A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.
Which of the following instructions should the nurse include?.

Choice A rationale:

Baclofen is a muscle relaxant and antispastic agent. It can cause drowsiness and affect the ability to drive or operate machinery. Therefore, it’s advisable to avoid driving until the medication’s effects are evident.

Choice B rationale:

Headache is not a reason to stop taking baclofen. If a headache occurs, the client should consult with their healthcare provider for appropriate management.

Choice C rationale:

Diarrhea is not a common adverse effect of baclofen. More common side effects include drowsiness, dizziness, weakness, and fatigue.

Choice D rationale:

Baclofen can be taken with or without food. Taking it on an empty stomach is not necessary and may increase the risk of stomach upset.

So, the correct answer is A.

Choice A rationale:

Keeping the television on at all times can increase confusion and agitation in clients with Alzheimer’s disease due to the constant noise and changing images.

Choice B rationale:

Abstract pictures can be confusing and disorienting for clients with Alzheimer’s disease. It’s better to use simple, familiar images.

Choice C rationale:

Keeping familiar personal items in the client’s room can help orient the client to their surroundings and decrease confusion.

Choice D rationale:

Bright lighting can help reduce confusion and agitation in clients with Alzheimer’s disease by making the environment clear and easy to navigate.

So, the correct answer is C. Keep familiar personal items in client’s room.