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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Diarrhea is a known side effect of celecoxib but not typically a sign of a serious reaction.
B. Headache is a mild side effect that may occur with celecoxib use but is not a severe adverse reaction.
C. Nausea is a common side effect of many medications, including celecoxib, but is not a critical issue unless severe.
D. Chest pressure could indicate cardiovascular problems, which is a serious adverse effect of celecoxib and other COX-2 inhibitors. Clients should report this immediately, as it may indicate a risk for myocardial infarction or stroke.

A. 30 to 60 seconds B. 1 to 2 minutes C. 4 to 5 minutes D. 4 to 5 seconds

Correct Answer is B

Explanation

A. Pushing morphine too quickly (within 30 to 60 seconds) can increase the risk of adverse effects.
B. To reduce the risk of respiratory depression, hypotension, and other adverse effects, morphine sulfate should be administered slowly over 1 to 2 minutes when given intravenously.
C. Pushing over 4 to 5 minutes is excessive and unnecessary for morphine IVP administration.
D. Pushing morphine too quickly (4 to 5 seconds) can cause serious complications, including respiratory depression.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

Correct Answer is D

Explanation

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

Correct Answer is B

Explanation

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

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 nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)