The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?
A.
Advise the client to move slowly and cautiously when rising and walking.
B.
Monitor intake and output every 8 hours.
C.
Ensure the client knows to stop baclofen before using other antispasmodics.
D.
Evaluate muscle strength every 4 hours.
The correct answer and Explanation is :
The correct intervention for administering baclofen to a client with multiple sclerosis is:
A. Advise the client to move slowly and cautiously when rising and walking.
Explanation:
Baclofen is a muscle relaxant commonly used to manage spasticity associated with multiple sclerosis (MS) and other neurological conditions. One of its primary effects is to reduce muscle spasms and stiffness, which can help improve mobility and comfort. However, this muscle relaxation effect can also lead to decreased muscle tone and strength, which can affect the client’s balance and coordination.
Advising the client to move slowly and cautiously when rising and walking is crucial because baclofen can cause drowsiness, dizziness, and a decrease in muscle strength. These side effects can increase the risk of falls and other accidents. By moving slowly and cautiously, the client can better adjust to any changes in their balance or coordination that might occur due to the medication.
Here’s why the other options are less relevant:
B. Monitor intake and output every 8 hours: Baclofen does not typically require close monitoring of intake and output. This intervention is more pertinent for medications that affect fluid balance or renal function, which is not the primary concern with baclofen.
C. Ensure the client knows to stop baclofen before using other antispasmodics: Baclofen can be used alongside other medications for spasticity, but it’s important to consult with a healthcare provider before making changes. Stopping baclofen suddenly or without proper guidance could lead to withdrawal symptoms or a worsening of spasticity.
D. Evaluate muscle strength every 4 hours: While monitoring muscle strength is important, evaluating it every 4 hours might be excessive unless the client is experiencing significant issues. Regular assessment is usually done less frequently, depending on the client’s condition and the healthcare provider’s recommendations.
Overall, the key consideration with baclofen is managing its side effects and ensuring the client’s safety, particularly regarding their mobility and risk of falls.