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The nurse is caring for a client who is receiving prescribed montelukast. Which of the following findings would indicate the client is having an adverse effect?A. hypertensionB. hallucinationsC. constipationD. urinary retention

Question

The nurse is caring for a client who is receiving prescribed montelukast. Which of the following findings would indicate the client is having an adverse effect?A. hypertensionB. hallucinationsC. constipationD. urinary retention

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Solution

Montelukast is a medication often used to manage symptoms of asthma or allergies. It works by blocking substances in the body called leukotrienes.

Adverse effects of montelukast can vary, but common ones include:

  • Headache
  • Stomach pain
  • Heartburn
  • Upset stomach
  • Nausea
  • Diarrhea
  • Tiredness
  • Stuffy nose
  • Sore throat
  • Cough
  • Flu-like symptoms

More serious side effects can include:

  • Feeling restless, anxious, depressed, or having thoughts about suicide
  • Symptoms of a severe allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat

Looking at the options provided:

A. Hypertension - This is not a commonly reported side effect of montelukast. B. Hallucinations - This could potentially be a serious side effect, as montelukast can cause psychological reactions. C. Constipation - This is not a commonly reported side effect of montelukast. D. Urinary retention - This is not a commonly reported side effect of montelukast.

So, based on the options provided, the most likely adverse effect that could indicate a problem with montelukast use would be hallucinations (Option B). However, it's important to note that any new or worsening symptoms should be reported to a healthcare provider.

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