Chapter 25: Muscle Relaxants
As a result of a bicycle accident two years ago, an 11 year-old client has a spinal cord injury. In recent months, the client's muscle spasms have worsened and the client has been prescribed dantrolene for the first time at a dose of 0.5 mg/kg PO b.i.d. The client weighs 110 lbs. How many 25-mg capsules should the client receive each day?
2
Which instruction should the nurse specifically stress when administering drugs used for muscle spasm and cramping? Take the drug with 6 to 8 oz of water. Stay upright for 30 minutes after taking the drugs. Take the drug with food. Avoid alcohol or other CNS depressants.
Avoid alcohol or other CNS depressants.
What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant? Drink eight to 10 glasses of water daily to prevent constipation. Always take this medication with food to prevent nausea and vomiting. Do not drive or operate machinery until individual drug effects are known. Report increased muscle spasm to the health care provider immediately.
Do not drive or operate machinery until individual drug effects are known.
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." "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."
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." "You'll find that your muscles will get progressively stronger over the next several weeks." "Take an over-the-counter laxative so that you don't get constipated."
"Make sure to see your health care provider promptly if you develop yellowish skin or eyes."
A patient has been prescribed methocarbamol for fibromyalgia. The nurse has spent an hour educating the patient on the use of methocarbamol for muscle pain. Which statement by the patient indicates that the patient has an understanding of at least one of the significant side effects of methocarbamol? "My urine could be discolored while I take this drug." "I should have lots of energy while taking this drug." "This drug will help my tension headaches." "I will probably have diarrhea while taking this drug."
"My urine could be discolored while I take this drug."
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 Methocarbamol Baclofen
Dantrolene
When developing a teaching plan for a client who is to receive carisoprodol, which sign or symptom would the nurse include as a common adverse reaction? Dyspnea Tachycardia Hypertension Drowsiness
Drowsiness
A client with muscle spasticity has been prescribed baclofen. In order to promote the safe use of this medication, the nurse should encourage the client to: increase intake of foods that are high in potassium. avoid eating grapefruit or drinking grapefruit juice until treatment is discontinued. avoid drinking alcohol for the duration of treatment. increase fluid intake and self-monitor for decreased urine output.
avoid drinking alcohol for the duration of treatment.
Spinal reflexes are the simplest nerve pathways that monitor movement and posture. False True
true