The nurse is caring for a patient who is having a pump placed to deliver intrathecal baclofen and another patient who will receive dantrolene as a muscle relaxant

What nursing diagnosis would be appropriate for both care plans? (Select all that apply.) A) Acute pain related to GI effects of drug
B) Risk for injury related to central nervous system (CNS) effects
C) Disturbed body image related to muscle pain
D) Disturbed thought processes related to CNS effects
E) Deficient knowledge related to procedure


A, B, D
Feedback:
Acute pain related to GI effects of drug, risk for injury related to CNS effects, and disturbed thought processes related to CNS effects all apply to both patients. Disturbed body image may apply to the patient having the pump placed, but this is not related to muscle pain. Only the patient having the pump placed would need information related to the procedure.

Nursing

You might also like to view...

A pediatric patient is administered epinephrine to treat bronchospasm as a result of acute asthma. What effect should the patient be monitored for?

A) Edema B) Syncope C) Bradycardia D) Hemorrhage

Nursing

The healthcare provider is using Leopold maneuvers to assess fetal positioning. Which maneuver is being used in the image?

1. First. 2. Second. 3. Third. 4. Fourth.

Nursing

Persons who naturally relate aggressively to others, seldom have empathy, and lack appropriate guilt feelings are given the diagnosis of ____ disorder

a. Conduct b. Adjustment c. Impulse-control d. Oppositional defiant

Nursing

To best assist an older adult patient to cope with a new diagnosis of chronic renal failure, the nurse

a. asks the patient to describe her usual cop-ing strategies. b. provides the patient with descriptions of new coping strategies. c. initiates discussions with the patient to explain the disease. d. offers to arrange a meeting with another patient with the diagnosis.

Nursing