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 B

Explanation

A. Acetaminophen is an over-the-counter pain reliever commonly used to reduce mild to moderate pain, such as headaches or muscle aches. It does not treat osteoporosis. It may help with pain associated with bone fractures or discomfort from osteoporosis but does not impact bone density or prevent fractures.
B. Alendronate (brand name Fosamax) is a bisphosphonate used specifically to treat and prevent osteoporosis, particularly in postmenopausal women. It works by inhibiting bone resorption (the process by which bone is broken down and minerals are released into the bloodstream), thereby increasing bone density and reducing the risk of fractures.
C. Naloxone (brand name Narcan) is an opioid antagonist used to reverse opioid overdoses. It has no role in the treatment or prevention of osteoporosis. This medication is used in emergency settings to counteract respiratory depression caused by opioid overdose and should not be used for osteoporosis treatment.
D. Morphine sulfate is a narcotic analgesic used to manage severe pain. While it may be used for pain relief in individuals with osteoporosis who have experienced a fracture or severe pain, it does not treat the underlying condition of osteoporosis.

A. Indigestion B. Weight gain C. Persistent chest pain D. Nausea

Correct Answer is C

Explanation

A. Indigestion is not a severe side effect, although it can be uncomfortable; it is not an indication to stop the medication.
B. Weight gain is not a common or serious adverse effect of sumatriptan.
C. Persistent chest pain is a serious adverse effect of sumatriptan, as it can indicate a cardiovascular event such as angina or a heart attack. The client should stop taking the medication and seek immediate medical attention.
D. Nausea may occur with sumatriptan use but is not a serious adverse effect unless it is accompanied by other severe symptoms.

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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?

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Correct Answer is B

Explanation

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

Correct Answer is C

Explanation

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 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 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 client has a new prescription for baclofen (Lioresal). Which of the following statements should the nurse include as a therapeutic indication for this medication?

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?

A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

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?

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?