A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?

'Expect to develop diarrhea initially,"

"Do not take antihistamines with this medication."

"Stop taking the medication immediately for a headache."

"Take the medication on an empty stomach."

Answer and Explanation

The Correct Answer is B

Baclofen is a muscle relaxant use to manage muscle spasm in clients with neuromuscular disorders such as multiple sclerosis. Dizziness and drowsiness are among the common side effects of baclofen. Concurrent use of antihistamines can worsen the drowsiness because antihistamines also have a sedative effect

A. Baclofen commonly causes constipation

C. Baclofen can be taken even with a headache

D. Baclofen can be taken with or without food.

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Correct Answer is B

Explanation

Prolonged oral corticosteroid use reduces the body’s secretion of endogenous steroids- cortisol as the body relies on the oral steroids. If abruptly stopped the body experiences severe adrenocortical insufficiency with symptoms such as fatigue, weakness, weight loss, nausea, vomiting, and low blood pressure. Tapering the dose allows the body to readjust and produce cortisol.
A, C, D- Are not effects of abrupt discontinuation of steroids

A. Sodium 140 m Eq/L B. BUN 55 mg/dL C. Potassium 4.5 mEq/L D. Glucose 120 mg/dL

Correct Answer is B

Explanation

Amphotericin B causes renal injury and baseline renal function is an important predictor of risk of nephrotoxicity. A BUN of 55mg/mL indicates already compromised renal function and hence requires follow up due to risk of further damage.
A. Sodium level within the normal range (140 mEq/L) is a contraindication for initiating amphotericin B therapy.
C. Amphotericin B causes hypokalemia buy potassium level of 4.5 is within the normal range.
D. Glucose level within the normal range (120 mg/dL) is not a contraindication for initiating amphotericin B therapy.

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A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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