The nurse is caring for a patient who has recurrent muscle spasms. The provider has ordered metaxalone (Skelaxin) to treat the spasms. The nurse learns that the patient has a history of drug and alcohol abuse
The nurse will contact the provider to discuss switching this patient to which medication?
a. Carisoprodol (Soma)
b. Chlorzoxazone (Parafon forte DSC)
c. Cyclobenzaprine (Flexeril)
d. Methocarbamol (Robaxin)
ANS: C
Cyclobenzaprine is a muscle relaxant that does not cause drug dependence. The other muscle relaxants can cause drug dependence.
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A herniated nucleus pulposus is assessed by:
A) Asking the patient to flex her or his hands back to back at a 90-degree angle. B) Raising the affected leg and dorsiflexing the foot. C) Elevating both arms over her or his head for 20 to 30 seconds. D) Percussing lightly over the median nerve.
The nurse is teaching a class on dysrhythmias and associated therapy. The nurse asks the class, "Which cardiac dysrhythmia would result in the lowest cardiac output, and what treatment would be effective?"
The class best demonstrates understanding by responding that _____ results in the lowest cardiac output, and treatment includes _____. a. atrial flutter; lidocaine b. tachycardia; atropine c. first-degree heart block; verapamil (Calan) d. ventricular fibrillation; defibrillation
When working with teenagers, it is important for the nurse to recognize that some teens may get pregnant because they
a. Often feel invincible and do not recognize risks related to their behaviors b. Enjoy engaging in sexual activity and want children c. Influence each other and succumb to peer pressure d. Have realistic attitudes about school, work, parenting, and socializing
A patient is post op day 1 following prostatectomy surgery. He complains of dizziness on standing and when checked is found to have a lying BP of 116/84 with a HR of 88 and a standing BP of 98/76 with a HR of 110. Which advise would be appropriate for orthostatic hypotension? Select all that apply.
A. " you are at risk for falling related to your low fluid volume and low Bp" B. "you should change your position slowly to prevent dizziness and falls." C. " Please call for assistance when you are ready to get out of bed." D. "Ambulate more frequently to help you feel steadier on your feet."