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Pharm 2
CNS Depressant and Skeletal Muscle Relaxant Therapy
| Question | Answer |
|---|---|
| The nurse would monitor which laboratory values for a patient taking cyclobenzaprine? | Liver function tests |
| The nurse understands that excretion of cyclobenzaprine occurs via which organ system? | Kidneys |
| Which nursing assessments are important for a patient prescribed cyclobenzaprine? | -Level of consciousness -Breathing -Blood pressure |
| Which method would the nurse use to administer cyclobenzaprine to facilitate the greatest amount of absorption? | Administer on an empty stomach |
| Use of muscle relaxants is contraindicated in patients with which condition? | Hepatic disease |
| A patient who has been taking 5 mg of oral cyclobenzaprine PO tid for 6 weeks asks for a renewal of the prescription. Which information is of concern to the nurse? | Length of time patient has been on medication |
| The nurse educates a patient to avoid which drugs while taking muscle relaxants? | -Alcohol -Kava kava -Valerian |
| Which side effects of muscle relaxants would the nurse educate a patient about? | -Headache -Nausea -Muscle weakness |
| Which instruction would the nurse provide a patient taking cyclobenzaprine to avoid dizziness and fainting? | -Stand slowly from a sitting position -maintain adequate hydration |
| A patient is complaining of gastrointestinal symptoms when taking a prescribed muscle relaxant. The nurse would recommend which beverage to help alleviate these symptoms? | Milk |
| A nurse is providing discharge teaching to a patient prescribed cyclobenzaprine. Which statement would be appropriate to include in the teaching? | “Notify your health care provider if you think you might be pregnant.” |
| The nurse will teach the patient that cyclobenzaprine can relieve which symptoms? | -Muscle stiffness -Localized muscle spasms -Pain with range of motion |
| For which reason should a patient taking cyclobenzaprine report adverse effects to the health care provider? | To prevent respiratory depression |
| The nurse teaches a patient that a muscle relaxant should not be abruptly stopped based on which rationale? | To avoid rebound spasms |
| A patient has been prescribed a skeletal muscle relaxant and asks the nurse, “Why was I told not to drive or participate in activities that require mental alertness while taking this drug?” Which response by the nurse is appropriate? | “Sedation is a common side effect of skeletal muscle relaxants.” |
| A patient who has received an intravenous (IV) dose of midazolam will be switched to oral (PO) formulation. Which adjustment in dosing does the nurse anticipate? | Higher PO dose |
| Which medication would the nurse instruct an otherwise healthy patient to avoid while taking midazolam? | morphine |
| The nurse administered midazolam intravenously. Which assessment, if noted by the nurse, would require immediate intervention? | cough |
| Which assessment finding would require the nurse to hold the prescribed midazolam? | Blood pressure 90/60 mm Hg |
| Which nursing assessments, if applicable, must be completed before the administration of midazolam? | -allergy history -medication history -blood pressure -pregnancy test |
Created by:
Lightnning54
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