Author Question: A client with amyotrophic lateral sclerosis is prescribed riluzole (Rilutek). What will the nurse ... (Read 67 times)

pragya sharda · **on:** Jul 23, 2018

A client with amyotrophic lateral sclerosis is prescribed riluzole (Rilutek). What will the nurse instruct the client about this medication?

Standard Text: Select all that apply.
1. It reduces the degeneration of neurons.
2. It should be taken every 12 hours on an empty stomach.
3. The client should avoid high-fat meals before or after taking the medication.
4. Headache and dizziness are common reactions to this medication.
5. Paralytic ileus is a life-threatening adverse effect of this medication.

Question 2

The nurse is explaining to a client with Parkinson disease the steps in which the neurotransmitter dopamine functions to impact motor movement. In which order will the nurse explain these steps?

Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list.
Response 1. The substantia nigra produces dopamine.
Response 2. Dopamine travels to the corpus striatum.
Response 3. The dopamine is released.
Response 4. The dopamine finds receptors.
Response 5. The dopamine slows impulses down spinal neurons.
Response 6. Coordinated unconscious muscle movement occurs.

apple · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: This medication has been proven to extend survival by reducing the degeneration of neurons.
Rationale 2: It is a tablet that should be taken every 12 hours on an empty stomach.
Rationale 3: The client should avoid high-fat meals before or after taking the medication because fat interferes with medication absorption.
Rationale 4: Common adverse effects include headache and dizziness.
Rationale 5: Paralytic ileus is not a life-threatening adverse effect of this medication.
Global Rationale: This medication has been proven to extend survival by reducing the degeneration of neurons. It is a tablet that should be taken every 12 hours on an empty stomach. The client should avoid high-fat meals before or after taking the medication because fat interferes with medication absorption. Common adverse effects include headache and dizziness. Paralytic ileus is not a life-threatening adverse effect of this medication.

Answer to Question 2

Correct Answer: 1,2,3,4,5,6
Rationale 1: The substantia nigra, a dark band of gray matter in the midbrain, is a primary producer of the neurotransmitter dopamine.
Rationale 2: The dopamine travels through axons along the nigrostriatal pathway to the corpus striatum.
Rationale 3: When dopamine reaches the nigrostriatal pathways, it is released.
Rationale 4: In the corpus striatum, dopamine encounters its receptors and produces multiple actions.
Rationale 5: Dopamine serves an inhibitory function, slowing the flow of impulses down spinal neurons.
Rationale 6: When dopamine is present, the normal flow of motor impulses from the corpus striatum helps to produce coordinated unconscious muscle movement.
Global Rationale: The substantia nigra, a dark band of gray matter in the midbrain, is a primary producer of the neurotransmitter dopamine. The dopamine travels through axons along the nigrostriatal pathway to the corpus striatum. When dopamine reaches the nigrostriatal pathways, it is released. In the corpus striatum, dopamine encounters its receptors and produces multiple actions. Dopamine serves an inhibitory function, slowing the flow of impulses down spinal neurons. When dopamine is present, the normal flow of motor impulses from the corpus striatum helps to produce coordinated unconscious muscle movement.