unit 14

A client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). Which represents a safe maintenance dose for this medication? 1. 15 mg four times daily 2. 25 mg four times daily 3. 30 mg four times daily 4. 40 mg four times daily

1. 15 mg four times daily

The nurse is providing medication instructions to a client with multiple sclerosis receiving baclofen. 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 primary health care provider if fatigue occurs.

1. Watch for urinary retention as a side effect.

A client with a history of spinal cord injury is beginning medication therapy with baclofen. The nurse determines that the client understands the side/adverse 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 nurse is preparing discharge instructions for a client who sustained a skeletal muscle injury and is 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 primary health care provider (PHCP) if fatigue occurs.

2. Avoid the use of alcohol.

The nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse should suspect that the client has suddenly discontinued taking which prescribed medication? 1. Sertraline 2. Diazepam 3. Fluoxetine 4.Haloperidol

2. Diazepam

The client is given medication instructions for maintenance therapy for oral dantrolene sodium for the treatment of spasticity. Which client statement indicates understanding of the instructions? 1."I will take 50 mg once a day." 2."I will take 100 mg twice a day." 3."I will take 100 mg of this medication once a day." 4."I will take 200 mg of this medication 4 times a day."

2."I will take 100 mg twice a day."

The nurse is giving medication instructions to a client who is receiving dantrolene sodium. Which statement by the client indicates that the educational session was effective? 1."This medication helps by depressing spinal reflexes." 2."This medication acts on the central nervous system to suppress spasms." 3."This medication acts directly on the skeletal muscle to relieve spasticity." 4."This medication acts within the spinal cord to suppress hyperactive reflexes."

3. "This medication acts directly on the skeletal muscle to relieve spasticity."

Dantrolene sodium has been administered to a client with a spinal cord injury. The nurse determines that the client is experiencing a side or adverse effect of the medication if which is noted? 1.Dizziness 2.Drowsiness 3.Abdominal pain 4.Lightheadedness

3.Abdominal pain

Dantrolene sodium is prescribed for the client experiencing flexor spasms. The client asks the nurse how the medication is going to help. The nurse replies that this medication acts in which way? 1.Depresses the spinal reflexes causing the spasms 2.Acts on the central nervous system to suppress spasms 3.Acts directly on the skeletal muscle to relieve the spasms 4.Acts within the spinal cord to suppress excess reflex activity

3.Acts directly on the skeletal muscle to relieve the spasms

Dantrolene is prescribed for a client with spinal cord injury for discomfort caused by spasticity. Which finding would alert the nurse to a potential adverse effect associated with this medication? 1.Headache 2.Blurred vision 3.Elevated temperature 4.Abdominal distention

3.Elevated temperature

The nurse asks a nursing student about the uses of the medication dantrolene. The nursing student correctly states that dantrolene is used to manage hypermetabolism of skeletal muscle that occurs in which condition? 1.Low back pain 2.General anesthesia 3.Malignant hyperthermia 4.Hyperplasia of the prostate

3.Malignant hyperthermia

A client is receiving baclofen 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

What is the most serious risk associated with the use of benzodiazepine? 1.Headache 2.Vomiting 3.Skin rashes 4.Dependence

4. Dependence

A client experiencing spasticity as a result of spinal cord injury has a new prescription for dantrolene. Before administering the first dose, the nurse checks to see if which baseline study has been done? 1. Liver function studies 2.Renal function studies 3.Otoscopic examination 4.Blood glucose measurements

ANS: 1. Liver function studies

Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. 1. Obtain an intravenous (IV) infusion pump 2. Monitor urine output during administration. 3. Prepare the medication for bolus administration. 4.Monitor the IV site for signs of infiltration or phlebitis. 5. Ensure that the medication is diluted in the appropriate volume of fluid. 6. Ensure that the bag is labeled so that it reads the volume of potassium in the solution.

ANS: 1. Obtain an intravenous (IV) infusion pump 2. Monitor urine output during administration. 4.Monitor the IV site for signs of infiltration or phlebitis. 5. Ensure that the medication is diluted in the appropriate volume of fluid. 6. Ensure that the bag is labeled so that it reads the volume of potassium in the solution.

The primary 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. Which medication should the nurse expect to be prescribed and administered by this route? 1.Baclofen 2.Chlorzoxazone 3.Dantrolene sodium 4.Cyclobenzaprine hydrochloride

ANS: 1. Baclofen

The nurse is reviewing laboratory results for a client taking dantrolene sodium. The nurse should notify the primary health care provider if which finding is noted on the laboratory report sheet? 1.Creatinine level 0.6 mg/dL (53 mcmol/L) 2.Platelet count 290,000 mm3 (290 × 109/L) 3.Alanine aminotransferase (ALT) 96 U/L (96 U/L) 4.Blood urea nitrogen level 10 mg/dL (3.6 mmol/L)

ANS: 3. Alanine aminotransferase (ALT) 96 U/L (96 U/L)

Baclofen 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

ANS: 3. Decreased muscle spasms