A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?
"I am glad this medication is safe to take if I get pregnant."
"I should take this medication when my spasms are bad."
"I should return to the clinic to have my calcium level checked every 6 weeks."
"I need to notify my provider if I don't get some relief from my muscle spasms within 3 months."
The Correct Answer is D
A. Dantrolene is not safe during pregnancy; clients should avoid use if pregnant or planning pregnancy.
B. Dantrolene is taken regularly, not just when spasms occur, to reduce muscle spasticity.
C. Calcium levels do not need monitoring; instead, liver function tests should be monitored due to the risk of hepatotoxicity.
D. The client should notify the provider if there is no improvement within 45 days to 3 months, as this may indicate the medication is ineffective.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clients with gout should increase fluid intake to at least 2–3 liters per day to help prevent uric acid crystal formation, not limit fluids.
B. Aspirin can exacerbate gout by interfering with uric acid excretion and is generally avoided for gout pain.
C. Avoiding purine-rich foods such as shellfish helps reduce uric acid levels and prevent gout attacks, making this correct.
D. Exercising a joint during an acute gout attack can worsen pain and inflammation; rest is recommended during flares.
Correct Answer is C
Explanation
A. Uneven cast drying can cause warm spots, but this is expected only in the first few hours after application; a set, dry cast should not feel warm.
B. Pressure from the cast can cause pain, skin breakdown, or impaired circulation, but it does not usually produce warmth.
C. A localized warm area on a dry cast can indicate infection underneath the cast, often accompanied by odor, drainage, or client complaints of pain.
D. Poor circulation is associated with coolness, pallor, or numbness distal to the cast, not warmth.
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