Saunders Musculoskeletal Pharm

A client is receiving a maintenance dose of oral dantrolene sodium (Dantrium) for the treatment of spasticity. The nurse reviews the medication record, expecting which dose to be prescribed?

100mg twice daily

A client diagnosed with gout has been started on medication therapy with allopurinol (Zyloprim). The nurse reinforces teaching with this client regarding which point about this medication?

"It is important to drink 3 L of fluid per day."

An adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse reviews the medication record, expecting that which dose would be prescribed?

15mg 4 times a day

A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin IB). The nurse reinforces the instructions, knowing that the normal adult dose for this client is which?

400mg orally 3 times a day

A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication dose should the nurse expect the client to be taking?

4g daily

Allopurinol (Zyloprim) has been prescribed for the client, and the client asks the nurse about the action of the medication. The nurse responds knowing that allopurinol has which action?

Allopurinol decreases uric acid production and reduces uric acid concentrations in both the serum and urine.

The nurse is reinforcing discharge instructions to a client receiving baclofen. Which should the nurse include in the instructions?

Avoid the use of alcohol

A client has just been given a prescription for methocarbamol (Robaxin), and the nurse reinforces instructions to the client. Which statement by the client indicates the need for further teaching?

Blurred vision is common but unimportant effect.

A client has a new medication prescription for allopurinol (Zyloprim). A practical nursing student co-assigned with the licensed practical nurse (LPN) states, "I know this is for gout, but how does it work?" In formulating a response, the LPN includes that allopurinol works in which manner?

Decreases uric acid production

The nurse has given medication instructions to a client beginning therapy with carisoprodol (Soma). The nurse determines that the client understands the effects of the medication if the client makes which statement?

I need to a void alcohol while taking this medication,

The nurse has reinforced discharge instructions to a client with multiple sclerosis who is receiving baclofen (Lioresal). Which statement by the client indicates an understanding of the medication?

I need to watch for urinary retention

The nurse is providing instructions to a client with a diagnosis of rheumatoid arthritis (RA) who is receiving aspirin (acetylsalicylic acid [ASA]) 5 g orally daily. Which statement by the client would indicate an understanding of the instructions?

I should notify the health care provider if I get any ringing in my ears.

A client is receiving diazepam (Valium) for its skeletal muscle relaxant effects. The nurse should monitor this client for which side effect of this medication?

Incoordination

Dantrolene (Dantrium) is prescribed for a client with a spinal cord injury for discomfort resulting from spasticity. The nurse tells the client about the importance of follow-up and the need for which blood study?

Liver Function Studies

A client with a spinal cord injury has been experiencing discomfort because of spasticity, and dantrolene (Dantrium) is prescribed for the client. Before initiating therapy, the nurse anticipates that which testing will be prescribed?

Liver function studies

A client with multiple sclerosis is receiving dantrolene (Dantrium) for relief of muscle spasticity. The nurse checks the results of which laboratory value periodically prescribed while the client is taking this medication?

Liver function studies

The nurse is reviewing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which laboratory test(s) would identify an adverse effect associated with the administration of this medication?

Liver function tests

Baclofen (Lioresal) is prescribed for a client with a spinal cord injury who is experiencing muscle spasms, and the nurse prepares a list of the associated side effects of the medication and reviews the list with the client. Which side effect identified by the client indicates a need for further teaching?

Photosensitivity

The nurse is caring for a client with gout who is taking colchicine (Colcrys). The client has been instructed to restrict the diet to low-purine foods. Which food should the nurse instruct the client to avoid while taking this medication?

Scallops

A licensed practical nurse (LPN) is told that baclofen (Lioresal) is prescribed for an assigned client. The LPN questions the registered nurse about the health care provider's prescription if which condition is noted on the client problem list?

Seizure Disorder

The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the health care provider?

Seizure Disorders

A client is receiving baclofen (Lioresal) for muscle spasms caused by a spinal cord injury. The nurse monitors the client, knowing that which is a side effect of this medication?

Slurred speech

A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initialinstruction should the nurse reinforce to the client?

Swallow the tablets with large amounts of water of milk

Alendronate (Fosamax) is prescribed for a client with osteoporosis. The nurse should reinforce instructing the client taking this medication to do which?

Take the medication with a full glass of water after rising in the morning

Alendronate (Fosamax) is prescribed for a client with osteoporosis and the nurse is providing instructions on administration of the medication. Which instruction should the nurse reinforce?

Take the medications with a full glass of water after rising in the morning.

The client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept, it is most important for the nurse to collect which data?

The white blood cell counts and platelet counts

A client has been started on cyclobenzaprine (Flexeril) for the management of muscle spasms in the cervical spine. The client is experiencing drowsiness, dizziness, and dry mouth. The nurse interprets these signs/symptoms as which response?

These are the common side effects of this medication

A client with osteoarthritis is receiving diclofenac sodium (Voltaren). The licensed practical nurse (LPN) reviewing the client's medication prescription sheet should verify the prescription with the registered nurse (RN) if which other medication is listed?

Warfarin (Coumadin)

The nurse is providing care to a client diagnosed with multiple sclerosis and prescribed baclofen (Lioresal). Which information should the nurse plan to reinforce in the client instructions?

Watch for urinary retention as a side effect.

A client has been taking indomethacin (Indocin) for gout and experiencing side/adverse effects. Which assessment should the nurse expect the health care provider to prescribe?

Checking for occult blood

A client with rheumatoid arthritis has been taking aspirin (acetylsalicylic acid [ASA]) more frequently than prescribed because the arthritis has been causing more discomfort than usual. The client complains of joint pain and has an elevated temperature. The nurse is concerned about the possibility of aspirin toxicity and asks the client which question that may confirm this suspicion?

Do you have ringing in your ears?

A licensed practical nurse (LPN) is reviewing laboratory results for a client taking dantrolene sodium (Dantrium). The LPN should suggest that the registered nurse notify the health care provider if which finding is noted on the laboratory report sheet?

Lactate dehydrogenase (LDH) 600 units/L

In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which findings should the nurse interpret as acceptable responses? Select all that apply.

1,2,3,4 1. Symptoms control during periods of emotional stress 2. Normal white blood cell, platelet, and neutrophil counts 3. Radiological findings that show non progression of joint degeneration 4. An increased range of motion in the affected joints 3 months into therapy.

Auranofin (Ridaura) has been prescribed for a client with rheumatoid arthritis. The nurse who is collecting data 2 weeks later interprets that the client may be experiencing the signs of medication toxicity based on what data collection findings? Select all that apply

2,3,4,5 2. Observes several mouth lesions 3. Notes a rash noted on trunk and neck 4. Reports a metallic taste in the mouth 5. Notes purplish blotches on the skin

Dantrolene sodium (Dantrium) is prescribed for a client experiencing flexor spasms, and the client asks the nurse about the action of the medication. The nurse responds knowing that which is the therapeutic action of this medication?

Acts directly on the skeletal muscle to relieve spasticity

A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which data would indicate that the client is experiencing a side effect related to this medication?

Drowsiness

A licensed practical nurse (LPN) is reviewing the medical record of a newly assigned client and notes that the client is receiving cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasms. The LPN questions the prescription if which disorder is noted in the admission history?

Angle-closure glaucoma

A health care provider is planning to administer a skeletal muscle relaxant to a client with a spinal cord injury. The medication is going to be administered intrathecally. Which medication should the nurse expect to be prescribed and administered by this route?

Baclofen (Lioresal)

A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which data would indicate to the nurse that the client is experiencing toxicity related to the medication?

Complaints of a metallic taste in the mouth

The nurse is caring for a client with Paget's disease of the bone. The nurse understands that the client is receiving calcitonin (Cibacalcin) to produce which effect?

Decrease bone reabsorption.

A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client should look for which outcome to indicate a primarytherapeutic response from the medication?

Decreased muscle spasms

Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse evaluates that the medication is having the intended effect if which finding is noted in the client?

Decreased muscle spasms

The nurse reviews the medication history of a client admitted to the hospital and notes that the client is taking leflunomide (Arava). During data collection, the nurse asks which question to determine medication effectiveness

Do you have any joint pain?

The nurse is monitoring a client receiving baclofen for side effects related to the medication. Which should indicate that the client is experiencing a side effect?

Dowsiness

A client with a history of spinal cord injury is beginning medication therapy with baclofen (Lioresal). The nurse who is providing medication information should caution the client about which side effect of this medication?

Drowsiness

A client with a history of spinal cord injury is receiving baclofen (Lioresal) for muscle spasms. The nurse determines that the client is experiencing a side effect of this medication if the client experiences which sign/symptom?

Drowsiness

Cyclobenzaprine (Flexeril) is prescribed for a client to treat muscle spasms, and the nurse is reviewing the client's record. Which disorder would indicate a need to contact the health care provider regarding the administration of this medication?

Glaucoma

A client receives a prescription for methocarbamol (Robaxin), and the nurse reinforces instructions to the client regarding the medication. Which client statement should indicate a need for further teaching?

If my vision becomes blurred, I don't need to be concerned about it

A client with multiple sclerosis is receiving diazepam (Valium), and the home care nurse reinforces instructions to the client regarding the side effects of the medication. The nurse tells the client that which is a side effect of this medication?

Incoordination

A client experiencing spasticity because of a spinal cord injury has been prescribed dantrolene (Dantrium). Before administering the first dose, the nurse checks to see whether which baseline study has been done?

Liver function

The nurse is administering alendronate (Fosamax) to a client. Which nursing intervention is most important for the nurse to consider when giving this medication?

Make sure the client remains upright for 30 minutes after taking the medication.

The nurse notes that meloxicam (Mobic) is prescribed for a client. The nurse anticipates the client to have which diagnosis?

Osteoarthritis

An older client with rheumatoid arthritis has been instructed by the health care provider to take ibuprofen (Motrin IB) 300 mg orally 4 times daily. How would the nurse reading the medication prescription interpret the prescribed dosage?

The normal adult dosage

The client has been on treatment for rheumatoid arthritis for 3 weeks. Which is most important for the nurse to check during the administration of etanercept (Enbrel)?

The white blood cell counts and platelet counts

The nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms; the health care provider has prescribed 350 mg to be administered 4 times a day. The nurse reviews the medication and determines what about the dosage?

This is the normal adult dosage

A client is admitted to the hospital with complaints of back spasms. The client states, "I have been taking 2 or 3 aspirin every 4 hours for the past week, and it hasn't helped my back." Aspirin intoxication is suspected. Which complaint would indicate aspirin intoxication?

Tinnitus

A client is taking large doses of acetylsalicylic acid (aspirin) for rheumatoid arthritis. The nurse tells the client to report which signs and symptoms of ototoxicity?

Tinnitus, hearing loss, dizziness, ataxia

A client has been prescribed cyclobenzaprine (Flexeril) in the treatment of painful muscle spasms accompanying a herniated intervertebral disk. The nurse should withhold the medication and question the prescription if the client has concurrent prescriptions of which medication?

Tranycypromine (Parnate)

A client has been prescribed cyclobenzaprine (Flexeril) in the treatment of painful muscle spasms accompanying a herniated intervertebral disk. The nurse should withhold the medication and question the prescription if the client had which concurrent prescriptions to take?

Tranylcypromine (Parnate)

A client with acute muscle spasms has been taking baclofen. The client calls the clinic nurse because of continuous feelings of weakness and fatigue and asks the nurse about discontinuing the medication. The nurse should make which appropriate response to the client?

Weakness and fatigue commonly occur and will diminish with continued medication use.

A client is being given a transcutaneous electrical nerve stimulation (TENS) unit to use for relief of chronic pain. Which instructions should the nurse reinforce to the client about the TENS unit? Select all that apply

1,3,4,5,6 1. Using this unit will help relieve the pain. 3. The unit works after attaching electrodes to the skin. 4. The unit needs to be prescribed by the health car provider. 5. The unit will decrease the amount of pain medication needed. 6. The electrodes attached to the unit are placed on the skin around the area of pain

The nurse prepares to reinforce instructions to a client who is taking allopurinol (Zyloprim). The nurse should include which instruction in the plan?

Instruct the client to drink 3000mL of fluid per day.

The nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The nurse determines that the medication is effectiveif the client reports a decrease in which?

Joint Inflammation

Colcrys (colchicine) is prescribed for a client with a diagnosis of gout. The nurse reviews the client's medical history in the health record, knowing that the medication would be contraindicated in which disorder?

Renal failure