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 D

Explanation

A. Epinephrine is primarily used for anaphylaxis and severe asthma attacks; it is not effective in reversing opioid overdose.
B. Protamine is an antidote for heparin, not for opioid overdose.
C. Flumazenil is a benzodiazepine antagonist and is not indicated for opioid overdose; it can potentially precipitate seizures in patients with mixed drug overdoses.
D. Naloxone is an opioid antagonist specifically indicated for reversing the effects of opioid overdose, including respiratory depression, making it the appropriate choice in this scenario.

A. allopurinol B. febuxostat C. colchicine D. physostigmine

Correct Answer is C

Explanation

A. Allopurinol is a xanthine oxidase inhibitor used for chronic gout management and prevention, not for acute attacks.
B. Febuxostat is also used for chronic management of gout and not effective for immediate relief of an acute attack.
C. Colchicine is indicated for the treatment of acute gout flares as it helps reduce inflammation and pain associated with gout attacks.
D. Physostigmine is an antidote for anticholinergic toxicity and has no role in treating gout.

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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 caring for a client who overdosed on morphine and has a respiratory rate of 6/min. Which medication should the nurse plan to administer?

Correct Answer is D

Explanation

The nurse is caring for a client with swelling to the distal phalanges, first big toe, and 10/10 pain. Which medication below would be administered for this client's acute gout?

Correct Answer is C

Explanation

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