A patient has localized muscle spasms after an injury. The prescriber has ordered tizanidine [Zanaflex] to alleviate the spasms
When obtaining the patient's health history, the nurse should be concerned about which possible reason for considering another drug? a. Concomitant use of aspirin
b. A history of hepatitis
c. A history of malignant hyperthermia
d. Occasional use of alcohol
B
Hepatotoxicity is a serious potential problem in a patient receiving tizanidine, because the drug can cause liver damage. Baseline liver enzymes should be obtained before dosing and periodi-cally thereafter. Analgesic anti-inflammatory drugs commonly are used in conjunction with cen-trally acting muscle relaxants, so using aspirin is not a concern. This drug does not contribute to malignant hyperthermia. Patients should be advised to avoid alcohol when taking this drug, but a history of occasional alcohol use is not a contraindication.
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The nurse is providing care to a client admitted with acute pancreatitis. Which data support the client's diagnosis? Select all that apply
A) Severe epigastric pain B) Nausea and vomiting C) Elevated temperature D) Hypotension E) Steatorrhea
Which of the following would be an example of the nurse practicing fidelity? The nurse
A) regulates visitors. B) stays with the patient during his or her death as promised. C) withholds information as requested. D) provides continuity of care.
A nurse is taking care of a patient with secondary lymphedema of the right leg. The patient has a history of chronic thrombophlebitis. What does the nurse know is the usual cause of the lymphatic obstruction in a patient with this history?
A) Elephantitis B) Chronic arterial insufficiency C) Chronic lymphangitis D) Chronic venous insufficiency
A university hospital wants to implement a "closed-loop" medication management system. Current systems include registration, computerized provider order entry, electronic medication administration record, laboratory, radiology, and pharmacy
Which system is needed to complete the loop? a. Clinical documentation b. Clinical decision support system c. Bar-coding system d. Electronic prescribing