A 7-year-old child with asthma uses a daily inhaled ...

[809779]

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? a. I may notice mood changes in my child.
  b. I should give this medication twice dai-ly.
  c. I will give my child one 4-mg chewable tablet daily.
  d. This drug can alleviate symptoms during an acute attack.

Question 2

A nurse is caring for a patient who has myasthenia gravis. The prescriber has ordered neostigmine Prostigmin. An important initial nursing action before administration of the medication includes assessing:
 
  a. the ability to raise the eyelids.
  b. level of fatigue.
  c. skeletal muscle strength.
  d. swallowing ability.

[Zebsrer]

Answer to Question 1

A
Montelukast is given as an adjunct to inhaled glucocorticoids to help prevent inflammation. Some patients have reported mood changes when taking this drug, so parents should be warned of this effect. The medication is given once daily. The dose for a 7-year-old child is 5 mg daily. The drug does not treat symptoms of an acute attack.

Answer to Question 2

D
Many patients hospitalized for myasthenia gravis do not have the muscle strength to swallow well and need a parenteral form of the medication; therefore, assessing the patient's ability to swallow is an important initial safety measure. Evaluating the patient's ability to raise the eyelids, level of fatigue, and skeletal muscle strength are important assessments before drug administra-tion and during drug treatment, because they indicate the effectiveness of the drug and help de-termine subsequent doses.

[809779]

Excellent

[JaynaD87]

TYSM