A client is ordered to receive carisoprodol (Soma) for muscle relaxation. The client takes the medication for 3 weeks and then abruptly stops. The client is at increased risk for:
a. excessive muscle relaxation.
b. decreased range of motion.
c. increased inflammation.
d. rebound muscle spasms.
ANS: D
Rebound spasms may occur if carisoprodol (Soma) is stopped abruptly.
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The staff are discussing the competency of a client who was recently involuntary admitted to the unit. Which of the following statements about competency is inaccurate?
1. Competency is affected by client compliance with treatment. 2. Competency is a medical determination made by the client's physician. 3. A guardian is appointed to make decisions on the person's behalf when the client is determined to be incompetent. 4. A competent client means the client can make reasonable judgments and decisions.
A nurse needs to bathe and clean the fractured arm of a client with a bivalved cast. Which of the following actions is most suitable when removing a bivalved cast?
A) Remove both halves of the cast sequentially. B) Remove one half of the shell. C) Obtain a sharply defined x-ray of the arm. D) Assess the fingers for blood circulation.
What changes in the health care system have created an increased need for nurses to practice in community-based settings? (Mark all that apply.)
A) Tighter insurance regulations B) Younger population C) Increased rural population D) Changes in federal legislation E) Decreasing hospital revenues
The nurse collects vital signs on a client with pain. Which of the following would indicate to the nurse that the client is experiencing pain?
A) Respiratory rate of 18 breaths/min B) Temperature of 99.1°F C) Heart rate of 110 bpm D) Blood pressure of 120/70 mmHg