A nurse is educating a patient with multiple sclerosis who has been prescribed baclofen. What guidance should the nurse include in the education?

Consume the medication on an empty stomach.

Anticipate initial development of diarrhea.

Discontinue the medication immediately if a headache occurs.

Avoid taking antihistamines with this medication.

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

Choice A rationale

Cleaning the catheter after each use with soap and water is a crucial step in preventing infection during self-catheterization.

Choice B rationale

The angle at which the penis should be held during catheter insertion can vary, but a 30 to 45- degree angle is not typically recommended.

Choice C rationale

Performing catheterization when feeling the urge to void is not typically part of the instructions for clean intermittent self-catheterization.

Choice D rationale

Inflating the balloon when the urine flow stops is not a step in clean intermittent self- catheterization. This step is associated with indwelling catheters, not intermittent catheters.

A. I will stop taking orlistat and call my doctor if my urine gets darker in color. B. I will take my dose of orlistat every morning an hour before breakfast. C. I will feel less hungry during meals while I am taking orlistat. D. I will eat a no-fat diet to prevent side effects from the medication.

Correct Answer is A

Explanation

Choice A rationale

Orlistat works by inhibiting the absorption of dietary fats in the body, which are then excreted in the stool. One of the side effects of this process can be changes in bowel habits, including an increase in the frequency of bowel movements and an oily discharge. Dark urine can be a sign of liver damage, which is a rare but serious side effect of orlistat. Therefore, if a patient notices their urine getting darker in color while taking orlistat, they should stop taking the medication and call their doctor immediately.

Choice B rationale

Orlistat should be taken with a meal that contains fat, not necessarily before breakfast. If a meal is missed or contains no fat, the dose of orlistat should be skipped.

Choice C rationale

Orlistat does not directly affect hunger signals or the feeling of fullness. It works in the digestive system to block about one-third of the fat in the food you eat from being digested.

Choice D rationale

While it’s important to maintain a balanced, reduced-calorie diet while taking orlistat, a no-fat diet is not recommended. Orlistat works by blocking the absorption of some of the fat from meals. If a meal contains no fat, there is no fat for orlistat to block.

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A nurse is educating a patient with multiple sclerosis who has been prescribed baclofen. What guidance should the nurse include in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?

Correct Answer is A

Explanation

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