Author Question: A child is prescribed baclofen (Lioresal) via intrathecal pump to treat severe muscle spasms related ... (Read 125 times)

abc · **on:** Jun 28, 2018

A child is prescribed baclofen (Lioresal) via intrathecal pump to treat severe muscle spasms related to cerebral palsy. What teaching does the nurse provide the child and parents?

A.
Do not let this prescription run out.
B.
The medication may cause gingival hyperplasia.
C.
Periodic serum drug levels are needed.
D.
Watch for excessive facial hair growth.

Question 2

An ophthalmologist examining the eyes of a patient explains to the nurse that the patient has an irregular curvature or uneven contour of the eye, resulting in impaired light refraction that causes blurred vision at all distances.

Which condition does the nurse inform the parents about?
A.
Astigmatism
B.
Hyperopia
C.
Myopia
D.
Strabismus

courtney_bruh · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Abrupt discontinuation of intrathecal baclofen can cause drastic effects, such as high fever, altered mental status, and exaggerated rebound spasticity and muscle rigidity. The parents should ensure there is a supply of this drug on hand at all times to avoid these effects. Gingival hyperplasia and hirsutism are side effects of phenytoin (Dilantin). Serum drug levels are not obtained with an intrathecal medication.

Answer to Question 2

ANS: A
In myopia, light rays do not reach the retina, causing blurred vision at a far range and clear vision at a close range. In hyperopia, vision is unclear at a close range and is clearer at a far range. Strabismus, or crossed-eye appearance, results in misalignment of the eyes. Astigmatism may be present at birth or acquired. Light rays are unevenly distributed in the eyes, causing blurred vision at all distances. This condition is associated with birth hyperopia and myopia.