Pharmacology: Musculoskeletal NCLEX
Carisoprodol is been prescribed for a client to relieve muscle spasms. The client is being discharged and the nurse is instructing the client and family about the medication. What comment by the client indicates a need for further teaching?
"I'm glad there are no withdrawal problems when I stop this medication"
A client receives a prescription for methocarbamol, 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."
The nurse notes that meloxicam is prescribed for a client. The nurs knows that what are specific actions of this medication?
-analgesic -antiphyretic -anti-inflammatory
The nurse is caring for a client with muscle spasticity characterized by heightened muscle tone, spasm and loss of dexterity caused by MS. Which centrally acting skeletal muscle relaxants might be prescribed for this client?
-baclofen -diazepam -dantrolene
During the monitoring of a client's response to disease-modifying Antirheumatic drugs, which findings should the nurse interpret as acceptable responses?
-symptom control during periods of emotional stress -normal white blood cell, platelet and neutrophil counts -radiological findings that show non progression of joint degeneration -an increased range of motion in the affected joints 3 months into therapy
A client is being given a TENS unit to use for relief of chronic pain. Which instructions should the nurse reinforce to the client about the TENS unit?
-using this unit will help relive the pain -the unit works after attaching electrodes to the skin -the unit needs to be prescribed by the primary health care provider -the unit will decrease the amount of pain medication needed -the electrodes attached to the unit are placed on the skin around the area of pain
A client is receiving a maintenance dose of oral dantrolene sodium for the treatment of spasticity. The nurse reviews the medication record, expecting which dose to be prescribed?
100 mg twice daily
A primary health care provider instructs a client with rheumatoid arthritis to take ibuprofen. The nurse reinforces the instructions, knowing that the normal adult dose for this client is which?
400 mg orally 3 times a day
Allopurinol has been prescribed for a client with chronic tophaceous gout. The nurse explains to the client that what condition can occur during the first few months of treatment?
Acute gouty arthritis
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?
Drowsiness
The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should be included in the teaching plan?
Avoid the use of alcohol.
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 primary 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 would the nurse expect to be prescribed and administered by this route?
Baclofen
A client has been taking indomethacin for gout and experiencing side/adverse effects. Which assessment should the nurse expect the primary health care provider to prescribe?
Checking for occult blood
A client with multiple sclerosis is receiving diazepam, 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
The nurse prepares to reinforce instructions to a client who is taking allopurinol. The nurse should include which instruction in the pain?
Instruct the client to drink 3000 mL of fluid per day
A licensed practical nurse (LPN) is reviewing laboratory results for a client taking dantrolene sodium. The LPN should suggest that the registered nurse notify the primary health care provider if which finding is noted on the laboratory report sheet?
Lactate dehydrogenase (LDH) 600 units/L
The client has been taking medication 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 and platelet counts
The client has been on treatment for rheumatoid arthritis for 3 weeks. Which is the most important for the nurse to check during the administration of etanercept?
The white blood cell counts and platelet counts
A client has been started on cyclobenzaprine 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 has been prescribed cyclobenzaprine 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
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 diagnosed with rheumatoid arthritis (RA) has been started on medication therapy with hydroxychloroquine. The nurse reinforces teaching with this client regarding the MOST serious adverse effect of this medication?
Retinal damage
The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the primary health care provider?
Seizure disorder
Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions for the administration of the medication. Which instruction should the nurse reinforce?
Take the medication with a full glass of water after rising in the morning.
