NURS 6521 Midterm Exam (4 Versions, 400 Q & A, Latest- 2023) When developing a teaching plan for a client who is to receive carisoprodol, which sign or symptom would the nurse include as the most common adverse reaction? - ANSWER>> Drowsiness The nurse is caring for a client who is receiving cyclobenzaprine for relief of muscle spasms. What adverse effect should the nurse assess for? - ANSWER>> Drowsiness 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? - ANSWER>> Risk for Injury related to CNS depressant effects What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant? - ANSWER>> Do not drive or operate machinery until individual drug effects are known.A client who is experiencing lower back pain has been prescribed cyclobenzaprine. The nurse should provide what health education in order to ensure safe and effective treatment? - ANSWER>> "This will likely make you drowsy, so don't take it before doing anything that would require alertness." 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? - ANSWER>> The client has hepatitis C 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? - ANSWER>> Nausea and loss of appetite 1 / 3
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: - ANSWER>> avoid drinking alcohol for the duration of treatment.Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation? - ANSWER>> Baclofen 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? - ANSWER>> Drowsiness 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: - ANSWER>> hypotension.A nurse is working with a 39-year-old client who is experiencing muscle spasms associated with multiple sclerosis. The client reports needing help with basic care The client's health care provider has prescribed baclofen (Lioresal). The nurse and the client agree that an appropriate goal related to helping to maintain self-worth would be to: - ANSWER>> increase self-care in activities of daily living.A client in the clinic complains of depression (secondary to chronic back pain) and of not being able to "get around as good as I used to." The client has been prescribed a skeletal muscle relaxant. What is the nurse's most therapeutic response? - ANSWER>> "Therapy may take weeks or longer before you feel optimal relief." The nurse can determine that the client taking uric acid inhibitors is drinking enough fluids when which of the following occurs? - ANSWER>> The daily urine output is about two liters.Which of the following is an example of a bisphosphonate disease modifying antirheumatic drugs (DMARDs)? (Choose one) - ANSWER>> Hydroxychloroquine (Plaquenil) 2 / 3
A client reports that he uses an herbal product to treat his osteoarthritis. Which herbal product would the nurse most likely expect the client to use? - ANSWER>> Glucosamine A nurse is providing discharge teaching for a client who will be going home on cyclobenzaprine prescribed for acute musculoskeletal pain. What health education should the nurse provide? - ANSWER>> Avoid drinking any alcohol until the completion of treatment.The nurse is caring for a client taking antirheumatic drugs, which have caused dyspepsia. The nurse knows the client will exhibit which signs or symptoms? - ANSWER>> Fullness or epigastric discomfort.A client is taking allopurinol for gout. The client exhibits an "itchy" skin rash on the neck and both arms. What is the nurse's top priority action? - ANSWER>> Notify the healthcare provider.A client has been prescribed a subcutaneous medication to treat rheumatoid arthritis (RA). The nurse should teach the client to do which? - ANSWER>> Rotate sites when administering the injections.A 6-year-old child has been brought to the emergency department in apparent status asthmaticus. The care team recognizes the need to intubate the client, who is inconsolably agitated. The nurse should anticipate a STAT prescription for what medication? - ANSWER>> Succinylcholine 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? - ANSWER>> "The combination of baclofen and alcohol could depress your nervous system to a dangerous level." The nurse is administering quinidine to a client who is also taking digoxin. The nurse will assess this client for which most important adverse effect? - ANSWER>> -Increased digoxin level
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