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?

Accepted Answer

Maintaining traction on the bone as ordered is crucial for returning it to anatomical alignment, especially in the case of a compound fracture. This helps ensure proper healing and minimizes the risk of complications.

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?

Accepted Answer

DCyclobenzaprine (Flexeril) is contraindicated in clients who have recently discontinued MAOIs due to the risk of hypertensive crisis. Therefore, the nurse should hold the medication and notify the physician. Additionally, warning the client not to operate a motorized vehicle until the effects of the medication are known is a standard precaution for medications that can cause drowsiness or impair motor function, which applies to cyclobenzaprine.

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?

Accepted Answer

Cyclobenzaprine (Flexeril) is a muscle relaxant that can cause drowsiness as a common side effect. The nurse should continue the medication as ordered, as drowsiness is an expected side effect and not typically a reason to alter or discontinue therapy without further guidance from a healthcare provider.

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?

Accepted Answer

Dantrolene sodium (Dantrium) is the medication of choice for the treatment of malignant hyperthermia, a rare but life-threatening condition that can be triggered by certain drugs used for general anesthesia.

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?

Accepted Answer

The client indicating they should stay on bedrest for the next 2-3 days might need better understanding of instructions. Current guidelines for managing pulled muscles recommend maintaining moderate activity levels rather than prolonged bedrest, which can actually slow recovery.

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?

Accepted Answer

Clonic spasms involve repetitive, rhythmic contractions of muscles, which aligns with the description of constantly repeating contractions of the jaw muscles.

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?

Accepted Answer

Regitine is used to treat malignant hyperthermia.

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?

Accepted Answer

Cyclobenzaprine (Flexeril) is structurally similar to tricyclic antidepressants and has anticholinergic properties, which can exacerbate the anticholinergic side effects of oxybutynin, leading to increased risk of side effects such as dry mouth, constipation, and confusion.

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?

Accepted Answer

Cyclobenzaprine is a muscle relaxant that can cause sedation and dizziness, increasing the risk for falls and injury.

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:

Accepted Answer

Chlorzoxazone (Parafon Forte) can cause the urine to have a reddish-orange discoloration, which is a harmless side effect and does not indicate a problem that requires notifying the healthcare provider, ordering a urinalysis, or checking the urine for bacteria. Therefore, the nurse should continue to monitor intake and output (I & O) as part of routine care.

Question 11

A client is going to Physical Therapy to reduce muscle spasms related to a bulging disc L4-L

Accepted Answer

The answer of A client is going to Physical Therapy...

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?

Accepted Answer

The answer of A client taking baclofen (Lioresal)for muscle spasms...

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?

Accepted Answer

Dantrolene can cause hepatotoxicity, so monitoring liver function tests is crucial to detect any liver damage early.

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?

Accepted Answer

The mother's statement indicates that she believes muscle cramps are caused by dehydration, which is not always the case. Muscle cramps can also be caused by electrolyte imbalances, muscle fatigue, or other medical conditions.

Quiz 27: Pharmacotherapy of Muscle Spasms and Spasticity