Deck 4: Pharmacotherapy of Muscle Spasms and Spasticity

Question 1

A client is going to physical therapy to reduce muscle spasms related to a bulging disc L4-L5. The client is prescribed methocarbamol (Robaxin) for the muscle spasms prior to each physical therapy session. Which instruction should the nurse review with the client?

A) Long-term use can lead to dependence.
B) Do not take the medication with grapefruit juice or grapefruit.
C) The medication can lead to gastric ulcers.
D) Plan on getting a driver for the physical therapy sessions.

Answer 1

D

Question 2

The nurse is discharging an older adult client who was hospitalized after a muscle strain injury to his back. One of the discharge prescriptions for this client is cyclobenzaprine (Flexeril) 10 mg three times per day with food. The prescription is written for 90 tablets and there are three refills available. Which information from this situation would alert the nurse for the need to collaborate with the client's healthcare provider?
Select all that apply.

A) The dosage amount is too low for the type of injury this client sustained.
B) Cyclobenzaprine should be used with great caution in those over age 65.
C) If taken as directed, the client would be able to take the medication for 120 days.
D) Cyclobenzaprine is not effective for back pain.
E) Cyclobenzaprine should not be taken with food.

Answer 2

Cyclobenzaprine should be used with great caution in those over age 65.
If taken as directed, the client would be able to take the medication for 120 days.

Question 3

The client is prescribed collagenase (Xiaflex) for Dupuytren's contracture. When developing this client's care plan, which statement by the patient would concern the nurse?
Select all that apply.

A) "I do not like the way my hand looks."
B) "I am so tired all the time."
C) "I'm surprised my hand is not painful at times."
D) "I feel confident in my balance and walking."
E) "One of my hands is swollen at times."

Answer 3

"I do not like the way my hand looks."
"One of my hands is swollen at times."

Question 4

Which are included in the category of generalized seizures?
Select all that apply.

A) Tonic-clonic
B) Absence
C) Focal
D) Complex partial
E) Atonic

Question 5

A nurse is caring for a client started on an antiseizure medication. The client starts to stare off at the wall with eyelids fluttering. After a few seconds, the client is responsive to the nurse. Which type of seizure does the nurse document along with the assessment?

A) Tonic-clonic
B) Absence
C) Focal
D) Myoclonic