A patient with multiple sclerosis is prescribed baclofen. Which assessment by the nurse indicates that the medication is exerting its desired effect?

Decreased strength

Suppression of spasticity

Improved muscle tone

Increased muscle resistance

Answer and Explanation

The Correct Answer is C

Choice A rationale: Decreased strength is not the desired effect of baclofen.
Baclofen is a muscle relaxant and is expected to improve muscle tone rather than decrease strength.
Choice B rationale: Baclofen is used to suppress spasticity, which is a common symptom in patients with multiple sclerosis.
Choice C rationale: Improved muscle tone is the desired effect of baclofen, making this the correct choice.
Choice D rationale: Increased muscle resistance is not the desired effect of baclofen.

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Correct Answer is C

Explanation

Choice A rationale: "Nausea is not a common side effect of this drug." may not be accurate, and it is important to acknowledge the patient's symptoms.
Choice B rationale: "You should stop taking the medication immediately." is an extreme response and may not be necessary without further assessment.
Choice C rationale: "The nausea will most likely decrease over time." provides reassurance and acknowledges that nausea can be a common side effect that diminishes with continued use.
Choice D rationale: "Try taking the medication on an empty stomach." is a reasonable suggestion to minimize nausea if the medication can be taken without food.

A. Avoid weight-bearing exercise as it increases fracture risk B. Take calcium supplement with a whole grain cereal C. Ensure adequate dietary vitamin D and have serum levels checked D. Take the calcium supplement with other medications

Correct Answer is C

Explanation

Choice A rationale: Weight-bearing exercise is important for bone health and does not increase fracture risk. It is recommended to reduce the risk of osteoporosis.
Choice B rationale: Taking calcium supplements with a whole grain cereal is not a specific recommendation for reducing the risk of osteoporosis.
Choice C rationale: Ensuring adequate dietary vitamin D and having serum levels checked are important for calcium absorption and bone health. Vitamin D is crucial for calcium metabolism.
Choice D rationale: Taking the calcium supplement with other medications is not a specific recommendation for reducing the risk of osteoporosis.

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A patient with multiple sclerosis is prescribed baclofen. Which assessment by the nurse indicates that the medication is exerting its desired effect?

Nursing Test Bank

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