Question 1

The operating room (OR)nurse is scheduled as the circulator in a case that involves a client 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 hypertension and can also be used to reverse the effects of certain medications used during surgery that cause vasodilation. It is also used to treat malignant hyperthermia, so it is important to have it readily available in case dantrolene is not effective or not available. None of the other medication options listed are indicated for the treatment of malignant hyperthermia.

Question 2

The nurse is providing care to a client who is diagnosed with muscle spasticity.The client wants to know the difference between muscle spasticity and muscle spasm.Which response by the nurse is most appropriate?

Accepted Answer

C

Question 3

The client's health care provider prescribed dantrolene sodium (Dantrium)25 mg daily for the treatment of neck spasms secondary to spinal cord injury.The client reports that the medication is not working," even though it has been 45 days since the medication was started.What changes in this client's plan of care would the nurse anticipate?
Select all that apply.

Accepted Answer

Dantrolene sodium is not effective for neck spasms secondary to spinal cord injury. The medication should be discontinued and changed to a different medication.

Question 4

An adult client is prescribed dantrolene sodium ((Dantrium)for spasms related to progression of multiple sclerosis.Which intervention is most important for the nurse to include in this client's care plan?

Accepted Answer

Dantrolene sodium can cause liver toxicity, so it is important to monitor liver function tests regularly. Options A and B may be important interventions for other medications or treatments, but they are not specifically related to dantrolene sodium. Option C is also important, but monitoring liver function tests is a higher priority.

Question 5

A client scheduled for surgery has a family history of malignant hyperthermia.The circulating nurse will be responsible for seeing that which medication is immediately available for administration?

Accepted Answer

Dantrolene sodium (Dantrium) is the only medication approved for the treatment of malignant hyperthermia (MH), which is a potentially life-threatening reaction to certain anesthesia drugs. The circulating nurse should ensure that it is immediately available for administration in case of an MH crisis. Baclofen, tizanidine, and orphenadrine are not effective for treating MH.

Question 6

A client tells the nurse,I have been reading about using castor oil as a treatment for muscle cramping.Do you know anything about that?" How should the nurse respond to this question?
Select all that apply.

Accepted Answer

The nurse should provide accurate and safe information to the client. Therefore, the best choices are C and D. The nurse can explain that castor oil should be warmed before use and a flannel cloth soaked with the oil can be applied to the muscle. It is not appropriate for the nurse to suggest a specific dose or to tell the client to ask the doctor about it. Wearing gloves is not necessary unless the client has a specific sensitivity to the oil.

Question 7

A client who was discontinued from using an MAOI 1 week ago has injured his back and is in pain from severe muscle spasms.The client is prescribed cyclobenzaprine (Flexeril)for the muscle spasms.Which nursing action is the most important?

Accepted Answer

Cyclobenzaprine should not be given to a client who has discontinued MAOIs within 14 days due to the risk of serotonin syndrome. Therefore, the most important nursing action is to hold the medication and notify the healthcare provider. Options A and B are important considerations with the use of cyclobenzaprine but are not the most important in this scenario. Option D is contraindicated in this situation due to the elevated risk of serotonin syndrome.

Question 8

A client is going to physical therapy to reduce muscle spasms related to a bulging disc L4-L

Accepted Answer

Methocarbamol can cause dizziness and drowsiness, making driving unsafe. Therefore, clients should plan on having a driver for their physical therapy sessions. The other options are not relevant to the use of methocarbamol.

Question 9

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.How should the nurse respond to this development?

Accepted Answer

Chlorzoxazone (Parafon Forte), a muscle relaxant, can cause the urine to have a reddish-orange discoloration. This is a known side effect and not necessarily indicative of a problem, so the nurse should continue to monitor intake and output (I & O) as part of routine care.

Question 10

The nurse is caring for a client who is 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.Which action by the nurse is the most appropriate for this client?

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, understanding that drowsiness is an expected effect and not necessarily indicative of a problem requiring a change in treatment.

Question 11

The client tells the nurse,The doctor is going to start me on Botox for the muscle spasms in my neck.I've always wanted to try that.It will make me look younger." Which information should the nurse provide to this client regarding onabotulinumtoxinA (Botox)?
Select all that apply.

Accepted Answer

Botox (onabotulinumtoxinA) has various applications depending on its administration, including treating muscle spasms and cosmetic improvements. It requires periodic treatments for sustained effects, and side effects may manifest hours to weeks after administration. It is not taken orally, so advice about drinking water with it is incorrect, and it does not directly change the skin upon initial treatments.

Question 12

The nurse is providing discharge instructions for a client who has experienced pulled muscles in the back after lifting a heavy item at work.Which statement by the client indicates the need for further instruction?

Accepted Answer

Bed rest is not recommended for pulled muscles as it can lead to further stiffness and weakness. Gentle movement and stretching are actually beneficial for these types of injuries. The client should be instructed to avoid any heavy lifting or strenuous activity, but to move around and do light stretching to prevent further injury.

Question 13

The parents of a toddler client who has cerebral palsy are only now beginning to accept that their child will have permanent disability.The nurse has been instructing the parents about the treatment for the spasticity their child is experiencing.Which statements by the parents indicate that the nurse should plan additional teaching sessions?
Select all that apply.

Accepted Answer

The statements indicate misunderstandings: B) Medications may help but not fully control spasticity; C) Physical therapy should focus on stretching, not flexing; E) Consistency in therapy is crucial, and skipping sessions can hinder progress.

Question 14

A client is prescribed cyclobenzaprine for muscle spasms.Which nursing diagnosis should the nurse add to this client's care plan?

Accepted Answer

Cyclobenzaprine can cause drowsiness and dizziness, increasing the risk of injury from falls or accidents. Therefore, the nursing diagnosis of Injury, Risk for should be added to the client's care plan to prevent accidents and ensure safety. The other options are not directly related to the medication or its side effects.

Question 15

A client who has cerebral palsy is beginning to experience spasticity of the muscles in the upper arm.Which medications would the nurse if prescribed for this client?
Select all that apply.

Accepted Answer

The answer of A client who has cerebral palsy is...

Question 16

A client is seen for muscle spasms in the upper thigh.The nurse anticipates instructing the client on the use of which medication?

Accepted Answer

Muscle spasms can be treated with both nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain, and muscle relaxants to relieve muscle spasms. The combination can effectively manage symptoms associated with muscle spasms in the upper thigh.

Question 17

The client is prescribed collagenase (Xiaflex)for Dupuytren contracture.When developing this client's care plan,which nursing diagnoses will the nurse include?
Select all that apply.

Accepted Answer

The answer of The client is prescribed collagenase (Xiaflex)for Dupuytren...

Question 18

The nurse's neighbor says,My son has been waking up with bad cramps in his calf for the last two nights.He has been working out with his football team,and it has been so hot." Which additional statement would indicate to the nurse that the neighbor needs more information concerning muscle spasms?

Accepted Answer

Giving a muscle relaxer before practice may not be safe and could potentially mask underlying issues. The other statements indicate that the neighbor is already taking some steps to address the issue or providing temporary relief, but may not fully understand the cause of the muscle spasms.

Question 19

A client who suffers from frequent calf muscle cramping asks the nurse about using nonprescription capsaicin for pain relief.What information should the nurse provide this client?

Accepted Answer

The nurse should inform the client that capsaicin is not effective for the treatment of muscle cramps. However, if the client is still interested in using this medication, it is important to use gloves when applying the medication to avoid skin irritation or burns. Using the medication with a full glass of water is not necessary as it is a topical medication rather than an oral medication. The frequency of use can vary depending on the specific product, so the nurse should recommend that the client follow the package instructions or consult with a healthcare provider.

Question 20

An adult client who prescribed the anticholinergic oxybutynin (Ditropan)for urinary incontinence is admitted to the unit with acute muscle spasms after twisting her back in a fall.Which medication used for muscle spasm relaxation would cause the nurse the most concern?

Accepted Answer

Cyclobenzaprine (Flexeril) is an anticholinergic medication, and combining it with oxybutynin, which also has anticholinergic effects, could exacerbate anticholinergic side effects such as dry mouth, urinary retention, constipation, and confusion, especially in older adults.

Quiz 23: Pharmacotherapy of Muscle Spasms and Spasticity

The nurse is providing care to a client who is diagnosed with muscle spasticity.The client wants to know the difference between muscle spasticity and muscle spasm.Which response by the nurse is most appropriate?

An adult client is prescribed dantrolene sodium ((Dantrium) for spasms related to progression of multiple sclerosis.Which intervention is most important for the nurse to include in this client's care plan?

A client scheduled for surgery has a family history of malignant hyperthermia.The circulating nurse will be responsible for seeing that which medication is immediately available for administration?

A client tells the nurse,I have been reading about using castor oil as a treatment for muscle cramping.Do you know anything about that?" How should the nurse respond to this question? Select all that apply.

A client who was discontinued from using an MAOI 1 week ago has injured his back and is in pain from severe muscle spasms.The client is prescribed cyclobenzaprine (Flexeril) for the muscle spasms.Which nursing action is the most important?

A client is going to physical therapy to reduce muscle spasms related to a bulging disc L4-L

The nurse is caring for a client who is 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.Which action by the nurse is the most appropriate for this client?

The client tells the nurse,The doctor is going to start me on Botox for the muscle spasms in my neck.I've always wanted to try that.It will make me look younger." Which information should the nurse provide to this client regarding onabotulinumtoxinA (Botox) ? Select all that apply.

The nurse is providing discharge instructions for a client who has experienced pulled muscles in the back after lifting a heavy item at work.Which statement by the client indicates the need for further instruction?

A client is prescribed cyclobenzaprine for muscle spasms.Which nursing diagnosis should the nurse add to this client's care plan?

A client who has cerebral palsy is beginning to experience spasticity of the muscles in the upper arm.Which medications would the nurse if prescribed for this client? Select all that apply.

A client is seen for muscle spasms in the upper thigh.The nurse anticipates instructing the client on the use of which medication?

The client is prescribed collagenase (Xiaflex) for Dupuytren contracture.When developing this client's care plan,which nursing diagnoses will the nurse include? Select all that apply.

The nurse's neighbor says,My son has been waking up with bad cramps in his calf for the last two nights.He has been working out with his football team,and it has been so hot." Which additional statement would indicate to the nurse that the neighbor needs more information concerning muscle spasms?

A client who suffers from frequent calf muscle cramping asks the nurse about using nonprescription capsaicin for pain relief.What information should the nurse provide this client?

An adult client who prescribed the anticholinergic oxybutynin (Ditropan) for urinary incontinence is admitted to the unit with acute muscle spasms after twisting her back in a fall.Which medication used for muscle spasm relaxation would cause the nurse the most concern?