A nurse is providing discharge instruction for a patient who had ...

[NClaborn]

A nurse is providing discharge instruction for a patient who had onabotulinumtoxinA (Botox) injected to smooth the wrinkles across his forehead. The nurse would advise this patient to monitor for which changes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Chest pain
  2. Urinary retention
  3. Heart palpitations
  4. Difficulty swallowing
  5. Eye spasm

Question 2

The client receives cyclosporine (Neoral). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
 
  1. I must check my blood pressure; it can run low with this medication.
  2. I cannot have grapefruit while I am on this medication.
  3. Mealtimes will have no effect on when I take this medication.
  4. I might have an increased urine output with this medication.

[ong527]

Answer to Question 1

1,3,4
Rationale 1: Angina is an adverse effect of this medication.
Rationale 2: Loss of bladder control is the adverse effect associated with onabotulinumtoxinA (Botox).
Rationale 3: Dysrhythmias may occur.
Rationale 4: Difficulty swallowing may occur.
Rationale 5: OnabotulinumtoxinA (Botox) is used to treat eye spasm.

Global Rationale: Angina is an adverse effect of this medication. Dysrhythmias may occur, as may difficulty swallowing. Loss of bladder control is the adverse effect associated with onabotulinumtoxinA (Botox). OnabotulinumtoxinA (Botox) is used to treat eye spasm.

Answer to Question 2

2
Rationale 1: Cyclosporine (Neoral) can cause hypertension, not hypotension.
Rationale 2: Grapefruit increases blood levels of cyclosporine (Neoral) and should not be consumed by the client while taking cyclosporine (Neoral).
Rationale 3: Food decreases the absorption of cyclosporine (Neoral).
Rationale 4: Cyclosporine (Neoral) can decrease, not increase, urine output.
Global Rationale: Grapefruit increases blood levels of cyclosporine (Neoral), and should not be consumed by the client while taking cyclosporine (Neoral). Cyclosporine (Neoral) can cause hypertension, not hypotension. Food decreases the absorption of cyclosporine (Neoral). Cyclosporine (Neoral) can decrease, not increase, urine output.

[NClaborn]

Excellent

[peter]

TYSM