A patient with multiple sclerosis needs pharmacologic treatment for spasticity in order to begin strengthening exercises to improve walking ability. The nurse anticipates that which medication will be ordered for spasticity?
a. Baclofen (Lioresal)
b. Dantrolene (Dantrium)
c. Diazepam (Valium)
d. Metaxalone (Skelaxin)
ANS: A
Baclofen is used to treat spasms associated with multiple sclerosis. It has no direct muscle relaxant effects, so it does not reduce muscle strength. Dantrolene works well to reduce spasms, but it also has significant effects on muscle strength. Diazepam is not the first-line drug of choice, but it could be used because it does not reduce muscle strength. Metaxalone is not indicated to treat spasms caused by multiple sclerosis.
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While completing the history, the nurse learns that a patient fasts during Lent. What should the nurse understand about fasting?
1. Religious fasting requirements require only no food intake. Water and other beverages are acceptable. 2. Religious fasting requirements must be maintained at all times or the patient will experience spiritual distress. 3. Religious fasting requirements are observed only during daylight hours. 4. Religious fasting requirements are usually exempted for patients who are ill or are hospitalized.
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a. Baby weighs 10 pounds 4 ounces. b. There is a history of breast-reduction surgery. c. Mom is more than 40 years of age. d. Mom prefers skim to whole milk.
A client having a mastectomy might experience what type of loss?
a. actual and situational c. anticipated and situational b. physiologic and psy-chological d. maturational and physiologic