A nurse is teaching a patient about montelukast [Singulair]. Which statement by the patient would indicate that the nurse's teaching was effective?
A. "I'll take a dose as soon as I feel short of breath and start to cough."
B. "While taking this medicine, I may be able to reduce my steroid medication."
C. "This is the priority medication for preventing exercise-induced asthma symptoms."
D "If I have nosebleeds or excessive bruising, I'll stop the medication immediately."
Answer: B. "While taking this medicine, I may be able to reduce my steroid medication."
Explanation: Montelukast is an antileukotriene agent. Combining montelukast with an inhaled glucocorticoid medication can improve asthma symptoms and thus may allow a reduction in the glucocorticoid dosage. The effects of montelukast develop slowly, so it cannot be used as a quick-relief agent. Short-acting beta2 agonists are preferred for exercise-induced asthma. Montelukast does not affect coagulation, so bleeding and bruising do not occur.
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