The nurse is assigned to care for a client with multiple sclerosis who is receiving an intravenous (IV) dose of methocarbamol (Robaxin). The nurse monitors the client knowing that which of the following is an expected side effect?
1. Dark green colored urine
2. Excitability
3. Insomnia
4. Hypertension
1
Rationale: Methocarbamol (Robaxin) is a skeletal muscle relaxant. It may cause the urine to turn a brown, black, or dark green color and the client needs to be told that this is a harmless effect. This medication can cause hypotension. Drowsiness and dizziness can also occur. Therefore options "excitability" and "insomnia" are incorrect.
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1. ISI 2. PTT 3. DIC 4. INR
Which of the following would be most appropriate for the nurse to suggest about pushing to a woman in the second stage of labor?
A) "Lying flat with your head elevated on two pillows makes pushing easier.". B) "Choose whatever method you feel most comfortable with for pushing.". C) " Let me help you decide when it is time to start pushing.". D) "Bear down like you're having a bowel movement with every contraction.".
A patient who is paralyzed from the waist down as a result of an injury that completely severed the spinal cord has an open wound on the right heel. Why is this patient unaware of any pain caused from this wound?
a. The nociceptors in the heel are no longer stimulated when injury occurs. b. The patient has become completely desensitized to this type of chronic pain. c. The severed spinal cord prevents the sensation of pain from reaching the brain. d. The spinal cord injury results in chronic pain that can mask any acute pain sensation.
The nurse recognizes the infant's grasp reflex when the infant's
a. Fingers close around objects placed in the palm b. Fingers grasp with the opposing thumb c. Thumb and index finger grasp d. Two hands attempt to grasp an object