Chapter 25 practice questions- PrepU

An older patient with a history of renal dysfunction is to receive a centrally acting skeletal muscle relaxant. Which agent would be most appropriate? A. Carisoprodol B. Cyclobenzaprine C. Baclofen D. Chlorzoxazone

C. Baclofen

Which is an example of a skeletal muscle relaxant? A. Alendronate (Fosamax) B. Allopurinol (Zyloprim) C. Baclofen (Lioresal) D. Hydroxychloroquine (Plaquenil)

C. Baclofen (Lioresal)

Which medications can be used to treat or prevent malignant hyperthermia? A. Carisoprodol (Soma) B. Methocarbamol (Robaxin) C. Dantrolene (Dantrium) D. Metaxalone (Skelaxin)

C. Dantrolene (Dantrium)

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

Hepatic dysfunction

Which patient would likely have the highest risk for hepatotoxicity from dantrolene? A 32-year-old male who is taking an antipsychotic drug A 45-year-old female who is taking an antihypertensive agent A 57-year-old female who is on hormone replacement therapy A 70-year-old male who is taking a cardiac glycoside

A 57-year-old female who is on hormone replacement therapy

A nurse is preparing a teaching plan for a client who is receiving baclofen therapy. Which would the nurse include as possible adverse effects? (Select all that apply.) A. Drowsiness B. Hypertension C. Urinary frequency D. Agitation E. Drooling F. Constipation

A, C, F Adverse effects associated with baclofen therapy include drowsiness, urinary frequency, constipation, hypotension, fatigue, weakness, and dry mouth.

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? A. Baclofen B. Carisoprodol C. Diazepam D. Dantrolene

A. Baclofen Baclofen is used to treat spasticity in MS and spinal cord injuries. It can be administered intrathecally. Carisoprodol is used to relieve discomfort from acute, painful musculoskeletal disorders. Diazepam is use to relieve muscle spasms but not used intrathecally. Dantrolene is used to treat malignant hyperthermia but not multiple sclerosis.

The nurse is caring for a 59 year-old female client who was diagnosed with multiple sclerosis two years ago. In recent weeks, the client has developed increasing muscle spasticity and the care team is considering the use of dantrolene. What assessment question should the nurse prioritize? "Are you on hormone replacement therapy?" "Have you had a hysterectomy?" "Have you ever been treated for fibromyalgia?" "At what age did you begin menopause?"

Are you on hormone replacement therapy

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? A. "It's best to avoid taking a dose of baclofen unless your spasticity becomes impossible to manage." B. "Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply." C. "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." D. "You'll likely have to stop taking your other medications for a week to ten days before starting to take baclofen."

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

Most muscle relaxants drugs are CNS depressants. Which medication acts only on the muscle? A. Metaxalone B. Dantrolene C. Tizanidine D. Carisoprodol

B. Dantrolene

A client has received a prescription for baclofen. The home care nurse would schedule which laboratory tests to monitor this client? A. CBC and electrolytes B. Liver function tests C. Cardiac function tests D. Hemoglobin and hematocrit

B. LFTs Baclofen is metabolized in the liver and excreted in urine. The client must be monitored for adverse effects on liver function.

A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer? Botulinum toxin type B Dantrolene Baclofen Methocarbamol

Dantrolene

The nurse is caring for a client whose current medication regimen includes baclofen 60 mg PO daily. What assessment should the nurse nurse prioritize when assessing for therapeutic effects? Inspection for muscle spasticity and range of motion assessment Bilateral assessment of muscle strength Comparison of fine motor and gross motor skills Assessment for seizure activity

Inspection for muscle spasticity and range of motion assessment

Which instruction should the nurse specifically stress when administering drugs used for muscle spasm and cramping? A. Take the drug with food. B. Stay upright for 30 minutes after taking the drugs. C. Avoid alcohol or other CNS depressants. D. Take the drug with 6 to 8 oz of water.

C. Avoid alcohol or other CNS depressants.

A client with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered? Baclofen Carisoprodol Chlorzoxazone Cyclobenzaprine

baclofen