A patient with multiple sclerosis is prescribed baclofen. Which assessment by the nurse indicates that the medication is exerting its desired effect?

Decreased strength

Suppression of spasticity

Improved muscle tone

Increased muscle resistance

Answer and Explanation

The Correct Answer is C

Choice A rationale: Decreased strength is not the desired effect of baclofen.
Baclofen is a muscle relaxant and is expected to improve muscle tone rather than decrease strength.
Choice B rationale: Baclofen is used to suppress spasticity, which is a common symptom in patients with multiple sclerosis.
Choice C rationale: Improved muscle tone is the desired effect of baclofen, making this the correct choice.
Choice D rationale: Increased muscle resistance is not the desired effect of baclofen.

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Correct Answer is C

Explanation

Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.

A. Call your provider if it happens again. B. Stop the medication. C. Take the next dose with food. D. Move slowly when changing positions.

Correct Answer is A

Explanation

Choice A rationale: Loss of consciousness is a serious adverse reaction that should be reported to the healthcare provider. Instructing the wife to call the provider if it happens again is an appropriate response.
Choice B rationale: Stopping the medication without consulting the provider may not be advisable, as sudden discontinuation of some medications can have adverse effects.
Choice C rationale: Taking the next dose with food may be a general recommendation for some medications, but it does not directly address the issue of loss of consciousness.
Choice D rationale: While moving slowly when changing positions is a general recommendation for some medications, the immediate concern is the loss of consciousness, and contacting the provider is more appropriate.

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A patient with multiple sclerosis is prescribed baclofen. Which assessment by the nurse indicates that the medication is exerting its desired effect?

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