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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lithium is not considered addictive in the traditional sense, and it does not need to be discontinued after six months unless clinically indicated.
B. Diuretics are generally avoided in patients taking lithium due to the risk of lithium toxicity from altered renal clearance, rather than being a routine prescription for difficulty urinating.
C. Close monitoring of lithium levels is crucial to avoid toxicity and ensure therapeutic efficacy, making this statement correct and essential for the patient’s education.
D. While weight gain can occur with lithium therapy, it is not an indicator of lithium toxicity; symptoms of toxicity include nausea, tremors, and confusion rather than weight gain.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Rationale:
- Oxygen administration: This is a critical intervention to improve oxygenation during an acute asthma exacerbation.
- Inhaled short-acting beta-2 agonists: These medications rapidly relax the airway smooth muscle, reducing bronchoconstriction and improving airflow.
- Inhaled Corticosteroids: These medications reduce inflammation in the airways, preventing further airway narrowing and improving lung function over time.
- Oral Decongestants and Expectorants: These medications are not typically used in the acute management of asthma exacerbations. They can have side effects and may not be effective in improving airway function.
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