Chap 25&26

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."

Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation?

Baclofen

A 28-year-old client has been experiencing muscle spasms in the neck from a four-wheeler accident. The client is receiving 10 mg of cyclobenzaprine PO tid. The nurse's teaching plan should include which instruction?

Do not drive or operate heavy machinery for the first week.

A female client states that her pain is unbearable. The nurse has an order for one or two tablets of an opioid analgesic for pain relief. What is the best method that the nurse may use to assess the intensity of the pain?

Use a numerical scale of 0 to 10, with 0 being the least amount of pain.

A nurse is caring for two clients who are status postoperative for abdominal surgery. What is the best way to evaluate pain response after administering analgesia?

Use a pain assessment tool before and 30 minutes after medication administration.

When describing the actions of various drugs, a nursing instructor defines the drug as a substance that counteracts the action of something else. The instructor is describing which action?

antagonist

A male client routinely takes baclofen as a skeletal muscle relaxant for a neuromuscular disorder. His last lab results indicate that he is experiencing renal insufficiency. Based on these data, what would the nurse expect the health care provider to do?

Reduce the dose

A nurse is caring for a patient who is receiving cyclobenzaprine. Which of is the action of the drug on the patient?

Reduction of muscle spasm

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?

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

A female client is crying and states that everyone thinks she is a "drug addict," and that no one will listen to her. She states she has abdominal pain and must have something for the pain. What is the best response of the nurse?

"Tell me more about your pain."

A client is in the hospital recovering from surgery. The client's adult child tells the nurse they are concerned their parent will overdose on morphine because they keep pressing the button on the client-controlled anesthesia (PCA) pump. In addition to reassessing the client's pain, what is the nurse's best response?

"The device has maximum limits programmed, so your parent cannot get more than a specific amount."

A male client presents in the emergency department and states that he is experiencing pain in his shoulder and chest muscles. The health care provider orders a cardiac diagnostic assessment. The client asks the nurse why the health care provider feels that he has cardiac problems if his shoulder hurts. What is the nurse's best response?

"You may have referred pain. Pain of cardiac origin may radiate to the neck, shoulders, chest muscles, and down the arms, often on the left side."

Patient should be cautioned to avoid which when taking skeletal muscle relaxants?

Alcohol

A client is admitted to the emergency department for an opioid overdose. What would the nurse expect to administer to this client?

Corticosteroids

Which medication is classified as an antianxiety medication but is also used to treat muscle spasms?

Diazepam (Valium)

A 40-year-old client with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize for the nursing care plan for this client?

Risk for Injury related to CNS depressant effects

When does a client with spinal cord injury-associated spasticity require treatment for this condition?

Safety, mobility, and activities of daily living are impaired.

Which instruction would the nurse include for a client who is prescribed extended release oxycodone?

Take the tablet as a whole tablet at one time.

While assessing clients receiving opioid analgesics for pain management, what finding would alert the nurse and require healthcare provider notification?

The client with a pulse of 118, a respiratory rate of 8, and a BP of 80/60

A 23-year-old woman reports vision loss interspersed with flashing lights before the onset of a very painful headache. During the assessment, she informs the nurse that she has been experiencing these symptoms for the last three months on a weekly basis. These symptoms are those of:

migraine headache.