A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as needed. The provider has added montelukast (Singulair) to the child’s regimen. Which statement by the child’s parent indicates understanding of this medication?
Explanation & Rationale
Choice A reason: Montelukast can cause mood changes or neuropsychiatric effects in children. Recognizing this side effect and notifying the pediatrician shows understanding, making this the correct statement. Choice B reason: Montelukast is a daily maintenance drug, not for acute wheezing, which requires albuterol. This misunderstanding of its use makes it incorrect for proper administration. Choice C reason: Montelukast controls asthma symptoms but does not cure asthma, a chronic condition. This incorrect belief about its purpose makes it wrong for understanding the medication. Choice D reason: Montelukast is dosed once daily, typically at bedtime, not twice daily. This dosing error indicates a lack of understanding, making it incorrect for the parent’s statement.