A nurse is providing discharge instructions to a client who has been prescribed Lithium for bipolar disorder. Which of the following statements by the client indicates a need for further teaching?

A. "I should rinse my mouth with water and swallow it after using the inhaler.": Swallowing the rinse water may still allow corticosteroid particles to enter the systemic circulation through the gastrointestinal tract, increasing the risk of systemic effects and oral thrush.
B. "I will rinse my mouth only if I feel irritation after using the inhaler.": Rinsing should be done routinely after each use, regardless of the presence of irritation. Skipping this step can increase the risk of developing oral candidiasis (thrush) due to residual corticosteroid in the mouth.
C. "I will rinse my mouth with water and spit it out after using the inhaler.": Rinsing and spitting helps remove residual corticosteroid from the oropharynx, reducing the risk of local side effects like oral thrush and hoarseness.
D. "There is no need to rinse my mouth after using an inhaled corticosteroid.": This indicates a lack of understanding. Failure to rinse the mouth increases the risk of fungal infections and other local adverse effects due to prolonged exposure to the medication.

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.