Chapter 25- Pharm 2
hypotension.
A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is
• Drowsiness • Urinary frequency • Constipation
A nurse is preparing a teaching plan for a client who is receiving baclofen therapy. Which of the following would the nurse include as possible adverse effects?
Carisoprodol
An older patient with a history of renal dysfunction is to receive a centrally acting skeletal muscle relaxant. Which agent would be most appropriate?
Malignant hyperthermia
An operating room nurse is assisting the anesthesiologist in the preparation of an intravenous dose of dantrolene. What emergent issue most likely prompted the need to give the patient dantrolene?
Dantrolene
Most muscle relaxants drugs are CNS depressants. Which of the following medications acts only on the muscle?
Do not drive or operate machinery until individual drug effects are known.
What is the most important teaching point to emphasize from the plan of care when a client is prescribed a skeletal muscle relaxant?
True
Spinal reflexes are the simplest nerve pathways that monitor movement and posture.
Risk for Injury related to CNS depressant effects
A 40-year-old woman 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 when updating the nursing care plan for this patient?
"You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity."
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?
"Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply."
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 to see your doctor promptly if you develop yellowish skin or eyes."
A 56-year-old woman with a diagnosis of multiple sclerosis has begun taking dantrolene. What patient teaching should the nurse provide?
Liver function tests
A client has received a prescription for baclofen. The home care nurse would schedule which laboratory tests to monitor this client?
Dantrolene
A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer?
Reduce the dose
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 physician to do?
Reduction of muscle spasm
A nurse is caring for a patient who is receiving cyclobenzaprine. Which of the following is the action of the drug on the patient?
Wear appropriate clothing and sunscreen whenever he is in direct sunlight
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 of the following instructions?
increase self-care in activities of daily living.
A nurse is working with a 39-year-old patient who is experiencing muscle spasms associated with multiple sclerosis. The patient reports that she needs help with basic care and that her 15-year-old daughter has been helping bathe and dress her for a week. The patient's physician has prescribed baclofen (Lioresal). The nurse and the patient agree that an appropriate goal related to helping her maintain her self-worth would be to
Baclofen (Lioresal)
A nurse should not administer which of the following skeletal muscle relaxants to a patient with skeletal muscle spasms caused by systemic lupus erythematosus?
Decreased muscle spasms
A patient has been admitted to your unit for treatment of a multiple sclerosis exacerbation. The admission order indicates that the patient is taking baclofen (Lioresal). Which of the following outcomes would you expect to be associated with use of this medication?
"My urine could be discolored while I take this drug."
A patient has been prescribed methocarbamol (Robaxin) for fibromyalgia. The nurse has spent an hour educating the patient on the use of methocarbamol for muscle pain. Which of the following statements by the patient indicates that she has an understanding of at least one of the significant side effects of methocarbamol?
Fatal hepatitis
A patient has been started on dantrolene (Dantrium). What is the most serious adverse effect on which the patient should be instructed?
Drowsiness
A patient is administered cyclobenzaprine (Flexeril). Which adverse effect can you expect with this medication?
Hypotension
A patient is taking tizanidine (Zanaflex) to treat spasticity from multiple sclerosis. Which of the following adverse effects of muscle relaxants is most pronounced with this medication?
3 PM
A patient receives intrathecal baclofen at 10 AM. The nurse would expect to see the maximum effect of this drug at approximately what time?
Risk for Injury related to CNS depression
A patient who experienced a lower back injury while doing yard work has seen his range of motion decrease and his pain increase over the past several weeks. As a result, he has been prescribed cyclobenzaprine. What nursing diagnosis should the nurse prioritize in light of the patient's drug regimen?
Baclofen
A patient with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered?
Hepatic dysfunction
Signs and symptoms of which of the following would necessitate discontinuation of dantrolene therapy?
• "Rise carefully from a seated to a standing position." • "This medication may cause you to have to urinate more frequently." • "This medicine may give you a headache or make sleeping difficult."
The nurse's home care teaching for a client who takes baclofen will include which instructions?
Cyclobenzaprine produces an anticholinergic response, resulting in these side effects.
The patient is taking cyclobenzaprine for muscle spasms secondary to an injury to his lumbar spine that occurred while lifting a motor at work. He is being seen for a follow-up visit by the physician. He is complaining of dry mouth, blurred vision, and constipation. Why is the patient having these side effects from cyclobenzaprine?
When close supervision is available for monitoring drug effects
The physician orders short-term skeletal muscle relaxants for an 11-year-old client. The nurse is responsible for the family education plan and teaches the parents that the medications should be used only under which condition?
Coordination of position and posture
When describing the function of the extrapyramidal system, which of the following would the instructor include?
Baclofen (Lioresal)
Which of the following is an example of a skeletal muscle relaxant?
Drowsiness
Which of the following is the most common adverse reaction to carisoprodol (Soma) that the nurse should discuss with the patient?
Dantrolene (Dantrium)
Which of the following medications can be used to treat or prevent malignant hyperthermia?
Baclofen (Lioresal)
Which of the following skeletal muscle relaxants is also available in intrathecal form?
Spasm due to rheumatoid arthritis
Which of the following would be a contraindication for the use of a methocarbamol?
Discontinue the use of alcohol
Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)?
