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When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed as follows:Student Answer:Montelukast twice a day is started when there is an asthma exacerbation.Patients may experience weight gain on montelukast.CORRECTAggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.Lethargy and hypersomnia may occur when taking montelukast.Points Received:2.5 of 2.5Comments:Question 18.Question :Education of patients with COPD who use inhaled corticosteroids includes the following:Student Answer:They should double the dose at the first sign of a upper respiratory infection.
They should use the inhaled corticosteroid first and then the bronchodilator.CORRECTThey should rinse their mouths after use.They should not smoke for at least thirty minutes after use.Points Received:2.5 of 2.5Comments:Question 19.Question :Monitoring a patient with persistent asthma includes:Student Answer:Monitoring how frequently the patient has a upper respiratory infection during treatmentMonthly in-office spirometry testingDetermining whether the patient has increased use of his or her long-acting beta 2 agonists due to exacerbationsCORRECTEvaluating the patient every one to six months to determine whether the patient needs to step up or down in his or her therapyPoints Received:2.5 of 2.5Comments:
Question 20.Question :Medications used in the management of patients with COPD include:Student Answer:Inhaled beta 2 agonistsInhaled anticholinergics (ipratropium)Inhaled corticosteroidsCORRECTAll of the above