A nurse is teaching the parent of a child with spastic quadriplegia about intrathecal baclofen (Lioresal). Which statement by the parent indicates a need for further teaching?
a. "I can expect my child to be more drowsy when receiving this medication."
b. "I should not notice any change in my child's muscle strength."
c. "I will contact the provider if my child is constipated or cannot urinate."
d. "If my child has a seizure, I should stop giving the medication immediately."
ANS: D
Seizures may occur if oral baclofen is withdrawn abruptly; seizures are not an adverse effect of baclofen. If intrathecal baclofen is stopped abruptly, patients can experience life-threatening effects, so parents should be advised not to stop the drug abruptly. The central nervous system effects of baclofen include drowsiness and lethargy, so these effects are expected. Baclofen does not reduce muscle strength. It can cause constipation and urinary retention, and patients should be advised to contact their provider so that these conditions can be treated.
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