Pharmacology

A client with muscle spasms in the lumbar area of the spine has been started on cyclobenzaprine (Flexeril). The nurse should monitor for which most frequent side effect of the medication? 1. Weakness 2. Confusion 3. Excitability 4. Drowsiness

4. Drowsiness

A client with a history of spinal cord injury is beginning medication therapy with baclofen (Lioresal). The nurse determines that the client understands the side effects of the medication if the client makes which statement? 1. "The medication may make me drowsy." 2. "The medication can cause high blood pressure." 3. "The medication may cause me to have some muscle pain." 4. "The medication may increase my sensitivity to bright light."

1. "The medication may make me drowsy."

The health care provider is planning to administer a skeletal muscle relaxant to a client with a spinal cord injury. The medication will be administered intrathecally (within the spinal column). Which medication should the nurse expect to be prescribed and administered by this route? 1. Baclofen (Lioresal) 2. Chlorzoxazone (Parafon Forte) 3. Dantrolene sodium (Dantrium) 4. Cyclobenzaprine hydrochloride (Amrix)

1. Baclofen (Lioresal)

A client with a new medication prescription for allopurinol (Zyloprim) asks the nurse, "I know this is for gout, but how does it work?" In formulating a response, the nurse understands that which is the action of allopurinol? 1. Decreases uric acid production 2. Reduces the production of fibrinogen 3. Lowers the risk of sulfa crystal formation in the urine 4. Prevents influx of calcium ions during cell depolarization

1. Decreases uric acid production

Allopurinol (Zyloprim) is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? 1. Drink 3000 mL of fluid a day. 2. Take the medication on an empty stomach. 3. The effect of the medication will occur immediately. 4. Any swelling of the lips is a normal expected response.

1. Drink 3000 mL of fluid a day.

A client with gout has begun to take allopurinol (Zyloprim). The home health nurse provides which instruction to the client when using the medication? 1. Drink at least 8 glasses of fluid every day. 2. Take the medication one hour before eating. 3. Put ice on the upper and lower lips if they swell. 4. Use an antihistamine lotion if an itchy rash develops.

1. Drink at least 8 glasses of fluid every day.

Cyclobenzaprine hydrochloride (Flexeril) is prescribed for a client for muscle spasms and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the health care provider about the administration of this medication? 1. Glaucoma 2. Emphysema 3. Hypothyroidism 4. Diabetes mellitus

1. Glaucoma

The nurse gives a dose of diazepam (Valium) to an assigned client. What is the most important action to be taken by the nurse before leaving the room? 1. Instituting safety measures 2. Closing the curtains in the room 3. Lowering the volume on the television set 4. Giving the client the remote control for the television set

1. Instituting safety measures

A nurse is teaching a client who will be discharged on alendronate (Fosamax) about the medication. Which should be included in the teaching plan? Select all that apply. 1. Take the medication at the same time. 2. Report musculoskeletal pain immediately. 3. Take the medication on an empty stomach. 4. Consume coffee when taking the medication. 5. Remain upright for 30 minutes following ingestion.

1. Take the medication at the same time.3. Take the medication on an empty stomach.5. Remain upright for 30 minutes following ingestion.

The nurse is providing medication instructions to a client with multiple sclerosis receiving baclofen (Lioresal). Which information should the nurse include in the instructions? 1. Watch for urinary retention as a side effect. 2. Stop taking the medication if diarrhea occurs. 3. Restrict fluid intake while taking this medication. 4. Notify the health care provider (HCP) if fatigue occurs.

1. Watch for urinary retention as a side effect.

A client tentatively diagnosed with gout has received a prescription for colchicine. The nurse understands that colchicine is which type of medication? 1. Analgesic that relieves pain 2. Anti-inflammatory agent specific for gout 3. Nonsteroidal anti-inflammatory drug (NSAID) 4. Osmotic diuretic that facilitates the removal of uric acid

2. Anti-inflammatory agent specific for gout

The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should be included in the teaching plan? 1. Restrict fluid intake. 2. Avoid the use of alcohol. 3. Stop the medication if diarrhea occurs. 4. Notify the health care provider (HCP) if fatigue occurs.

2. Avoid the use of alcohol.

A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which finding, if noted during the nursing assessment, would indicate that the client is experiencing a side effect of this medication? 1. Headache 2. Drowsiness 3. Urinary retention 4. Increased salivation

2. Drowsiness

Colchicine (Colcrys) is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? 1. Myxedema 2. Kidney disease 3. Hypothyroidism 4. Diabetes mellitus

2. Kidney disease

A client newly diagnosed with gout has been prescribed allopurinol (Zyloprim). The nurse would be concerned if the client was also currently taking which medication? 1. Digoxin (Lanoxin) 2. Warfarin (Coumadin) 3. Adenosine (Adenocard) 4. Ergonovine maleate (Ergotrate)

2. Warfarin (Coumadin)

A client has been administered cyclobenzaprine (Flexeril) for the management of muscle spasms in the cervical spine. The client is experiencing drowsiness, dizziness, and dry mouth. How should the nurse interpret these findings?1. Represent an allergic reaction to the medication 2. Are related to the problem with the cervical spine 3. Are the most common side effects of this medication 4. Are dose related, so the client should cut the medication dose in half

3. Are the most common side effects of this medication

Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse determines that the medication is having the intended effect if which finding is noted in the client? 1. Increased muscle tone 2. Increased range of motion 3. Decreased muscle spasms 4. Decreased local pain and tenderness

3. Decreased muscle spasms

A client is receiving baclofen (Lioresal) for muscle spasms because of a spinal cord injury. Which side/adverse effect related to this medication should the nurse monitor the client for? 1. Muscle pain 2. Hypertension 3. Slurred speech 4. Photosensitivity

3. Slurred speech

A nurse 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 nurse questions the prescription if which disorder is noted in the admission history? 1. Hypothyroidism 2. Chronic bronchitis 3. Recurrent pneumonia 4. Angle-closure glaucoma

4. Angle-closure glaucoma

The home health nurse is reviewing medications with a client receiving colchicine for the treatment of gout. The nurse evaluates that the medication is effective if the client reports a decrease in which measure? 1. Headaches 2. Blood glucose 3. Blood pressure 4. Joint inflammation

4. Joint inflammation

The nurse notes that a client has been taking colchicine. The nurse assesses the client for which finding that is an indication for the use of this medication? 1. Double vision 2. Difficulty urinating 3. Migraine headaches 4. Joint inflammation and pain

4. Joint inflammation and pain

The home health nurse is providing dietary instructions to a client who is taking probenecid (Benemid) for the treatment of gout. Which food should the nurse instruct the client to continue to eat? 1. Liver 2. Shrimp 3. Scallops 4. Spinach

4. Spinach

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 provide? 1. Take the medication at bedtime. 2. Take the medication in the morning with breakfast. 3. Lie down for 30 minutes after taking the medication. 4. Take the medication with a full glass of water after rising in the morning.

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