A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene.
Which of the following client statements indicates an understanding of the teaching?.

"I should take this medication when my spasms are bad.”.

"I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”.

"I am glad this medication is safe to take if I get pregnant.”.

"I should return to the clinic to have my calcium level checked every 6 weeks.”.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is B

Explanation

Choice A rationale:

Pseudoparkinsonism mimics the symptoms of Parkinson’s disease but is not typically characterized by choreiform movements, lip smacking, and spastic facial distortions.

Choice B rationale:

Tardive dyskinesia, a potential side effect of long-term use of chlorpromazine, is characterized by involuntary movements such as lip smacking and facial distortions.

Choice C rationale:

Akathisia is characterized by a sense of restlessness and a compulsion to move, not typically by the symptoms described.

Choice D rationale:

Dystonia involves involuntary muscle contractions and distortions but not typically the specific symptoms described.

So, the correct answer is B.

A. "Why don't you want to take the medication?". B. "I always do what the doctor tells me to do.”. C. "Tell me more about this decision.”. D. "You won't get better unless you take the medication.”.

Correct Answer is C

Explanation

Choice A rationale:

Asking “Why don’t you want to take the medication?” can help the nurse understand the client’s concerns or fears about the medication. However, it may come across as confrontational.

Choice B rationale:

Saying “I always do what the doctor tells me to do” does not address the client’s concerns and imposes the nurse’s personal beliefs on the client.

Choice C rationale:

Asking “Tell me more about this decision” is an open-ended question that encourages the client to express their feelings and concerns, allowing the nurse to provide appropriate education and support.

Choice D rationale:

Telling the client “You won’t get better unless you take the medication” is a threatening statement that does not respect the client’s autonomy or feelings.

So, the correct answer is C, “Tell me more about this decision.”.

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A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene.Which of the following client statements indicates an understanding of the teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has schizophrenia and recently stopped taking chlorpromazine after 8 years.The nurse notes choreiform movements, lip smacking, and spastic facial distortions.The nurse should document these findings as indicating which of the following conditions?.

Correct Answer is B

Explanation

A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

Correct Answer is C

Explanation

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A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene.
Which of the following client statements indicates an understanding of the teaching?.