Author Question: The nurse is working with a client who receives baclofen (Lioresal) and whose parents speak very ... (Read 29 times)

piesebel · **on:** Jul 22, 2018

The nurse is working with a client who receives baclofen (Lioresal) and whose parents speak very little English.

The nurse plans to use an interpreter in order to assure that the parents understand the most important things to know about the medication. Which of the following instructions about the medication will the nurse determine is most important to emphasize? 1. Take the medication on an empty stomach.
2. Do not stop the medication abruptly.
3. Increase the intake of fiber while on this medication.
4. Do not use any aspirin-type drugs while on this medication.

Question 2

Which of the following would indicate that the parents of a child recovering from surgery to repair a congenital heart defect understand discharge instructions provided by the nurse?

1. The client will need to take antibiotics prior to having dental surgery.
2. The client should be restricted in play and activity for at least 6 months.
3. Fluids should be restricted to maximize lung function.
4. The client should not return to normal activities for at least 2 years.

yahahah24021 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Do not stop the medication abruptly.

Rationale:
Stopping the drug abruptly may result in withdrawal symptoms. Baclofen (Lioresal) should be taken with food to lessen gastrointestinal (GI) irritation. An increase in the intake of fiber is not necessary with baclofen (Lioresal). There is no contraindication to the use of baclofen (Lioresal) with aspirinlike drugs.

Answer to Question 2

1. The client will need to take antibiotics prior to having dental surgery.

Rationale:
Since the child is at risk for infective endocarditis, prophylactic antibiotics are indicated for invasive procedures. The child should not be restricted in play and activities for at least 6 months. The child should not restrict fluids. The parents should be encouraged to have the child live a normal life and not be restricted for 2 years.