The nurse is caring for a patient receiving intrathecal baclofen via pump while participating in rigorous rehabilitation therapy. What is the nurse's priority to monitor related to adverse effects of this drug?
A) Blood pressure
B) Pulse pressure
C) Spasticity
D) Respiratory status
D
Feedback:
The priority to monitor is respiratory status. One of the primary adverse effects of this drug is central nervous system (CNS) depression. If the patient receives too much medication, or reaches toxic levels, respiratory rate will decline as the result of excessive CNS depression and the drug dosage will either be adjusted downward or the drug may be held until the patient's respirations improve. Monitoring other vital signs including blood pressure and pulse is indicated but is not the priority.
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