Deck 44: Drugs Used to Treat the Musculoskeletal System

Question 1

The nurse is examining a patient in the emergency department whose chief complaint is a dislocated shoulder.Which assessment data are needed to evaluate the patient? (Select all that apply.)

A) Details related to the mechanism of injury
B) Degree of impairment
C) Pain level
D) Inspection of the affected part for swelling,capillary refill,bruising,redness,localized tenderness,deformities,and paresthesia
E) Elevation of the affected extremity

Answer 1

Details related to the mechanism of injury
Degree of impairment
Pain level
Inspection of the affected part for swelling,capillary refill,bruising,redness,localized tenderness,deformities,and paresthesia

Question 2

Which assessment is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?

A) Skin assessment for rash and urticaria
B) Blood pressure assessment for orthostatic hypotension
C) Respiratory assessment for patent airway
D) Assessment for fluid volume overload

Answer 2

Respiratory assessment for patent airway

Question 3

When assessing a patient for signs and symptoms of early respiratory depression immediately after leaving the postoperative area,the nurse will be alert for signs of what? (Select all that apply.)

A) Restlessness
B) Anxiety
C) Lethargy
D) Increased mental alertness
E) Cyanosis

Answer 3

Restlessness
Anxiety
Lethargy

Question 4

Which medication will be prescribed for a patient complaining of muscle spasms resulting from a back injury?

A) Acetaminophen (Tylenol)
B) Morphine sulfate
C) Bethanechol (Urecholine)
D) Cyclobenzaprine (Flexeril)

Question 5

Why are neuromuscular-blocking agents used? (Select all that apply.)

A) Alleviation of pain
B) Reducing the use and adverse effects of general anesthetics
C) Easing endotracheal intubation and prevent laryngospasm
D) Producing amnesia during painful procedures
E) Decreasing muscular activity in electroshock therapy

Question 6

Which laboratory values will the nurse review prior to beginning medication therapy for skeletal and muscle disorders?

A) Sodium,magnesium,and chloride
B) C-reactive protein (CRP),human leukocyte antigen (HLA),and liver function tests
C) Arterial blood gases (ABGs),complete blood count (CBC),and electrolytes
D) Glucose,high-density lipoproteins (HDL),and prothrombin time (PT)

Question 7

A patient taking antipsychotic medication for schizophrenia is admitted with a temperature of 106°F.The admitting diagnosis is neuroleptic malignant syndrome resulting from antipsychotic medication.Which drug is indicated in treatment of this condition?

A) Edrophonium (Tensilon)
B) Dantrolene (Dantrium)
C) Baclofen (Lioresal)
D) Metaxalone (Skelaxin)

Question 8

Which drug interaction may occur when an aminoglycoside or tetracycline is given in conjunction with neuromuscular-blocking agents?

A) Deep sedation
B) Decreased effectiveness of antibiotics
C) Increased neuromuscular-blocking activity
D) Sensitivity to antibiotics and possible allergic reaction

Question 9

What is the reason for a paraplegic patient to receive baclofen (Lioresal)?

A) It interrupts reflexes at the level of the spinal cord.
B) It acts directly on the skeletal muscles to reduce spasticity.
C) It interrupts transmission of impulses from motor nerves to muscles at the skeletal neuromuscular junction.
D) It produces generalized mild weakness of skeletal muscles and decreases the force of reflex muscle contractions.

Question 10

A patient taking a neuromuscular-blocking agent is assessed to have a heart rate of 120 and blood pressure of 80/50.The nurse will anticipate the physician writing an order for:

A) ABGs.
B) blood glucose level.
C) CBC.
D) liver function tests.

Question 11

In the intensive care unit,the nurse is taking care of a patient who is on a ventilator and is receiving succinylcholine (Anectine).Which is a priority nursing diagnosis for this patient?

A) Pain
B) Disturbed body image
C) Risk for injury
D) Self-care deficit

Question 12

Which symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?

A) Nasal flaring and retraction of intercostal muscles
B) Dyspnea,increased respiratory rate,and cyanosis
C) Restlessness,anxiety,and lethargy
D) Pallor,stridor,and diaphoresis

Question 13

The patient's family asks why neuromuscular-blocking agents are used before electroconvulsive therapy.Which explanation by the nurse is most accurate?

A) "They stimulate respirations while therapy is delivered."
B) "They prevent aspiration of respiratory secretions during the therapy."
C) "They decrease intracranial pressure resulting from therapy."
D) "They reduce the risk of injury during therapy."

Question 14

Which common adverse effects occur with neuromuscular-blocking agents?

A) Fever
B) Flushing
C) Nausea
D) Ataxia

Question 15

An employee at a factory has not been to work because of low back muscle spasms.His wife contacts the occupational health nurse to report that her spouse is on a centrally acting skeletal muscle relaxant and is having problems with sleepiness.Based on the medication action,what will the nurse tell her? (Select all that apply.)

A) "The healthcare provider should be notified because these drugs are contraindicated in the treatment of low back pain."
B) "Your husband should avoid activities requiring alertness,such as driving or operating power equipment."
C) "I need additional and specific information regarding the amount of your husband's sedation."
D) "I will review baseline laboratory studies,discuss your husband's status with the healthcare provider,and call you back."
E) "Sedation is an adverse effect of these medications and tends to resolve with continued therapy."

Question 16

The nurse receives a conscious patient from the postoperative unit after administration of a neuromuscular blocker.Once the patient's vital signs are stable,the best position for the nurse to assist the patient into is _____ position.

A) Sims'
B) semi-Fowler's
C) supine
D) prone

Question 17

A patient who has undergone a lengthy surgical procedure under general anesthesia is unable to breathe on his own following the procedure.Which drug will the nurse expect to be administered as an antidote to the neuromuscular-blocking agent?

A) Dantrolene (Dantrium)
B) Neostigmine methylsulfate (Prostigmin)
C) Ether
D) Baclofen (Lioresal)