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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.
Correct Answer is C
Explanation
Choice A rationale: While a decreased frequency of migraine headaches is a positive outcome, it does not directly indicate the immediate therapeutic effect of a sumatriptan (a serotonin receptor agonist). It may suggest a preventive effect over time.
Choice B rationale: Complete absence of migraine headaches is a positive outcome, but it is not always achievable. Immediate cessation of all headaches might not be realistic with every dose.
Choice C rationale: This is correct. Sumatriptan, a serotonin receptor agonist, is designed to terminate or relieve an ongoing migraine headache when administered during an attack. The patient reporting the termination of the migraine headache after drug administration suggests the desired therapeutic effect.
Choice D rationale: Increased nausea is not a desired therapeutic effect of sumatriptan. Sumatriptan is used to relieve the symptoms of migraines, including nausea, not exacerbate them.
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