Chapter 25: Muscle Relaxants #5

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? Uncontrolled hypertension Malignant hyperthermia Myocardial ischemia Cerebrovascular accident

Malignant hyperthermia

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? Titer the dose Reduce the dose Increase the dose Maintain the current dose

Reduce the dose

A patient receives intrathecal baclofen at 10 AM. The nurse would expect to see the maximum effect of this drug at approximately what time? 5 PM 12 PM 7 PM 3 PM

3 PM

Which instruction should the nurse specifically stress when administering drugs used for muscle spasm and cramping? Avoid alcohol or other CNS depressants. Stay upright for 30 minutes after taking the drugs. Take the drug with 6 to 8 oz of water. Take the drug with food. SUBMIT ANSWER

Avoid alcohol or other CNS depressants.

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 is structurally similar to amitriptyline Cyclobenzaprine has an effect at the neuromuscular junction Cyclobenzaprine produces an anticholinergic response Cyclobenzaprine acts in the peripheral nervous system

Cyclobenzaprine produces an anticholinergic response

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 severity and duration of exacerbations Increased muscle strength Decreased muscle spasms Reduction in the appearance of new lesions in magnetic resonance imaging (MRI) studies

Decreased muscle spasms

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 Ineffective Airway Clearance related to increased secretions and decreased lung function Risk for Impaired Swallowing related to adverse neuromuscular effects Risk for Sexual Dysfunction related to endocrine changes Risk for Injury related to CNS depression

Risk for Injury related to CNS depression

A client with a spinal cord injury is experiencing increasing muscle spasticity and the care team is considering the use of dantrolene. The nurse should identify what possible contraindication to the safe and effective use of this medication? The client has hepatitis C The client has a sacral pressure ulcer The client's injury took place less than three months ago The client is receiving a selective serotonin reuptake inhibitor for depression

The client has hepatitis C

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." "This will likely relieve your muscle spasms but you'll probably develop a certain amount of dependence on the drug over time." "There's a small risk that you might experience some hallucinations in the first few days that you begin taking this drug." "We'll need to closely monitor your blood sugar levels for the next week."

"You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity."