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    HESI Pharmacology Proctored Exam

    A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?

    Explanation & Rationale

    Baclofen is a muscle relaxant medication used to treat muscle spasticity, which is a condition that causes muscles to become stiff and rigid. It works by reducing the activity of nerves in the brain and spinal cord that cause muscle spasms. Option a, using stool softener as needed, is appropriate because baclofen can cause constipation as a side effect. Option b, avoiding ingestion of alcohol, is also appropriate because alcohol can increase the sedative effects of baclofen and cause drowsiness or dizziness. Option d, taking medication with meals, is recommended because it can help reduce stomach upset and nausea that may occur as a side effect of the medication. Option c, discontinuing the medication when spasms cease, is incorrect because muscle spasticity is a chronic condition, and baclofen is used to manage symptoms over a prolonged period. Discontinuing the medication abruptly can cause withdrawal symptoms and exacerbate the spasticity. Therefore, the nurse should educate the client to take the medication as prescribed by the healthcare provider and not discontinue it without medical advice.

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