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    RN Adult Medical Surgical 2023 Proctored Exam

    A nurse is teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

    Explanation & Rationale

    A. "I'll make sure I take these tablets on an empty stomach.": Montelukast can be taken with or without food, so timing with meals is not required for effectiveness. Teaching about administration should focus on consistency and daily dosing rather than fasting requirements. B. "I'll take this medication every day, even when I don't have symptoms.": Montelukast is a maintenance medication for asthma and should be taken daily to prevent inflammation and bronchoconstriction, even when symptoms are not present. C. "Once I take this for a while, I won't need my inhaler anymore.": Montelukast does not replace rescue inhalers, which are used for acute asthma attacks. Clients must continue using short-acting bronchodilators as needed. D. "I'll take this medication to stop wheezing when I have an attack.": Montelukast is not effective for immediate relief of acute asthma symptoms. Using it as a rescue medication is inappropriate and could delay effective treatment.

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