The nurse is caring for a patient taking dantrolene. How would the nurse assess the therapeutic effects of this drug?
A) Observe the patient when emotionally stressed to assess for exacerbation of spasticity.
B) Discontinue the drug for 2 to 4 days and assess for exacerbation of spasticity.
C) Measure the amount of spasticity before and after administration of medication.
D) Collect a thorough history to ask the patient any improvement has been noticed.
B
Feedback:
Periodically discontinue drug for 2 to 4 days to monitor therapeutic effectiveness. A clinical impression of exacerbation of spasticity indicates a positive therapeutic effect and justifies continued use of the drug. It would not be ethical to stress the patient, there is no known measurement of spasticity, and the patient may not be able to relate how much improvement was felt because it is unlikely all spasticity will be eliminated.
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