Chapter 25: Muscle Relaxants #6

A patient has been diagnosed with cervical dystonia. The nurse would expect which medication to be ordered for this patient?

Botulinum toxin type B

A patient with multiple sclerosis is admitted to the medical division for treatment of severe spasticity. What medication is used to treat spasticity and is administered intrathecally? Dantrolene Carisoprodol Baclofen Diazepam

Baclofen

A 50-year-old woman has begun taking baclofen to treat her recently diagnosed multiple sclerosis (MS). What teaching point should the nurse provide to the patient about her new drug regimen? "It's best to avoid taking a dose of baclofen unless your spasticity becomes impossible to manage." "You'll likely have to stop taking your other medications for a week to ten days before starting to take baclofen." "Even though baclofen is a drug that's available over the counter, it still has the potential to cause serious adverse effects if taken incorrectly." "Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply."

"Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply."

A 56-year-old woman with a diagnosis of multiple sclerosis has begun taking dantrolene. What client teaching should the nurse provide? "Make sure to see your health care provider promptly if you develop yellowish skin or eyes." "You'll have to come to the hospital daily to be administered this drug." "Take an over-the-counter laxative so that you don't get constipated." "You'll find that your muscles will get progressively stronger over the next several weeks."

"Make sure to see your health care provider promptly if you develop yellowish skin or eyes."

A client has been prescribed baclofen and will be taking the drug on an outpatient basis. The client asks the nurse if it is still okay to drink wine with meals or end the day with a "nightcap." What is the nurse's best response? "If you combine baclofen and alcohol you could suffer a severe allergic-type reaction." "The combination of baclofen and alcohol could depress your nervous system to a dangerous level." "It's best to keep your alcohol intake to a low level when you're taking muscle relaxants." "You're not permitted to drink alcohol while you're taking baclofen."

"The combination of baclofen and alcohol could depress your nervous system to a dangerous level."

A patient has been diagnosed with cervical dystonia. The nurse would expect which medication to be ordered for this patient? Baclofen (Lioresal) Metaxalone (Skelaxin) Botulinum toxin type B Cyclobenzaprine (Flexeril)

Dantrolene

What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant? Always take this medication with food to prevent nausea and vomiting. Drink eight to 10 glasses of water daily to prevent constipation. Report increased muscle spasm to the health care provider immediately. Do not drive or operate machinery until individual drug effects are known.

Do not drive or operate machinery until individual drug effects are known.

Signs and symptoms of what would necessitate discontinuation of dantrolene therapy? Urinary retention Hepatic dysfunction Intermittent gastrointestinal upset Visual disturbances

Hepatic dysfunction

A patient comes to the clinic for a botox injection around her eyes. While making an assessment, the nurse finds that the patient is taking polymyxin for an infection. What would the nurse do first? Prepare the patient for the injection. Document the polymyxin on the chart. Wash her hands. Notify the physician.

Notify the physician.

A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which instruction? Eat a high-protein diet. Decrease the dosage if any adverse effect is experienced. Wear appropriate clothing and sunscreen whenever he is in direct sunlight. Have a complete blood cell count done weekly.

Wear appropriate clothing and sunscreen whenever he is in direct sunlight.