Nokea
A nurse is reinforcing teaching with a school-age child who has mild persistent asthma and has a new prescription for therapy with montelukast. Which of the following information should the nurse include?
- A. This medication helps prevent bronchospasms.
- B. This medication is a corticosteroid.
- C. You should take this medication for an acute asthma attack.
- D. You should take this medication first thing in the morning.
Correct Answer: A
Rationale: Montelukast prevents bronchospasms by reducing airway inflammation. It is not a corticosteroid, not for acute attacks, and is typically taken in the evening.
You may also like to solve these questions
A nurse is collecting data from an 8-month-old infant. Which of the following findings indicates expected growth and development?
- A. Inability to hold a bottle
- B. Uses palmar grasp
- C. Sits unsupported
- D. Forces tongue outward when it is touched
Correct Answer: C
Rationale: Sitting unsupported by 8 months is expected. Bottle holding occurs earlier, palmar grasp fades by this age, and tongue thrust typically resolves by 6 months.
A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
- A. Allowing the toddler to button up their own shirt
- B. Asking the toddler questions that have 'yes' or 'no' answers
- C. Providing the toddler with opportunities to share toys with others
- D. Making sure the toddler has at least one nap during the day
Correct Answer: D
Rationale: Ensuring a nap supports rest and development. Buttoning shirts, yes/no questions, and sharing toys are beneficial but not the priority over rest for a toddler's well-being.
A nurse is reinforcing teaching with an adolescent client who has a prescription for lisinopril. Which of the following foods should the nurse instruct the client to avoid?
- A. Foods high in fiber
- B. High-potassium foods
- C. Foods high in vitamin K
- D. Dairy products
Correct Answer: B
Rationale: Lisinopril can raise potassium levels, so avoiding high-potassium foods prevents hyperkalemia. Fiber, vitamin K, and dairy are not contraindicated.
A nurse is preparing to obtain a blood pressure reading from a school-age child. Which of the following actions should the nurse take?
- A. Record the diastolic value as the first Korotkoff sound (K1).
- B. Release the cuff pressure at a rate of about 5 mm Hg/second.
- C. Position the child's arm at the level of the heart.
- D. Select a cuff with a bladder size that is approximately 20% of the child's upper arm circumference.
Correct Answer: C
Rationale: Positioning the arm at heart level ensures accuracy. Diastolic is K5, cuff release should be 2-3 mm Hg/second, and cuff size is ~40% of arm circumference.
A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay?
- A. Unable to verbalize the date
- B. Unable to count backwards from 20 to 1
- C. Unable to make change out of a quarter
- D. Unable to tell the difference between right and left
Correct Answer: D
Rationale: Difficulty distinguishing right from left by age 7 suggests a developmental delay, as this milestone is typically achieved earlier. Other options reflect advanced skills not expected at this age.