Deck 45: Drugs for Muscle Spasms and Spasticity

Question 1

The client receives dantrolene (Dantrium) for muscle spasticity. Which lab result is a priority for the nurse to assess?

A) creatinine clearance
B) aspartate aminotransferase (AST) and alanine aminotransferase (ALT).
C) hemoglobin and hematocrit
D) serum amylase

Answer 1

aspartate aminotransferase (AST) and alanine aminotransferase (ALT).

Question 2

The nurse teaches a class about muscle movement to a group of clients who have neuromuscular disorders. What will the best plan of the nurse include? Select all that apply.

A) Body movement depends on proper endocrine functioning.
B) Body movement depends on proper functioning of muscles.
C) Body movement depends on intact nerves.
D) Body movement depends on the level of consciousness.
E) Body movement depends on an intact spinal cord.

Answer 2

Body movement depends on proper functioning of muscles.
Body movement depends on intact nerves.

Question 3

The physician prescribes cyclobenzaprine (Flexeril) for the client. When doing medication education, what will the best information of the nurse include?

A) Do not drink any caffeine while taking this medication.
B) Increase the intake of fibre while taking this medication.
C) Restrict the intake of sodium while taking this medication.
D) Increase the intake of protein while taking this medication.

Answer 3

Increase the intake of fibre while taking this medication.

Question 4

The client receives dantrolene (Dantrium). The nurse has completed medication education and determines that that learning has occurred when the client makes which statement?

A) "The medication may cause me to experience decreased cold sensitivity."
B) "If I experience side effects, I will call my doctor before stopping the medicine."
C) "The medication will prevent the progression of my multiple sclerosis."
D) "I will limit my intake of caffeine while I am taking this medication."

Question 5

The physician has ordered dantrolene (Dantrium) for a client. What is a priority assessment by the nurse prior to administering this medication?

A) Does the client have gastric ulcer disease?
B) Does the client have gallbladder disease?
C) Is the client pregnant or lactating?
D) Does the client have cardiovascular disease?

Question 6

The client receives dantrolene (Dantrium). Which medication would the nurse evaluate as being contraindicated with dantrolene (Dantrium)?

A) verapamil (Isoptin)
B) methylphenidate (Concerta)
C) insulin
D) clarithromycin (Biaxin)

Question 7

The client receives dantrolene (Dantrium) for treatment of muscle spasms following a spinal cord injury. What is the best outcome for this client?

A) Client will have increased bladder tone.
B) Client will have stabilized vital signs.
C) Client will sleep without pain.
D) Client will have and improved self -concept.

Question 8

The nurse teaches the client with a neuromuscular disorder about non-pharmacological treatment of muscle spasms. What will the best information include? Select all that apply.

A) massage
B) ultrasound
C) guided imagery
D) relaxation techniques
E) application of heat or cold

Question 9

The client is started on a medication to treat a neuromuscular disorder. What does the nurse teach as the primary therapeutic goal of the medication?

A) to stop the client's muscle spasms
B) to improve the client's appearance
C) to promote exercise in the client
D) to allow the client increased independence

Question 10

The client receives baclofen (Lioresal). What will the best plan of the nurse include as relates to medication education?

A) Do not use any aspirin -type drugs while on this medication.
B) Take the medication on an empty stomach.
C) Increase the intake of fibre while on this medication.
D) Do not stop the medication abruptly.

Question 11

The client receives baclofen (Lioresal) and the nurse has completed medication education. The nurse determines that learning has occurred when the client makes which statement?

A) "I must take the medication on an empty stomach."
B) "The medication may cause my pulse rate to drop."
C) "I must take the medication with milk or meals."
D) "I might experience some initial stimulation."

Question 12

The client receives dantrolene (Dantrium). A consulting physician orders hydroxyzine (Atarax) for the client and he begins taking it. What will the best assessment of the nurse reveal?

A) hypertension
B) delirium
C) respiratory depression
D) confusion

Question 13

The client receives dantrolene (Dantrium) intravenously (IV). What will a priority assessment of the nurse include?

A) assessing the client's breath sounds
B) assessing the client's intravenous (IV) site
C) assessing the client's urinary output
D) assessing the client's blood glucose

Question 14

The physician orders dantrolene (Dantrium) for the client. Which assessment data would result in the nurse contacting the physician prior to administration of this medication?

A) The client has diabetes mellitus.
B) The client has hypertension.
C) The client has glaucoma.
D) The client has osteoarthritis.

Question 15

The client tells the nurse that she awakens frequently during the night because of leg and foot cramps. What is the best response by the nurse?

A) "Ask your physician for a muscle relaxant."
B) "Apply heat to relieve the cramping."
C) "Take a warm bath before going to bed."
D) "Increase your intake of calcium."