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.
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Related Questions
Correct Answer is D
Explanation
A. Morphine sulfate is an opioid used for pain management and not for treating opioid use disorder.
B. Fentanyl is a powerful opioid and would not be prescribed for opioid abuse; it may be used for pain management in certain cases but is not for detoxification or maintenance.
C. Naltrexone is another option for opioid use disorder but is typically used after detoxification. It is not used for detoxification itself.
D. Methadone is commonly prescribed for the treatment of opioid use disorder, as it helps reduce cravings and withdrawal symptoms without causing a high.
Correct Answer is A
Explanation
A. Acetaminophen is contraindicated in clients with alcohol use disorder because chronic alcohol use increases the risk of liver damage, and acetaminophen can cause hepatotoxicity.
B. Acetaminophen does not have a direct contraindication with asthma.
C. Acetaminophen is safe for clients with diabetes unless there are other contraindications or liver issues.
D. Heart failure is not a contraindication for acetaminophen, but caution should be used in cases of severe liver disease, which may be related to heart failure.
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