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? Carisoprodol Cyclobenzaprine Baclofen Chlorzoxazone

Baclofen

A client asks the nurse about herbal therapies for osteoarthritis. What is the nurse's best response? "Most herbal therapies are deemed unsafe and their use is not recommended." "Glucosamine and chondroitin are generally well tolerated and not considered harmful." "Calcium and vitamin D are recommended in increased dosages." "Glucosamine is recommended in an injectable form for osteoarthritis."

"Glucosamine and chondroitin are generally well tolerated and not considered harmful."

A patient who is receiving chlorzoxazone reports that his urine is somewhat orange in color. Which response by the nurse would be most appropriate? "Your kidneys aren't properly getting rid of the drug." "We need to discontinue the drug immediately." "There must be some bleeding that is occurring somewhere." "This discoloration sometimes occurs with this drug."

"This discoloration sometimes occurs with this drug."

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

Avoid alcohol or other CNS depressants.

The client is taking cyclobenzaprine for muscle spasms secondary to an injury to the lumbar spine that occurred while lifting a motor at work. The client is being seen for a follow-up visit by the physician. The client reports dry mouth, blurred vision, and constipation. Why is the client having these side effects from cyclobenzaprine? Cyclobenzaprine produces an anticholinergic response, resulting in these side effects. Cyclobenzaprine acts in the peripheral nervous system, resulting in these side effects. Cyclobenzaprine has an effect at the neuromuscular junction, resulting in these side effects. Cyclobenzaprine is structurally similar to amitriptyline, resulting in these side effects.

Cyclobenzaprine produces an anticholinergic response, resulting in these side effects.

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

Dantrolene (Dantrium)

A patient is administered cyclobenzaprine (Flexeril). Which adverse effect can the nurse expect with this medication? Muscle spasms Insomnia Urinary incontinence Drowsiness

Drowsiness

Which is the most common adverse reaction to carisoprodol (Soma) that the nurse should discuss with the patient? Tachycardia Dyspnea Drowsiness Hypertension

Drowsiness

A patient is taking tizanidine (Zanaflex) to treat spasticity from multiple sclerosis. Which adverse effect of muscle relaxants is most pronounced with this medication? Hypotension Dark black urine Excessive salivation Eczema

Hypotension

For which patient would cyclobenzaprine not be prescribed for muscle spasms? The patient who underwent a lumbar laminectomy and is having back spasms The patient who is having muscle spasms because of cerebral palsy The patient who is having muscle spasms in the left leg after a fracture The patient who strained a quadriceps muscle playing baseball

The patient who is having muscle spasms because of cerebral palsy

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? When close supervision is available for monitoring drug effects When the spasms cause uncontrolled pain When the client needs to be alert during pain management During school hours to increase alertness and management of spasms

When close supervision is available for monitoring drug effects

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

Baclofen (Lioresal)

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

Dantrolene

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

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

Muscle spasms are thought to arise from the flood of sensory impulses coming to the spinal cord from an injured area. T/F?

True

Spinal reflexes are the simplest nerve pathways that monitor movement and posture. T/F?

True