The patient's health care provider prescribed cyclobenzaprine (Flexeril) for the treatment of neck spasms. The patient reports that the medication is "not working," even though it has been a week since the medication was started. What changes in this patient's plan of care would the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply.
1. Increase in the dosage frequency
2. Discontinuation of the medication
3. Waiting a few more days for full medication effect
4. Change to a different medication
2,4
Rationale 1: Increasing the dosage frequency is not indicated.
Rationale 2: It is not yet time to discontinue the medication.
Rationale 3: Full effects of this medication may take two weeks.
Rationale 4: It is not yet time to change medications.
Global Rationale: Full effects of this medication may take two weeks. Increasing the dosage frequency is not indicated. It is not yet time to discontinue the medication or to change the medication.
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When assessing a patient with long-standing claudication, the nurse is most likely to assess:
A) sharp shooting leg pain in the area of arterial stenosis. B) leg pain that is relieved by walking. C) leg pain at rest. D) a reddened, warm area over the calf.
Which nursing intervention best demonstrates the understanding that older adults are at increased risk for falls because of normal age-related changes?
a. Speaking in a loud voice when warning the patient about safety hazards b. Turning on bright lights so the patient can see objects such as furniture c. Encouraging the patient to rise from a su-pine position slowly d. Advising the patient to avoid exercising painful joints
When interviewing a Native American client, the nurse avoids which behavior because it is deemed unacceptable by the client's culture?
A) Sitting in the presence of an elder B) Prolonged eye contact C) Strict attention to time commitments D) Expression of emotion or affection