A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?

Increase intake of fluids and high protein foods.

Stop taking the medication immediately.

Obtain transportation to the emergency department.

Avoid hazardous activities until symptoms subside.

Answer and Explanation

The Correct Answer is D

Choice A reason: Increasing intake of fluids and high protein foods is not an instruction that the nurse should provide to the client who is taking baclofen, which is a medication that relaxes skeletal muscles and reduces spasticity. Fluids and high protein foods do not affect the action or side effects of baclofen.

Choice B reason: Stopping taking the medication immediately is not an instruction that the nurse should provide to the client who is taking baclofen, which is a medication that should be tapered off gradually under medical supervision. Abrupt withdrawal of baclofen can cause serious complications, such as seizures, hallucinations, and increased spasticity.

Choice C reason: Obtaining transportation to the emergency department is not an instruction that the nurse should provide to the client who is taking baclofen, which is a medication that can cause mild and transient side effects, such as fatigue and dizziness. These side effects are not life-threatening and usually subside as the body adjusts to the medication.

Choice D reason: Avoiding hazardous activities until symptoms subside is an instruction that the nurse should provide to the client who is taking baclofen, which is a medication that can impair the ability to drive, operate machinery, or perform other tasks that require alertness and coordination. The client should be advised to exercise caution and avoid activities that could result in injury until they are no longer experiencing fatigue and dizziness.

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Correct Answer is ["167"]

Explanation

To find the answer, we can use the following formula:

(mL of fluid / hours of infusion) = mL/hr

Substituting the values from the question, we get:

(500 mL / 3 hours) = 166.67 mL/hr

Rounding to the nearest whole number, we get 167 mL/hr.

Therefore, the nurse should program the infusion pump to deliver 167 mL/hr of dextrose in 5% water IV.

A. Expectorating bronchial secretions. B. Reports reduced nasal discharge. C. Able to sleep through the night. D. Denies having coughing spells.

Correct Answer is D

Explanation

Choice A reason: Expectorating bronchial secretions is not an assessment information that indicates that the antitussive medication benzonatate is effective. Benzonatate is a medication that suppresses the cough reflex by numbing the throat and lungs. It does not loosen or thin the mucus in the airways, which would facilitate expectoration.

Choice B reason: Reports reduced nasal discharge is not an assessment information that indicates that the antitussive medication benzonatate is effective. Benzonatate is a medication that suppresses the cough reflex by numbing the throat and lungs. It does not affect the production or drainage of nasal secretions, which are caused by inflammation and infection in the upper respiratory tract.

Choice C reason: Able to sleep through the night is not an assessment information that indicates that the antitussive medication benzonatate is effective. Benzonatate is a medication that suppresses the cough reflex by numbing the throat and lungs. It does not have any sedative or hypnotic effects, which would promote sleep. However, by reducing coughing, benzonatate may indirectly improve the quality of sleep for the client.

Choice D reason: Denies having coughing spells is an assessment information that indicates that the antitussive medication benzonatate is effective. Benzonatate is a medication that suppresses the cough reflex by numbing the throat and lungs. It reduces the frequency and intensity of coughing, which can relieve discomfort and irritation for the client.

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A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for 500 mL of dextrose in 5% water intravenously (IV) to be infused over 3 hours. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Correct Answer is ["167"]

Explanation

A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?

Correct Answer is D

Explanation

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