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ATI NUR 229 Pharmacology Test 1 OEK Questions

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Question 1 of 5

A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication?

Correct Answer: B

Rationale: Montelukast can be taken 2 hours before exercise to prevent exercise-induced bronchospasm. It's a daily maintenance medication, not for acute wheezing, and should not be mixed with large volumes of water.

Question 2 of 5

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

Correct Answer: D

Rationale: Albuterol, a short-acting beta-2 agonist, rapidly relieves bronchospasm, making it the go-to medication for acute asthma attacks. Others are for long-term control.

Question 3 of 5

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication?

Correct Answer: C

Rationale: Montelukast, a leukotriene receptor antagonist, reduces airway inflammation in asthma and allergic rhinitis, leading to easier breathing. It does not affect seizure threshold, muscle pain, or platelet count.

Question 4 of 5

A nurse is giving discharge instructions to a patient who has been ordered Guaifenesin (Mucinex) to take BID for 3 days after discharge. What response by the patient lets her know that he understands how to take his medication?

Correct Answer: C

Rationale: Guaifenesin is prescribed BID, meaning twice daily. Taking it with a full glass of water aids in thinning mucus.
Choice C correctly reflects the dosing frequency and administration method, indicating understanding.
Choice A is incorrect as guaifenesin promotes a productive cough.
Choice B misstates the frequency, and
Choice D incorrectly suggests reliance on a nurse for administration.

Question 5 of 5

Client teaching regarding the use of leukotriene receptor antagonist (LTRAS) drug such as Montelukast (Singulair) would include which statement by the nurse?

Correct Answer: D

Rationale: Montelukast blocks leukotrienes, preventing airway inflammation and asthma attacks. It's for maintenance, not acute symptoms, and doesn't typically cause constipation or take weeks for effect.

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