Deck 27: Pharmacotherapy of Muscle Spasms and Spasticity

Question 1

The nurse is caring for an 18-year-old who received a compound fracture of his femur in a jet ski accident less than 12 hours ago.Which of the following would be most important in this client's therapy?
1)Alternate application of heat and cold to the affected area of the thigh
2)Maintain the client on bedrest with HOB down.
3)Maintain traction on the bone as ordered, to return it to anatomical alignment.
4)Log-roll the patient from side to side without flexion at the waist.

Answer 1

3

Question 2

A client who was discontinued from using an MAOI one week ago has injured his back, and is in pain from severe muscle spasms of the back.The client has been prescribed cyclobenzaprine (Flexeril)for the muscle spasms.Which of the following actions should the nurse take?
1)Hold the Flexeril and notify the physician.
2)Give the Flexeril as prescribed
3)Inform the client to watch for added CNS depression.
4)Warn the client not to operate a motorized vehicle until the effects of the
Medication are known.

Answer 2

1

Question 3

The nurse is caring for a client who has been prescribed cyclobenzaprine (Flexeril)for lower back pain following a work injury.The client has been quite drowsy, and dozes off and on throughout the day while taking the Flexeril.The nurse should respond by which of the following?
1)Notifying the physician that the client is experiencing extreme drowsiness
2)Providing the client caffeinated beverages to help the client stay awake
3)Holding the cyclobenzaprine until the client can be further evaluated
4)Continuing the medication as ordered

Answer 3

4

Question 4

A patient scheduled for surgery has a family history of malignant hyperthermia.The circulating nurse will be responsible for seeing that which of the following medications is immediately available for administration?
1)Baclofen (Lioresal)
2)Tizanidine (Zanaflex)
3)Dantrolene sodium (Dantrium)
4)Orphenadrine (Myophen)

Question 5

The nurse is providing discharge instructions for a client who has been seen for pulled muscles in the back after lifting a heavy item at work.Which of the following statements by the client indicates the client might need better understanding of instructions?
1)"I am to go home and stay on bedrest for the next 2-3 days."
2)"I should apply heat for 10 minutes followed by cold for 10 minutes."
3)"I may take 2-3 ibuprofen 200 mg each every six hours by mouth."
4)"I may sit in a warm whirlpool tub to help relax the back muscles."

Question 6

The nurse is taking report on a patient with a diagnosis of clonic spasms.The client has been on antipsychotic medications for the past five years.Which of the following might the nurse expect to assess?
1)Constantly repeating contractions of the jaw muscles on the right side of the face
2)A knot in the left calf muscle
3)A permanently flexed left elbow
4)A stiff, unbalanced gait

Question 7

The OR nurse is scheduled as the circulator in a case that involves a patient with a family history of malignant hyperthermia.The nurse checks to see that dantrolene is readily available.What other medication should the nurse check for availability in case dantrolene must be administered?
1)Dilantin
2)Regitine
3)Lovenox
4)Romazicon

Question 8

A 63-year-old female taking oxybutynin (Ditropan)for urinary incontinence is admitted to the unit with acute muscle spasms after twisting her back in a fall.Which of the following medications used for muscle spasm relaxation would cause the most concern?
1)Tizanidine (Zanaflex)
2)Cyclobenzaprine (Flexeril)
3)Ibuprofen 600 mg
4)Chlorzoxazone (Parafon Forte)

Question 9

A client is started on cyclobenzaprine for muscle spasms.It would be important for the nurse to assess which of the following nursing diagnoses?
1)Injury, risk for
2)Infection, risk for
3)Impaired Tissue Perfusion, risk for
4)Impaired Urinary Elimination, risk for

Question 10

A client is admitted to the unit from surgery for insertion of pins for traction due to a compound fracture to the left femur.The client has a Foley catheter for gravity drainage.Chlorzoxazone (Parafon Forte)is ordered for the client.The next day, it is noted that the urine has a reddish-orange discoloration.The nurse should respond by:
1)Notifying the health care provider about the discoloration in the urine.
2)Calling the health care provider for an order for a urinalysis.
3)Checking the urine for bacteria with a urine chemstick.
4)Continuing to monitor I & O.

Question 11

A client is going to Physical Therapy to reduce muscle spasms related to a bulging disc L4-L
1)The medication should not be taken with grapefruit juice or grapefruit.
2)The client should plan on getting a driver for the physical therapy sessions.
3)Long-term use can lead to dependence.
4)The medication can lead to gastric ulcers.
5)The client is prescribed to take methocarbamol (Robaxin)for the muscle spasms prior to each physical therapy session.Which instructions should the nurse review with the client?

Question 12

A client taking baclofen (Lioresal)for muscle spasms due to a spinal cord injury five years ago was hospitalized with pyelonephritis two days ago.The client is receiving ciprofloxin IV for the infection, Pyridium for the bladder discomfort, and Lortab p.r.n.for pain.None of the medications taken at home were prescribed.The nurse should monitor for which of the following?
1)Monitor for urine output.
2)Monitor for contractures of the hands and feet.
3)Monitor for irritable tendon reflexes and scissoring movement of the lower
Extremities.
4)Monitor for fever and seizures, or hallucinations.

Question 13

A 45-year-old female client is prescribed dantrolene for spasms related to progression of her muscular sclerosis.Which of the following would be most important for the nurse to monitor?
1)Assess the client for pain using the pain scale and range of motion.
2)Monitor liver function tests.
3)Monitor the client for use of sunscreen.
4)Monitor the client for sedation.

Question 14

A friend of the nurse expresses concern that her son has been awoken in the middle of the night with severe cramping of a calf muscle.The son is a football player and he has been working out at 2-5 p.m.practices every day in the heat of August.Which of the following statements by the mother indicates that the friend might need more information concerning muscle spasms?
1)"I've told my son to point his toes upward and gently massage the calf muscle."
2)"My son must not be drinking enough fluids, or he wouldn't be getting leg cramps."
3)"I have my son take a multi-vitamin every day to help replenish calcium and
Other minerals."
4)"I send three 64-ounce bottles of Gatorade and water with my son to practice
Every day."