What is the drug of choice for an older adult or a patient with hepatic or renal impairment?

A) Baclofen
B) Carisoprodol
C) Chlorzoxazone
D) Cyclobenzaprine


B
Feedback:
Carisoprodol is the centrally acting skeletal muscle relaxant of choice for older patients and for those with hepatic or renal impairment. Although the other options may be prescribed, older adults are more likely to experience the adverse effects associated with the drug.

Nursing

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A woman who is pregnant with twins says, "There are lots of twins in my family, but most of them are not identical." How would the nurse respond?

1. "Usually when twins run in families they are identical twins." 2. "Some women have a genetic tendency to release two eggs each month." 3. "Identical twins are very rare." 4. "Many people think that twinning runs in families, but that has not been scientifically proven."

Nursing

Which action should the nurse take regarding the presence of children in the birth setting?

a. Permit only children over the age of 16 to be present. b. Have additional nursing staff available to meet the needs of the children. c. Limit the amount of time spent with the laboring mother. d. Provide simple factual explanations of events.

Nursing

The nurse manager is working on a committee to revise a hospital's emergency preparedness plan. What is the first step of this work?

1. Conduct a hazard risk analysis. 2. Write a basic plan that can be expanded as time permits. 3. Describe functional annexes. 4. Develop hazard-specific annexes.

Nursing

The nurse is caring for a patient who has recurrent urinary tract infections. The patient's current infection is not responding to an antibiotic that has been used successfully several times in the past

The nurse understands that this is most likely due to a. acquired bacterial resistance. b. cross-resistance. c. inherent bacterial resistance. d. transferred resistance.

Nursing