A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?
'Expect to develop diarrhea initially,"
"Do not take antihistamines with this medication."
"Stop taking the medication immediately for a headache."
"Take the medication on an empty stomach."
The Correct Answer is B
Baclofen is a muscle relaxant use to manage muscle spasm in clients with neuromuscular disorders such as multiple sclerosis. Dizziness and drowsiness are among the common side effects of baclofen. Concurrent use of antihistamines can worsen the drowsiness because antihistamines also have a sedative effect
A. Baclofen commonly causes constipation
C. Baclofen can be taken even with a headache
D. Baclofen can be taken with or without food.
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Correct Answer is D
Explanation
During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.
Correct Answer is B
Explanation
Olanzapine is used in the management of schizophrenia whose symptom include hallucinations, delusions and disorganized behavior. The expected features is a reduction or elimination of these symptoms.
A. Olanzapine may cause orthostatic hypotension, which can result in a decrease in blood pressure upon standing, but it is not typically expected to cause a decrease in resting blood pressure.
C. Olanzapine has no anticonvulsant effect.
D. Olanzapine causes fatigue and sedation as some of the side effects
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