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

I can take an over-the-counter antihistamine for allergies when I’m taking this drug

I should take this medication when my spasms are bad.

My muscle strength should improve a lot in 2 to 3 days

I need to apply a sunscreen when I go outside

Answer and Explanation

The Correct Answer is D

The correct answer is choice d. I need to apply a sunscreen when I go outside.

Choice A rationale:

Taking over-the-counter antihistamines with dantrolene is not recommended because both can cause drowsiness and increase the risk of side effects.

Choice B rationale:

Dantrolene should be taken regularly as prescribed, not just when spasms are bad, to maintain consistent therapeutic levels and effectiveness.

Choice C rationale:

Muscle strength improvement with dantrolene may take longer than 2 to 3 days. It typically requires a few weeks to see significant benefits.

Choice D rationale:

Dantrolene can cause photosensitivity, making the skin more sensitive to sunlight. Therefore, applying sunscreen when going outside is important to prevent sunburn.

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Correct Answer is D

Explanation

Mydriatic eye drops can cause systemic anticholinergic eﬀects 1. Anticholinergic drugs block the action of acetylcholine, a neurotransmitter that transfers signals between cells to aﬀect how your body functions 2. This can lead to side eﬀects such as decreased digestion 2, which can result in constipation.

A. A recent history of diarrhea for 3 days. B. Serum creatinine 0.8 mg/dL. C. Severe allergy to amoxicillin. D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.

Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic eﬀect?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

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