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
Bethanechol is a cholinergic agonist used to stimulate contraction of the bladder to help in the expulsion of urine. It is used in the management of urinary retention by promoting bladder emptying. Therefore, it should be administered when the client reports an inability to void, as this indicates urinary retention
A. Bladder spasms are treated with Oxybutynin
B. Frequent painful urination is a feature of UTI requiring antibiotics
C. Bethanechol has no analgesic property
Correct Answer is B
Explanation
hydrochlorothiazide is a thiazide diuretic which lowers blood pressure through inhibition of water reabsorption in the renal tubules. Like all diuretics, it should be taken early in the morning to avoid sleep interruption due to frequent urination.
A. muscle pain is an adverse effect of hydrochlorothiazide that should be reported.
C. therapeutic effect is monitored using blood pressure measurements
D. hydrochlorothiazide can be taken with or without food
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