An adult client is prescribed dantrolene sodium ((Dantrium) for spasms related to progression of multiple sclerosis. Which intervention is most important for the nurse to include in this client's care plan?
1. Teach the client the importance of using sunscreen when taking this medication.
2. Assess the client for pain using the pain scale and range of motion.
3. Monitor the client for sedation.
4. Monitor liver function tests.
Correct Answer: 4
Rationale 1: Sunscreen should be worn by the client whenever exposure to sun is expected, but this is not the most important intervention.
Rationale 2: Assessing for pain is important, but it is not the most important issue.
Rationale 3: Some sedation is expected with skeletal muscle relaxants.
Rationale 4: The risk of dantrolene-induced hepatotoxicity is greatest in women over the age of 35, so it should be administered cautiously in these clients.
Global Rationale: The risk of dantrolene-induced hepatotoxicity is greatest in women over the age of 35, so it should be administered cautiously in these clients. Sunscreen should be worn by the client whenever exposure to sun is expected, but this is not the most important intervention. Assessing for pain is important, but it is not the most important issue. Some sedation is expected with skeletal muscle relaxants.
You might also like to view...
The nurse is planning instructions for a patient diagnosed with prostatitis. What should be included in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Increase fluid intake up to 3 liters per day.". 2. "Avoid alcohol and caffeine.". 3. "Keep in mind that prostatitis does not cause cancer.". 4. "Take antibiotics only when symptoms are present.". 5. "Withhold voiding for as long as possible.".
Which nursing intervention would you use to prevent tracheal stenosis in a client after tracheostomy?
A. Securing the tube in a midline position B. Assessing bilateral breath sounds every 2 hours C. Changing the tracheostomy ties every 24 hours D. Suctioning the tube with as small a catheter as possible
Drusen bodies are most commonly a consequence of:
a. glaucoma. b. aging. c. presbyopia. d. papilledema.
A client tells the nurse that an ice pack works well to reduce the intensity of back pain. The nurse realizes that the client is implementing:
1. A placebo. 2. Distraction. 3. Guided imagery. 4. The gate control theory of pain.