A client is prescribed cyclobenzaprine (Flexeril) for the treatment of muscle spasticity associated with multiple sclerosis. Which statement below should the nurse emphasize to the client prior to administration?

Monitor heart rate for bradycardia

Ensure naloxone is available in the case of an overdose

Do not operate motor vehicles after taking cyclobenzaprine

Excessive salivation is associated with this medication

Answer and Explanation

The Correct Answer is C

A. Monitoring heart rate for bradycardia is not a primary concern with cyclobenzaprine; instead, it can cause drowsiness and sedation.
B. Naloxone is not necessary for cyclobenzaprine overdose, as it is not an opioid.
C. Cyclobenzaprine can cause sedation and impair cognitive function, so the nurse should emphasize that clients should not operate heavy machinery or motor vehicles until they know how the medication affects them.
D. Excessive salivation is not a common side effect of cyclobenzaprine; instead, dry mouth is more frequently reported.

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Correct Answer is C

Explanation

A. Glucose tablets are appropriate for clients with mild hypoglycemia who are alert and able to chew and swallow; they are not suitable for someone who is difficult to arouse.
B. Epinephrine is not used as a treatment for hypoglycemia; it does not directly increase blood glucose levels.
C. IVP (intravenous push) dextrose 50% is indicated for severe hypoglycemia in clients who are lethargic or unresponsive, as it rapidly increases blood glucose levels.
D. Orange juice is effective for mild hypoglycemia but is not appropriate in this case due to the client’s altered mental status and risk of aspiration.

A. Topical ointment B. Sublingual C. Transdermal patch D. Sustained-release

Correct Answer is B

Explanation

A. Topical ointment has a slower onset as it must be absorbed through the skin before it can exert its effects.
B. Sublingual nitroglycerin provides rapid relief of angina symptoms because it is absorbed quickly into the bloodstream through the mucous membranes in the mouth, allowing for an immediate effect.
C. Transdermal patches release nitroglycerin slowly over time, leading to a delayed onset of action.
D. Sustained-release formulations are designed for prolonged effects rather than rapid onset, making them slower to take effect compared to sublingual administration.

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A client is prescribed cyclobenzaprine (Flexeril) for the treatment of muscle spasticity associated with multiple sclerosis. Which statement below should the nurse emphasize to the client prior to administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is lethargic, diaphoretic, and difficult to arouse. The client's blood sugar result was 40 mg/dL. The nurse anticipates which of the following to be administered?

Correct Answer is C

Explanation

A nurse is teaching a group of nurses about the administration of nitroglycerin. Which of the following routes of administration has the most rapid onset for the client?

Correct Answer is B

Explanation

A client who suffers from hypertension and headaches is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication?

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