A nurse is preparing to administer citalopram 30 mg PO to a client who has major depression.

Available in citalopram 20 mg tablets.

How many tablets should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies.)

Choice A rationale:

Dantrolene is a muscle relaxant used for relief of cramping, spasms, and tightness of muscles caused by multiple sclerosis. So, it should be taken regularly, not just when spasms are bad.

Choice B rationale:

While it’s important to communicate with the healthcare provider about the effectiveness of the medication, three months is a long time to wait without relief. The timeline should be discussed with the healthcare provider.

Choice C rationale:

The safety of dantrolene during pregnancy is not explicitly stated in the sources. It’s crucial to consult with a healthcare provider about this.

Choice D rationale:

There’s no specific mention of needing to check calcium levels while on dantrolene. Regular follow-ups for overall health monitoring are necessary, but this statement is not directly related to dantrolene use.

So, the correct answer is A.

Choice A rationale:

The client should indeed notify their provider before taking any other medications, as phenytoin can interact with many other drugs. This statement does not indicate a need for further teaching.

Choice B rationale:

Regular dental appointments are important as phenytoin can cause gum hyperplasia. This statement does not indicate a need for further teaching.

Choice C rationale:

This statement indicates a misunderstanding. Phenytoin is used to control seizures, not cure them. The client should not stop taking the medication when their seizures stop.

Choice D rationale:

Phenytoin can be taken with or without food, but it should be taken consistently in the same manner. This statement does not indicate a need for further teaching.

So, the correct answer is C, after analyzing all choices.