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 C

Explanation

The correct answer is choice c. Metallic taste Choice A rationale: Metronidazole is not associated with hearing loss as a common adverse effect. Hearing loss is more commonly linked to other medications, such as aminoglycosides. Choice B rationale: Alterations in touch, or peripheral neuropathy, can occur with metronidazole but are not the typical sense alteration reported by patients. Choice C rationale: Metallic taste is a well-documented adverse effect of metronidazole. Many patients report a metallic or unpleasant taste during therapy. Choice D rationale: Olfactory changes are not a commonly reported adverse effect of metronidazole. This is more often seen with certain other medications or conditions.

A. Administer the crushed medication through the NG tube. B. Dissolve the medication in water and give it through the NG tube. C. Administer the medication under the client’s tongue. D. Request a prescription for an oral formulation of the medication.

Correct Answer is C

Explanation

The correct answer is choicec. Administer the medication under the client’s tongue.

Choice A rationale:

Administering the crushed medication through the NG tube is inappropriate because sublingual medications are designed to be absorbed through the tissues under the tongue, not the gastrointestinal tract. Crushing and administering it through the NG tube would alter its intended absorption and effectiveness.

Choice B rationale:

Dissolving the medication in water and giving it through the NG tube is also incorrect for the same reasons as Choice A. Sublingual medications are specifically formulated to be absorbed through the mucous membranes under the tongue, and changing the route of administration can affect the drug’s efficacy.

Choice C rationale:

Administering the medication under the client’s tongue is the correct action. Sublingual medications are designed to be absorbed directly into the bloodstream through the tissues under the tongue, bypassing the digestive system and providing rapid onset of action.

Choice D rationale:

While some medications can be safely switched to oral formulations for NG tube administration, such a change is only necessary when the prescribed route (in this case, sublingual) cannot be used. Without contraindications (e.g., inability to hold the medication under the tongue or mucosal issues), the original sublingual route should be followed.

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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 teaching a client who Is taking metronidazole. Which of the following sense alterations should the nurse Include as an adverse eﬀect of metronidazole?

Correct Answer is C

Explanation

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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?

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