The client tells the nurse, The doctor is going to start me on ...

[jhjkgdfhk]

The client tells the nurse, The doctor is going to start me on Botox for the muscle spasms in my neck. I've always wanted to try that. It will make me look younger.
 
  Which information should the nurse provide to this client regarding onabotulinumtoxinA (Botox)?
  Standard Text: Select all that apply.
  1. Once you start on the medication, it may take a week or so before you notice a change in your skin.
  2. Be certain you take the medication with a full glass of water because it can be hard on your kidneys.
  3. There are many different uses for that drug, depending on how it is administered.
  4. You may have to have additional treatments with the medication in a few months.
  5. You should be aware that side effects of the medication can occur hours or weeks after your treatment.

Question 2

The client's health care provider prescribed dantrolene sodium (Dantrium) 25 mg daily for the treatment of neck spasms secondary to spinal cord injury.
 
  The client reports that the medication is not working, even though it has been 45 days since the medication was started. What changes in this client's plan of care would the nurse anticipate?
  Standard Text: Select all that apply.
  1. Increase in the dosage frequency to twice a day
  2. Discontinuation of the medication
  3. Increase in the frequency of hepatic function tests
  4. Change to a different medication
  5. Addition of succinylcholine (Anectine) to the client's medications

[shaquita]

Answer to Question 1

Correct Answer: 3,4,5
Rationale 1: OnabotulinumtoxinA (Botox) in this client's case will not change the skin.
Rationale 2: OnabotulinumtoxinA (Botox) is administered by injection into the muscle.
Rationale 3: OnabotulinumtoxinA (Botox) has many clinical indications. Action depends on the area where the medication is administered.
Rationale 4: The effects of onabotulinumtoxinA (Botox) generally last from 3 to 6 months.
Rationale 5: Side effects of onabotulinumtoxinA (Botox) may not occur immediately upon administration, and the client should watch for their development for several hours to weeks later.
Global Rationale: OnabotulinumtoxinA (Botox) has many clinical indications. Action depends on the area where the medication is administered. The effects of onabotulinumtoxinA (Botox) generally last from 3 to 6 months. Side effects of onabotulinumtoxinA (Botox) may not occur immediately upon administration, and the client should watch for their development for several hours to weeks later. OnabotulinumtoxinA (Botox) in this client's case will not change the skin. OnabotulinumtoxinA (Botox) is administered by injection into the muscle.

Answer to Question 2

Correct Answer: 2,4
Rationale 1: If no therapeutic effect of the medication is noted after 45 days of treatment, increasing the dosage in not indicated.
Rationale 2: If there has been no therapeutic effect from the dantrolene after 45 days of therapy, the medication should be discontinued.
Rationale 3: Simply increasing the frequency of liver tests will not prevent damage to the liver.
Rationale 4: Since there have been no therapeutic effects from this medication, a different medication is indicated.
Rationale 5: Succinylcholine (Anectine) is a drug used during surgery, not on an outpatient basis.
Global Rationale: If there has been no therapeutic effect from the dantrolene after 45 days of therapy, the medication should be discontinued. Since there have been no therapeutic effects from this medication, a different medication is indicated. If no therapeutic effect of the medication is noted after 45 days of treatment, increasing the dosage in not indicated. Simply increasing the frequency of liver tests will not prevent damage to the liver. Succinylcholine (Anectine) is a drug used during surgery, not on an outpatient basis.

[jhjkgdfhk]

Thanks

[shaquita]

Welcome