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    Ati 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 shows an understanding of the teaching?

    Explanation & Rationale

    Rationale: A. "I'll take this medication every day, even when I don't have symptoms.": Montelukast is a leukotriene receptor antagonist used as a maintenance therapy for asthma. Daily administration helps prevent inflammation, bronchoconstriction, and asthma exacerbations, even when the client is asymptomatic. Consistent use maintains control of chronic asthma and reduces reliance on rescue medications. B. "I'll make sure I take these tablets on an empty stomach.": Montelukast can be taken with or without food. Taking it on an empty stomach is not necessary and does not improve absorption or efficacy. Patient education should focus on daily adherence rather than timing with meals. C. "Once I take this for a while, I won't need my inhaler anymore.": Montelukast is not a rescue medication and does not provide immediate relief during acute asthma attacks. Clients may still require short-acting bronchodilators, such as albuterol inhalers, for sudden symptoms. D. "I'll take this medication to stop wheezing when I have an attack.": Montelukast does not act quickly enough to relieve acute bronchospasm. Using it as a rescue therapy is ineffective and potentially dangerous if it delays appropriate treatment with a rapid-acting bronchodilator.

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