Deck 13: Drugs for Degenerative Diseases and Muscles

Question 1

What instruction should the nurse provide to a client who is taking medications for dementia?
1)Take any OTC medication needed
2)Report any changes in urine color immediately
3)Be careful about getting up quickly from a seated position
4)Never take with high-fat foods

Answer 1

3

Question 2

The client has a medical diagnosis of multiple sclerosis and receives modafinil (Provigil).Which evaluation by the nurse would most likely indicate a therapeutic response to this drug?
1)Improved appetite and ability to eat
2)Reduction of pain and anxiety
3)Decreased myelin swelling and inflammation
4)Increased alertness and energy

Answer 2

4

Question 3

A client with a spinal cord injury is left with spasticity and dystonia.The nurse anticipates what treatment as most beneficial for this condition?
1)Physical therapy and medications
2)Hydrotherapy and massage
3)Occupational therapy and surgery
4)Surgery and medications

Answer 3

1

Question 4

The nurse is assessing a client with progressive weakness and wasting of muscles caused by destruction of motor neurons.The nurse anticipates that this client is diagnosed with what disorder?
1)Parkinson disease
2)Multiple sclerosis (MS)
3)Amyotrophic lateral sclerosis (ALS)
4)Alzheimer disease

Question 5

Which are the most common,debilitating,and progressive neurologic disorders? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Parkinson disease
2)Alzheimer disease
3)Psychosis
4)Multiple sclerosis
5)Bipolar disorder

Question 6

Which type of medication does the nurse anticipate for a client who has been diagnosed with Alzheimer disease?
1)Beta blockers
2)Acetylcholinesterase inhibitors
3)Cholinergic blockers
4)Dopaminergic agents

Question 7

An adult client,diagnosed with Parkinson disease,has been prescribed levodopa.What nursing observations would indicate that the medication is working?
1)Increased strength on affected side
2)Blood pressure changes from 180/90 to 140/80 mmHg.
3)Urine output increases to 60 mL per hour.
4)Decrease in tremors in upper extremities

Question 8

A client taking a muscle relaxant is experiencing side effects from the medication.Which client symptoms are side effects of muscle relaxants? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Epistaxis
2)Drowsiness
3)Constipation
4)Sleepiness
5)Diarrhea

Question 9

A client diagnosed with Parkinson disease has been prescribed levodopa-carbidopa (Sinemet).Which data indicates the medication has been effective?
1)The client has muscle rigidity.
2)The client has bradykinesia.
3)The client is able to walk without stumbling.
4)The client has tremors.

Question 10

The nurse is caring for several clients who have undergone back surgeries.Which medications for the list are considered antispasmodic drugs? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Tizanidine (Zanaflex)
2)Mitoxantrone (Novantrone)
3)Cyclobenzaprine (Flexeril)
4)Baclofen (Lioresal)
5)Ibuprofen (Advil)

Question 11

The client receives levodopa.Which foods can the nurse include in the dietary teaching for this client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Banana
2)Green,leafy vegetables
3)Citrus fruit
4)Chocolate
5)Fish

Question 12

A client is receiving tizanidine (Zanaflex)for treatment of muscle spasms.What should the nurse include in the medication teaching for this client?
1)This is a seizure medication.
2)This is used for diseases of the central nervous system.
3)To take the medication on a scheduled basis
4)To exercise caution when operating machinery

Question 13

The client takes ginkgo biloba at home for memory impairment.Which statement by the client indicates that teaching by the nurse has been effective?
1)"I can't take any other medication with ginkgo biloba."
2)"I need to be on a low-fat diet while I am taking ginkgo biloba."
3)"Ginkgo biloba will keep me from developing Alzheimer disease."
4)"I can have increased bleeding if I have to take an anticoagulant drug."

Question 14

A client has been diagnosed with Parkinson disease.Based on this diagnosis,the nurse knows that there is lack of which neurotransmitter in the brain?
1)Norepinephrine
2)Sodium
3)Dopamine
4)Potassium

Question 15

Which nonpharmacologic interventions would the nurse utilize in helping a client with muscle spasms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Application of heat or cold
2)Hydrotherapy
3)Massage
4)Manipulation
5)Liniments

Question 16

The client has been diagnosed with Parkinson disease and wants to know the goal of pharmacotherapy.Which is the nurse's best response?
1)"To alleviate the depression associated with the illness."
2)"To prevent progressive memory loss and confusion."
3)"To cure the illness."
4)"To increase the ability to perform normal daily activities."

Question 17

Which disorder is characterized by the progressive loss of brain function with memory loss,confusion,and dementia?
1)Psychosis
2)Multiple sclerosis
3)Parkinson disease
4)Alzheimer disease

Question 18

What type of drugs are onabotulinumtoxin A (Botox)and rimabotulinumtoxin B (Myobloc)?
1)Peripherally acting antispasmodic
2)Indirect-acting antispasmodic
3)Centrally acting antispasmodic
4)Direct-acting antispasmodic

Question 19

Which medication used to treat multiple sclerosis causes flu-like symptoms?
1)Mitoxantrone (Novantrone)
2)Modafinil (Provigil)
3)Interferon beta-1b (Betaseron)
4)Apomorphine

Question 20

Which nondepolarizing blocking agents are used to relax the muscles of clients being prepared for longer surgical procedures? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Vecuronium (Norcuron)
2)Atracurium (Tracrium)
3)Cisatracurium (Nimbex)
4)Succinylcholine (Anectine)
5)Diazepam (Valium)

Question 21

In what types of clients would neuromuscular blocking drugs be used? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)A client who returned from an electrocardiogram
2)A client who is going to receive electroconvulsive therapy
3)A client who is preparing for a surgical removal of the left toe
4)A client who is complaining of pain

Question 22

A client is admitted to the emergency room for neck pain.The client describes the pain in the neck started one day ago and feels like it is "frozen".They also complain of inability to turn their head.What does the nurse suspect?
1)Multiple sclerosis
2)Muscle spasm
3)Spasticity
4)Alzheimer disease

Question 23

Which statement is true about incobotulinumtoxin A (Xeomin)?
1)It can be also taken orally.
2)At lower doses,it is a safe and effective muscle relaxant.
3)There are no side effects.
4)It can only be injected into large muscle groups.

Question 24

The nurse is caring for a client who is prescribed baclofen (Lioresal).The client asks the nurse if there are any adverse effects for the medication.Which list of adverse effects is most appropriate for the nurse to share with this client?
1)Drowsiness,dizziness,weakness,and fatigue
2)Sleepiness,increased appetite,renal failure,and constipation
3)Dizziness,mental awakeness,decreased appetite,and diarrhea
4)Insomnia,decreased energy,diarrhea,and headaches

Question 25

A client is talking to the nurse about physical therapy (PT)and their diagnosis of spasticity from epilepsy.The client asks if they can do anything else besides attending therapy three times a week.Which statement is the best response to the client's question?
1)PT three times a week is plenty.
2)Muscle stretching can be added to the physical therapy regimen.
3)Using an exercise bike each day for 10 minutes should be added.
4)Walking at a fast pace on days when you do not attend PT has been shown to decrease the spasticity.

Question 26

An adult client,diagnosed with Parkinson disease (PD),is asking about progression of the disease.Which are characteristics of the progression of Parkinson disease?
1)Anxiety and depression
2)Constipation and forgetfulness
3)Muscle rigidity and increased blood pressure.
4)Negative symptoms and interruption of sleeping patterns

Question 27

An adult client presents to the primary care provider with symptoms of fatigue,disruption of balance and coordination,and dizziness.The nurse identifies these as which of the following?
1)Alzheimer disease
2)Parkinson disease
3)Muscle spasm
4)Multiple sclerosis

Question 28

Which are true regarding drugs for multiple sclerosis? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Drugs can cure the symptoms of MS.
2)Drugs can reverse the progressive nature of MS.
3)Drugs can reduce the inflammation of the MS attacks.
4)Drugs can prevent MS attacks on the immune system.
5)Drugs can repair the damaged axons.

Question 29

Which are causes of muscle spasms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)They occur from overuse of a skeletal muscle.
2)Overmedication with antipsychotic drugs can be a cause of muscle spasms.
3)Pain can be a cause of muscle spasms.
4)Those clients hospitalized have muscle spasms.
5)Epilepsy can be a cause for muscle spasms.

Question 30

Which medications are used to treat muscle spasms? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Centrally acting skeletal muscle relaxants
2)Analgesics
3)Anti-inflammatory agents
4)Immune system modulating drugs
5)Antipyretic drugs