A nurse is providing discharge education to a patient with a new prescription for Baclofen. Which of the following instructions should the nurse include?
"Avoid alcohol while taking this medication as it may increase drowsiness."
"You can abruptly stop taking this medication if you don't notice improvement."
"Baclofen doesn't cause drowsiness, so you can continue your normal activities without any restrictions."
"Take this medication only when you experience muscle spasms:"
The Correct Answer is A
A. "Avoid alcohol while taking this medication as it may increase drowsiness.": Baclofen is a central nervous system depressant and can cause sedation. Alcohol can intensify this effect, increasing the risk of severe drowsiness, dizziness, or respiratory depression.
B. "You can abruptly stop taking this medication if you don't notice improvement.": Abrupt discontinuation of Baclofen can lead to withdrawal symptoms such as hallucinations, seizures, and rebound spasticity. The medication should be tapered under medical supervision.
C. "Baclofen doesn't cause drowsiness, so you can continue your normal activities without any restrictions.": Baclofen often causes drowsiness and dizziness, especially when therapy is initiated. Patients should be cautious with activities requiring alertness, such as driving.
D. "Take this medication only when you experience muscle spasms:": Baclofen is typically taken on a regular schedule to maintain therapeutic levels and control muscle spasms continuously. It is not used on an as-needed basis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Desired dose = 160 mg
The medication label for Bevyxxa (betrixaban) Capsules states: 80 mg per capsule.
- Determine the number of capsules needed:
Number of capsules = Desired dose / Dose per capsule
= 160 mg / 80 mg/capsule
= 2 capsules
Correct Answer is A
Explanation
A. "I should report a persistent cough to my provider.": A dry, persistent cough is a common side effect of ACE inhibitors like Lisinopril. Reporting this symptom is important, as the provider may consider switching to another class of antihypertensives if it becomes bothersome.
B. "I should take this medication as needed.": Lisinopril must be taken consistently every day to manage blood pressure effectively. Taking it only when symptoms are present is inappropriate and can lead to poor control and serious complications.
C. "I should expect to have facial swelling when taking this medication.": Facial swelling (angioedema) is a serious and potentially life-threatening adverse effect, not something to expect or tolerate. If it occurs, the medication should be stopped and medical help sought immediately.
D. "I should increase my intake of potassium-rich foods.": Lisinopril can increase serum potassium levels, leading to hyperkalemia. Clients should be advised to avoid excessive potassium intake and may need periodic lab monitoring.
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