(PHARM) A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen, which of the following instructions should the nurse include?
"Take the medication on an empty stomach."
"Stop taking the medication immediately for headache."
"Avoid driving until the medication's effects are evident."
"Diarrhea is an adverse effect of this medication."
The Correct Answer is C
A. Baclofen can be taken with or without food, but taking it with food may help reduce GI upset.
B. Headache is not a reason to stop baclofen abruptly; doing so may cause withdrawal symptoms including seizures or hallucinations.
C. Baclofen can cause drowsiness, dizziness, and sedation, especially when therapy is initiated. Clients should avoid driving or operating heavy machinery until they understand how the medication affects them.
D. Constipation, not diarrhea, is a more common side effect of baclofen.
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Related Questions
Correct Answer is D
Explanation
A. Alcohol should generally be avoided or limited significantly, as it can interfere with seizure control and interact with phenytoin.
B. Antacids can interfere with phenytoin absorption; patients are usually advised to space them out by at least 2 hours, not just 1 hour.
C. Phenytoin does not typically cause urine to turn orange; this is more common with medications like rifampin or phenazopyridine.
D. Phenytoin can cause gingival hyperplasia (gum overgrowth), so regular dental visits every 3 to 6 months are important to monitor and manage oral health.
Correct Answer is C
Explanation
A. Sleeping with two pillows under the head may not specifically relieve joint stiffness or discomfort.
B. Taking a warm bath the evening before may help relax muscles but does not directly address morning stiffness.
C. Applying moist heat in the morning helps relax stiff joints and muscles, reducing discomfort common with rheumatoid arthritis.
D. Wearing splints at night is more useful for preventing flexion contractures rather than relieving morning discomfort.
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