The nurse is caring for a client prescribed baclofen (Lioresal) ...

[rl]

The nurse is caring for a client prescribed baclofen (Lioresal) for cerebral palsy (CP). The client's parents speak very little English and the nurse plans to use an interpreter to teach the parents about the medication.
 
  Which instructions should the nurse emphasize during client teaching?
 
  A) It is important that your child take the medication as prescribed. Do not stop the medication abruptly.
  B) Do not give your child any aspirin-type drugs while on this medication.
  C) It is important for your child to take the medication on an empty stomach.
  D) You will need to increase your child's intake of fiber while on this medication.

Question 2

The mother of a young child with cerebral palsy (CP) is pregnant and asks if the second child will be diagnosed with the same disorder. What risk factors for CP should the nurse explain to the mother?
 
  Select all that apply.
  A) Father over the age of 20
  B) Child has meningitis at birth
  C) First-born child
  D) Mother's age of 42
  E) Child is 9 pounds at birth

[bubulittle310@msn.cn]

Answer to Question 1

Answer: A

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 aspirin-like drugs.

Answer to Question 2

Answer: B, C, D

Neonatal sepsis and being the first-born child are risk factors for the development of CP. The father's age of 20 years or less is also a risk. The infant may be at risk if the mother is under 20 or over 40. The low-birth-weight infant is at risk for CP.