A patient asks the nurse what side effects to expect from a muscle relaxant medication that has been prescribed. Which of the ff. side effects should the nurse relate?

Correct Answer: B

Rationale: Muscle relaxant medications, such as benzodiazepines or cyclobenzaprine, commonly cause drowsiness as a side effect. This is a result of the medications affecting the central nervous system, leading to sedative effects. Patients taking muscle relaxants should be advised to avoid activities that require alertness, such as driving or operating machinery, until they understand how the medication affects them. It is important for the nurse to inform the patient about this potential side effect to ensure their safety and to prevent any accidents or injuries due to drowsiness. On the other hand, hypoglycemia, hypotension, and dyspnea are not common side effects of muscle relaxant medications.

Correct Answer: A

Rationale: After a lumbar puncture, it is important to have the patient lie flat for 6 to 8 hours to help prevent leakage of cerebrospinal fluid. Keeping the patient in this position can reduce the risk of developing a post-lumbar puncture headache. It allows the tiny hole created in the dura to seal properly and helps maintain proper cerebrospinal fluid pressure. This intervention is essential for the patient's safety and optimal recovery following a lumbar puncture procedure.

Correct Answer: B

Rationale: The nurse should advise the client and her family members to apply insect repellent to clothing and exposed skin to prevent insect bites in the future. Insect repellents containing DEET, picaridin, or oil of lemon eucalyptus are effective in repelling mosquitoes, ticks, and other insects that may cause bites. By regularly applying insect repellent, they can reduce the risk of getting bitten and prevent a recurrence of the ailment. Other preventive measures such as wearing long sleeves and pants, avoiding heavily wooded or grassy areas, and using screens on windows and doors can also be beneficial in preventing insect bites.

Correct Answer: B

Rationale: Levodopa is the antiparkinsonian drug associated with the on-off phenomenon and the wearing-off effect. The on-off phenomenon refers to the sudden and unpredictable fluctuations between periods of symptom control (on) and periods of symptom re-emergence (off) in patients with Parkinson's disease receiving levodopa therapy. This can happen as the disease progresses and the brain becomes less responsive to the medication.

Correct Answer: B

Rationale: In the Rinne test, a tuning fork is placed first on the mastoid bone behind the ear to test bone conduction, and then beside the ear to test air conduction. A normal finding in the Rinne test is when air conduction (heard beside the ear) is longer than bone conduction (heard on the mastoid bone) in both ears. This indicates that sound waves travel through the air better than through bone. If air conduction is heard longer than bone conduction, it suggests normal auditory acuity.