Chapter 25

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.

he nurse is providing education to a client who has been prescribed tizanidine. What adverse effect should the nurse mention during teaching?

Hypotension

A client with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered?

Baclofen

During surgery to repair a ruptured Achilles tendon, the client develops severe muscle contractions and a dramatic rise in body temperature. Which medication will be administered?

Dantrolene sodium

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 amyotrophic lateral sclerosis is experiencing muscle spasticity. Which drug would the nurse expect the physician to order?

Dantrolene

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

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

Signs and symptoms of what would necessitate discontinuation of dantrolene therapy?

Hepatic dysfunction

igns and symptoms of what would necessitate discontinuation of dantrolene therapy?

Hepatic dysfunction

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."

An older adult is prescribed a skeletal muscle relaxant for reports of neck pain. What is the top priority of care for the nurse to teach the family?

Monitor the client before ambulating.

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.

An older adult client is to receive a centrally acting skeletal muscle relaxant. Which muscle relaxant would the nurse expect to be prescribed?

carisoprodol

The nurse is assessing a client for possible risk factors for the development of hepatotoxicity with the use of dantrolene. What situation(s) would the nurse identify as requiring cautious use of the drug?

female gender

The nurse instructs a client prescribed the muscle relaxant baclofen that the medication should be tapered slowly to prevent which adverse effect?

hallucinations

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

The client is taking baclofen. What would be the most important safety instruction for the nurse to give to this client?

Discontinue the use of alcohol.

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 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."

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 with multiple sclerosis is experiencing painful muscle spasticity and has been prescribed a centrally acting skeletal muscle relaxant. What should the nurse include in the client's plan of care?

Implement non-pharmacologic pain relief measures as needed.

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."

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 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 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."

A surgical client has developed malignant hyperthermia. Which medication can be used to treat this health emergency?

dantrolene

A nurse should review a client's medical conditions prior to administering a dantrolene as its use is contraindicated in clients with which condition(s)? Select all that apply.

hepatic disease lactation