper technique for inhalation must be followed.
b. The patient needs to keep it close by at all times to treat acute asthma attacks.
c. It needs to be taken every day on a continuous schedule, even if symptoms improve.
d. When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.
ANS: C
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A 30-year-old woman who is in the first trimester of pregnancy has presented to her primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent exudate
The clinician suspects a bacterial, rather than viral, etiology. How will the patient's pregnancy affect the potential use of ciprofloxacin to treat her conjunctivitis? A) Ciprofloxacin is safe to use in pregnancy and the patient may use to same dose and route as a nonpregnant patient. B) The use of ciprofloxacin is contraindicated in pregnancy. C) It is safe for the patient to use topical ciprofloxacin but the oral route is potential teratogenic. D) The patient will require a lower dose and longer course of ciprofloxacin than a nonpregnant, adult patient.
The nurse should recognize what drug is classified as an amide local anesthetic?
A) Lidocaine (Xylocaine) B) Benzocaine (Dermoplast) C) Chloroprocaine (Nesacaine) D) Tetracaine (Pontocaine)
The African American client had a myocardial infarction and is receiving atorvastatin (Lipitor). The nurse assesses the client's diet to be very high in fat. What is the best plan by the nurse to improve the client's diet and reduce the risk for additional medications?
A. Ask an African American nurse to speak to him about a low-fat diet. B. Discuss his diet with whomever prepares meals for his family. C. Give the client information specific to African Americans about low-fat diets. D. Obtain a consult for dietary services so a dietician can teach the client about low-fat diets.
A patient is receiving total parenteral nutrition (TPN). On assessment, the nurse notes the patient's pulse is 128 beats/min, blood pressure is 98/56 mm Hg, and skin turgor is dry. What action should the nurse perform next?
A patient is receiving total parenteral nutrition (TPN). On assessment, the nurse notes the patient's pulse is 128 beats/min, blood pressure is 98/56 mm Hg, and skin turgor is dry. What action should the nurse perform next?