A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?
A decrease in urinary urgency, frequency, nocturia, and urge incontinence,
An absence of muscle rigidity and spasms with a good range of motion.
Physical dependence from chronic long-term use
No spontaneous respiratory movements in the clients caving mechanical ventilation
The Correct Answer is B
A. Urinary symptoms such as urgency and frequency are not related to the therapeutic effects of cyclobenzaprine.
B. Cyclobenzaprine is a muscle relaxant, and its effectiveness is indicated by a reduction in muscle rigidity and spasms, along with improved range of motion.
C. Physical dependence is not a goal of treatment with cyclobenzaprine. The effectiveness of the medication should be measured by symptom relief, not dependence.
D. Cyclobenzaprine does not affect respiratory function, so the absence of spontaneous respiratory movements in mechanically ventilated clients is unrelated to the medication's action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B. Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C. Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D. Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.
Correct Answer is A
Explanation
A. Petechiae is an early sign of acetaminophen toxicity. It indicates a potential bleeding disorder due to liver damage, which can occur from prolonged or high-dose use of acetaminophen.
B. Osteoporosis is not a symptom of acetaminophen toxicity.
C. Pneumonia is unrelated to acetaminophen toxicity and is more likely to occur due to infections.
D. Diaphoresis (sweating) is not a primary early symptom of acetaminophen toxicity, although it could occur in later stages of liver failure.
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