pharm
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?
Drowsiness
A nurse is caring for a patient who is receiving cyclobenzaprine. Which of is the action of the drug on the patient?
Reduction of muscle spasm
A nurse is preparing a teaching plan for a client who is to receive botulinum toxin type A for frown lines. What adverse effect(s) should the nurse inform the client could possibly occur? Select all that apply.
headache respiratory infections drooping eyelids
The nurse is caring for a client who is receiving cyclobenzaprine for relief of muscle spasms. What adverse effect should the nurse assess for?
Drowsiness
A 40-year-old female client with myasthenia gravis has been prescribed dantrolene. The nurse has taught the client about the risks of liver toxicity associated with the medication and should teach the client to self-monitor for what early indications?
Nausea and loss of appetite
A client has been prescribed cyclobenzaprine for the treatment of muscle spasticity due to injury. The client asks if it is safe to take ibuprofen while taking cyclobenzaprine. What should the nurse teach the client?
"Check with your care provider, but it's likely not a problem."
A nurse is teaching a client about musculoskeletal medication that has been prescribed. The client needs further teaching about the medication when making which statements?
"I take my medicine with three to four beers each evening."
A client has told the nurse that she has been invited to a work colleague's house where she and some of her peers will be able to receive Botox injections. What is the nurse's best response?
"It's safest to have these injections performed under medical supervision."
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."
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."
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."
A patient who is receiving chlorzoxazone reports that his urine is somewhat orange in color. Which response by the nurse would be most appropriate?
"This discoloration sometimes occurs with this drug."
A client with a lower back injury was recently prescribed chlorzoxazone 250 mg PO t.i.d. The client has phoned the clinic, telling the nurse, "My pain's better, but I'm worried that my bladder is bleeding because there's been blood in my urine." What is the nurse's best response"
"This drug causes your urine to change color, so it's not likely blood that you're seeing."
Patient should be cautioned to avoid which when taking skeletal muscle relaxants?
Alcohol
Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation?
Baclofen
Which instruction should the nurse specifically stress when administering drugs used for muscle spasm and cramping?
Avoid alcohol or other CNS depressants.
A client with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered?
Baclofen
Which skeletal muscle relaxant is also available in intrathecal form?
Baclofen (Lioresal)
The extra pyramidal tract is made up of cells from which areas?
Cerebral cortex
A nurse should administer skeletal muscle relaxants cautiously and monitor a client closely if they have which medical conditions? (Select all that apply.)
Cerebrovascular accident Epilepsy Pregnancy Parkinsonism
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 health care provider. The client reports dry mouth, blurred vision, and constipation. Why is the client having these side effects from cyclobenzaprine?
Cyclobenzaprine produces an anticholinergic response
A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer?
Dantrolene
A client with amyotrophic lateral sclerosis is experiencing muscle spasticity. Which drug would the nurse expect the physician to order?
Dantrolene
Which medication is classified as an antianxiety medication but is also used to treat muscle spasms?
Diazepam (Valium)
A 28-year-old client has been experiencing muscle spasms in the neck from a four-wheeler accident. The client is receiving 10 mg of cyclobenzaprine PO tid. The nurse's teaching plan should include which instruction?
Do not drive or operate heavy machinery for the first week.
What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant?
Do not drive or operate machinery until individual drug effects are known.
A nurse administers carisoprodol to a client for the treatment of an acute musculoskeletal condition. The nurse would be alert for which adverse effect after administering the drug?
Drowsiness
The nurse is providing education to a client who has been prescribed tizanidine. What adverse effect should the nurse mention during teaching?
Hypotension
A client comes to the health care provider's office. The client is to receive botulinum toxin. What, if assessed, would suggest to the nurse that the drug administration should be postponed?
Infection at the intended site of administration
An operating room nurse is assisting the anesthesiologist in the preparation of an intravenous dose of dantrolene. What emergent issue most likely prompted the need to give the patient dantrolene?
Malignant hyperthermia
A patient comes to the clinic for a botox injection around her eyes. While making an assessment, the nurse finds that the patient is taking polymyxin for an infection. What would the nurse do first?
Notify the physician.
A 40-year-old client with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize for the nursing care plan for this client?
Risk for Injury related to CNS depressant effects
A 29-year-old client who experienced a lower back injury has seen his range of motion decrease and his pain increase over the past several weeks. As a result, he has been prescribed cyclobenzaprine. What nursing diagnosis should the nurse prioritize in light of the client's drug regimen?
Risk for Injury related to CNS depression
When does a client with spinal cord injury-associated spasticity require treatment for this condition?
Safety, mobility, and activities of daily living are impaired.
A 60 year-old female client has multiple sclerosis accompanied by muscle spasticity. The client has responded well to dantrolene 200 mg PO daily in divided doses. What assessment finding should the nurse prioritize for communication to the client's provider?
The client's most recent laboratory results show an upward trend in AST and ALT levels
Muscle spasms are thought to arise from the flood of sensory impulses coming to the spinal cord from an injured area.
True
A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which instruction?
Wear appropriate clothing and sunscreen whenever he is in direct sunlight.
A surgical client has developed malignant hyperthermia. Which medication can be used to treat this health emergency?
dantrolene
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:
avoid drinking alcohol for the duration of treatment.
An older adult client is to receive a centrally acting skeletal muscle relaxant. Which muscle relaxant would the nurse expect to be prescribed?
carisoprodol
Dantrolene should be avoided in all patients who are 35 or older because of the increased risk of:
hepatocellular disease.
A 32-year-old female client is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the client and her husband that the adverse effect that poses the greatest safety risk to the client is:
hypotension.
A child experiencing muscle spasticity is prescribed onabotulinumtoxinaA. What assessment should the nurse identify as being the priority?
respiratory
Spinal reflexes are the simplest nerve pathways that monitor movement and posture.
True
Signs and symptoms of what would necessitate discontinuation of dantrolene therapy?
Hepatic dysfunction
A client has been prescribed baclofen and will be taking the drug on an outpatient basis. The client asks the nurse if it is still okay to drink wine with meals or end the day with a "nightcap." What is the nurse's best response?
"The combination of baclofen and alcohol could depress your nervous system to a dangerous level."
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?
"You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity."
What client is using his or her pyramidal tract to the largest extent?
A client who is filling out the dietary preferences card for the next day
The nurse is providing education to a client who has been prescribed dantrolene. What serious adverse effect should the nurse mention during teaching?
Hepatitis
A male client routinely takes baclofen as a skeletal muscle relaxant for a neuromuscular disorder. His last lab results indicate that he is experiencing renal insufficiency. Based on these data, what would the nurse expect the health care provider to do?
Reduce the dose
A client has been admitted to the unit for treatment of a multiple sclerosis exacerbation. The admission order indicates that the client is taking baclofen. Which outcome would the nurse expect to be associated with use of this medication?
Decreased muscle spasms