A client is prescribed montelukast (Singulair), a leukotriene modifier. Which best describes why this medication was added to the treatment of the client's asthma?
1. The medication is used for the prophylaxis of asthma.
2. The medication is important for an acute bronchospasm.
3. The medication has serious adverse effects including immunosuppression.
4. The medication should not have been added to the treatment.
1
Rationale 1: Leukotriene modifiers are added to reduce inflammation and ease bronchoconstriction by modifying the action of the leukotrienes, which are mediators of the inflammatory response.
Rationale 2: Leukotriene modifiers are not used in an acute bronchospasm.
Rationale 3: Leukotriene modifiers have adverse effects of headache, cough, nasal congestion, GI upset, and psychiatric effects such as depression and suicidal thinking.
Rationale 4: Leukotriene modifiers are added for the treatment of asthma that cannot be controlled by bronchodilators and corticosteroids.
Global Rationale: Leukotriene modifiers are added to the treatment of asthma when bronchodilators and corticosteroids are unable to. Leukotriene modifiers are added to reduce inflammation and ease bronchoconstriction by modifying the action of the leukotrienes, which are mediators of the inflammatory response. Leukotriene modifiers have adverse effects of headache, cough, nasal congestion, GI upset, and psychiatric effects such as depression and suicidal thinking.
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A hospital is providing a babysitters' education class for teens. The nurse who is preparing the information should include which of the following in her presentation?
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A nurse is preparing to palpate a female client's neck. Which action by the nurse is most appropriate?
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