A patient with multiple sclerosis participates in a rehabilitation program. The patient takes baclofen (Lioresal) to help manage spasticity. How might the baclofen (Lioresal) interfere with the patient's rehabilitation activities?
a. By producing drowsiness and lethargy
b. By causing gastrointestinal distress
c. By increasing pain associated with activities
d. By exacerbating spasticity with increased movement
A
The central nervous system effects of baclofen include drowsiness and lethargy, which might diminish the effectiveness of rehabilitation activities.
Baclofen does not cause gastrointestinal distress and would not impede rehabilitation activities.
Baclofen does not cause an increase in pain with activity. In fact by reducing spasticity, pain may be reduced, thus enhancing rehabilitation activities.
Baclofen reduces rather than exacerbates spasticity.
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A) Another individual has been identified to make decisions on behalf of the patient. B) It is binding even if the patient changes his or her mind. C) The named individual is in charge of the patient's finances. D) It is a legal document delegating custody of children.
What hormone enters the cell and reacts with a receptor inside the cell to change messenger ribonucleic acid and affect the cell's function?
A) Estrogen B) Insulin C) Calcitonin D) Thyroid-stimulating hormone
During a daily weight the nurse notes that a client has lost 0.4 kilograms. How many grams of weight should the nurse document that this client has lost in one day?
1. 0.004 2. 0.04 3. 40 4. 400
The nurse is working with a marital couple and is contemplating which strategy to use with this couple after the husband reveals to her in a private conversation that he has just learned he has a terminal illness. This couple has no children
The husband has always worked and taken care of the family finances, including investments, insurance, taxes, and bill paying. The wife has been a traditional homemaker taking care of the home and has not bothered with the finances. The husband says that he does not want to tell his wife about the terminal nature of his illness until closer to the time he is going to die, as he does not want to have her worry for a long time. Which of the following strategies would the nurse include in the initial care plan? a. Propose a meeting with the couple where information about the husband's terminal illness would be discussed. b. Meet with the wife to plan for several sessions on women's issues and assertiveness training. c. Meet with the husband, and discuss the need for his wife to understand finances so she can be prepared for the future. d. Propose a meeting with the extended family to determine who will take care of the wife.