A client is taking cyclobenzaprine (Flexeril) for acute muscle spasms of the back. The nurse educates the client on which possible anticholinergic side effects associated with this medication? (Select all that apply)

Decreased Urination

Diarrhea

Dry Mouth

Tachycardia

Excessive Lacrimation

Excessive Sweating

Answer and Explanation

Correct Answer : A,C,D

A. Decreased urination is an anticholinergic side effect due to the medication's action on the bladder.
B. Diarrhea is not an anticholinergic side effect; in fact, anticholinergics typically cause constipation.
C. Dry mouth is a common anticholinergic side effect, resulting from reduced saliva production.
D. Tachycardia can occur as an anticholinergic effect due to decreased vagal tone.
E. Excessive lacrimation is not associated with anticholinergic effects; it is the opposite, as anticholinergics usually lead to dry eyes.
F. Excessive sweating is contrary to anticholinergic effects, which often result in decreased sweating.

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Correct Answer is C

Explanation

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.

A. "Depending on the level of your PT/INR, the clot will begin to dissolve." B. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level." C. "Heparin does not dissolve clots. It stops new clots from forming." D. "After the first dose, the clot will begin to dissolve."

Correct Answer is C

Explanation

A. PT/INR is not the appropriate measure for heparin therapy, as heparin is monitored using activated partial thromboplastin time (aPTT). This response could mislead the client regarding treatment expectations.
B. While it may take time to reach therapeutic levels, this statement doesn't clarify that heparin is not a clot-dissolving agent.
C. Heparin prevents the extension of existing clots and the formation of new clots but does not actively dissolve clots already present.
D. This statement incorrectly suggests that immediate effects are seen, which is not the case as heparin's action involves prevention rather than dissolution.

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A client is taking cyclobenzaprine (Flexeril) for acute muscle spasms of the back. The nurse educates the client on which possible anticholinergic side effects associated with this medication? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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