Baclofen (Lioresal) is prescribed for the client with multiple ...

[natalie2426]

Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse determines that the medication is having the intended effect if which of the following is noted in the client?
 
  1. Increased muscle tone
  2. Increased range of motion
  3. Decreased muscle spasms
  4. Decreased local pain and tenderness

Question 2

The client with osteoarthritis is receiving diclofenac sodium (Voltaren). The nurse would be concerned about the administration of this medication if the client's history and physical included a diagnosis of:
 
  1. Graves' disease
  2. Peptic ulcer disease
  3. Coronary artery disease
  4. Benign prostatic hypertrophy

[yahahah24021]

Answer to Question 1

3

Rationale: Baclofen is a skeletal muscle relaxant and acts at the spinal cord level to decrease the frequency and degree of muscle spasms in clients with multiple sclerosis, spinal cord injury, or other diseases. The other options are incorrect.

Answer to Question 2

2

Rationale: Diclofenac sodium (Voltaren) is a nonsteroidal anti-inflammatory drug (NSAID). It is a prostaglandin inhibitor and decreases mucous production in the stomach. Use of NSAIDs in the client with ulcer disease could place the client at risk for hemorrhage and perforation. The diagnoses in Graves' disease, coronary artery disease, and benign prostatic hypertrophy are not a concern with the use of this medication.