A nurse teaches the parent of a 12-year-old child starting m… | MyMerci
Crisis Intervention PSI
Question

A nurse teaches the parent of a 12-year-old child starting montelukast for exercise-induced asthma. Which counseling point most reflects the FDA boxed warning for this medication?

Explanation
Correct (2): Montelukast has an FDA boxed warning for serious neuropsychiatric events — agitation, depression, sleep disturbances, hallucinations, irritability, hostility, anxiety, and suicidal thoughts/behavior, especially in children/adolescents. Parents and patients must be counseled to report symptoms immediately. (1) Routine LFT not required for montelukast (different from zafirlukast). (3,4) Unrelated.

In-depth explanation

Memory Tip Montelukast = "Mont = MOOD warning" — boxed neuropsychiatric warning since 2020. Reserve for clients in whom benefits outweigh psychiatric risk.

Clinical scenario

Scenario 12-year-old child with exercise-induced asthma starting montelukast 5 mg PO HS. Parents seek pre-treatment teaching.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.