A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?
Use stool softener as needed.
Avoid ingestion of alcohol.
Discontinue when spasms cease.
Take medication with meals.
The Correct Answer is C
Baclofen is a muscle relaxant medication used to treat muscle spasticity, which is a condition that causes muscles to become stiff and rigid. It works by reducing the activity of nerves in the brain and spinal cord that cause muscle spasms.
Option a, using stool softener as needed, is appropriate because baclofen can cause constipation as a side effect.
Option b, avoiding ingestion of alcohol, is also appropriate because alcohol can increase the sedative effects of baclofen and cause drowsiness or dizziness.
Option d, taking medication with meals, is recommended because it can help reduce stomach upset and nausea that may occur as a side effect of the medication.
Option c, discontinuing the medication when spasms cease, is incorrect because muscle spasticity is a chronic condition, and baclofen is used to manage symptoms over a prolonged period. Discontinuing the medication abruptly can cause withdrawal symptoms and exacerbate the spasticity. Therefore, the nurse should educate the client to take the medication as prescribed by the healthcare provider and not discontinue it without medical advice.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Filgrastim is a medication used to increase the production of white blood cells. An increase in the client’s white blood cell count from 2,500/mm3 to 5,000/mm3 after receiving five doses of filgrastim indicates that the medication has been effective in increasing the client’s white blood cell count. The nurse should inform the client of this positive outcome.
Correct Answer is C
Explanation
Probenecid is a uricosuric drug that works by inhibiting the reabsorption of uric acid in the kidneys and promotes its excretion in the urine. This drug is used to treat gout and hyperuricemia (high levels of uric acid in the blood). Therefore, the nurse should explain to the client that the purpose of probenecid is to promote the excretion of uric acid in the urine and lower the levels of uric acid in the blood, which can help prevent gout attacks and kidney stones.
Options a, b, and d are incorrect as they do not accurately describe the mechanism of action or purpose of probenecid.
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