A nurse is providing discharge instruction for a patient who had onabotulinumtoxinA (Botox) injected to smooth the wrinkles across his forehead. The nurse would advise this patient to monitor for which changes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

Question

1. Chest pain
2. Urinary retention
3. Heart palpitations
4. Difficulty swallowing
5. Eye spasm

Answer 1

1,3,4
Rationale 1: Angina is an adverse effect of this medication.
Rationale 2: Loss of bladder control is the adverse effect associated with onabotulinumtoxinA (Botox).
Rationale 3: Dysrhythmias may occur.
Rationale 4: Difficulty swallowing may occur.
Rationale 5: OnabotulinumtoxinA (Botox) is used to treat eye spasm.

Global Rationale: Angina is an adverse effect of this medication. Dysrhythmias may occur, as may difficulty swallowing. Loss of bladder control is the adverse effect associated with onabotulinumtoxinA (Botox). OnabotulinumtoxinA (Botox) is used to treat eye spasm.