Anurse practitioner is teaching the parent of a child with spastic quadriplegia about intrathecal baclofen [lioresal]. which statement by the parent indicates a need for further teaching?

Option D

Explanation:

The options for the question are

a. “I can expect my child to be more drowsy when receiving this medication.”

b. “I should not notice any change in my child’s muscle strength.”

c. “I will contact the provider if my child is constipated or cannot urinate.”

d. “If my child has a seizure, I should stop giving the medication immediately.”

Solution -

Intrathecal baclofen is a therapy used to deal with problem of short term spasticity in children with cerebral palsy. For long term spasticity this therapy may not produce effective results. The receptor of the brain and spinal cord interacts with the baclofen in order to reduce abnormal muscle form if the therapy is administered continuously for a certain period of time. If the therapy is stopped suddenly there are high chances that the child may get seizures. However, occurrence of seizure is not certain, but it is advisable to remove the therapy gradually.  A parent asking something as stated in option D sows that more information or teaching is required.

Hence, option D is correct

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