EDAPT INTRACRANIAL REGULATION UPDATED
EXAMINERS SET QUESTIONS AND ANSWERS SURE
A+
✔✔Match the mechanism of action to the correct category of muscle relaxant. -
✔✔*Centrally-Acting Skeletal Muscle Relaxants:*
• Provide sedative effects
• Act directly on the central nervous system (CNS)
• Have no direct effects on the muscles
• Have no effect on conduction of nerves
• Act at the level of the brainstem and thalamus
• Decrease the force of muscle contraction
• Relax strained, stiff, and weakened muscles
*Direct-Acting Skeletal Muscle Relaxants:*
• Small group of muscle relaxants
• Act directly on skeletal muscle
• Decrease the muscle's response to stimuli
• Decrease the amount of calcium released
✔✔Which muscle relaxant causes marked sedation? - ✔✔Cyclobenzaprine
,✔✔Which muscle relaxant is used to treat muscle spasms and can be used in an
implantable pump device? - ✔✔Baclofen
✔✔Which muscle relaxant is commonly misused in combination with an opioid and a
benzodiazepine, producing a heroin-like effect? - ✔✔Carisoprodol
✔✔As with __________ central nervous system (CNS) depressants, there is a potential
for adverse effects and toxicity or overdose when muscle relaxants are taken with
__________.
Muscle relaxant overdose requires __________ aggressive treatment than does an
overdose of other CNS depressants. The priority is airway, breathing, and circulation
(ABCs), including airway maintenance, heart rhythm monitoring, and intravenous (IV)
fluids. - ✔✔All
Other CNS depressive substances and drugs
More
✔✔The nurse who is caring for a client prescribed a muscle relaxant is aware that the
assessment of this client will include __________. - ✔✔Awareness of muscle function,
pain, and range of motion.
✔✔The nurse caring for a client prescribed a muscle relaxant is aware that there are
two subclasses, each with a mechanism of action that is __________. - ✔✔Unique to
this subclass.
✔✔The therapeutic effect of muscle relaxants can be assessed by the client's
__________. - ✔✔Muscle spasticity, pain, and stiffness
✔✔The nurse is caring for a client taking dantrolene for malignant hyperthermia
resulting from a recent surgical procedure. Which assessment item evaluates the
therapeutic effect for this client? - ✔✔Relief of muscle rigidity
✔✔The nurse is caring for a client taking a muscle relaxant for the treatment of muscle
spasms and pain. The nurse should assess for which side effect? - ✔✔Drowsiness and
dizziness if taking cyclobenzaprine.
✔✔The nurse caring for a client taking cyclobenzaprine, a centrally-acting muscle
relaxant, should include which instruction when preparing the client for discharge? -
✔✔The client should see how they do on cyclobenzaprine for a few days before they go
back to driving.
✔✔The nurse caring for a client taking cyclobenzaprine, a centrally-acting skeletal
muscle relaxant. The clients asks the nurse why they must not drink alcohol while taking
, this medication. What is the best response? - ✔✔"Alcohol and this medication both
cause central nervous system (CNS) depression."
✔✔The nurse is caring for a client hospitalized for muscle spasms associated with
multiple sclerosis. The healthcare provider is prescribing baclofen for long-term use.
Based on the nurse's knowledge of this medication, which should be considered? Select
all that apply. - ✔✔Prepare to administer a test dose as ordered by the healthcare
provider.
Prepare the client for an implantable baclofen pump device.
✔✔The nurse is caring for a client who has just arrived on the unit from post-op. The
client is exhibiting signs of malignant hyperthermia, and the healthcare provider
prescribed a directly-acting skeletal muscle relaxant for treatment. Which action by the
nurse indicates an understanding of the prescribed order? - ✔✔Prepare to administer
dantrolene and monitor the heart rhythm, vital signs, electrolyte levels, and urine output
continuously.
✔✔The nurse caring for a client who is taking cyclobenzaprine following an injury
should include what information in the discharge teaching for this medication? -
✔✔Sedation is a common side effect.
✔✔The nurse caring for an older adult client with arthritis who has started taking
cyclobenzaprine should prioritize which nursing assessments? Select all that apply. -
✔✔Sedation level
Fall risk
✔✔The nurse is providing discharge instructions to an older adult client taking
cyclobenzaprine. Which should be included in the teaching? Select all that apply. -
✔✔The medication should not be stopped abruptly.
To avoid dizziness, do not stand up from a seated position too quickly.
The client should see how they do on cyclobenzaprine for a few days before driving.
✔✔The nurse is caring for a client who has come to the emergency room reporting
confusion, restlessness, and an increase in muscle spasms. Cyclobenzaprine is a noted
medication on the health history. Aside from this change in neurological status, the
physical assessment is within normal limits. Which would the nurse suspect? - ✔✔The
client stopped taking cyclobenzaprine abruptly.
✔✔A client has been brought to the emergency room with the following symptoms:
hypotension, bradypnea, diminished reflexes, and extreme drowsiness. The reported
medical history notes the client has been taking a prescribed muscle relaxant for a
EXAMINERS SET QUESTIONS AND ANSWERS SURE
A+
✔✔Match the mechanism of action to the correct category of muscle relaxant. -
✔✔*Centrally-Acting Skeletal Muscle Relaxants:*
• Provide sedative effects
• Act directly on the central nervous system (CNS)
• Have no direct effects on the muscles
• Have no effect on conduction of nerves
• Act at the level of the brainstem and thalamus
• Decrease the force of muscle contraction
• Relax strained, stiff, and weakened muscles
*Direct-Acting Skeletal Muscle Relaxants:*
• Small group of muscle relaxants
• Act directly on skeletal muscle
• Decrease the muscle's response to stimuli
• Decrease the amount of calcium released
✔✔Which muscle relaxant causes marked sedation? - ✔✔Cyclobenzaprine
,✔✔Which muscle relaxant is used to treat muscle spasms and can be used in an
implantable pump device? - ✔✔Baclofen
✔✔Which muscle relaxant is commonly misused in combination with an opioid and a
benzodiazepine, producing a heroin-like effect? - ✔✔Carisoprodol
✔✔As with __________ central nervous system (CNS) depressants, there is a potential
for adverse effects and toxicity or overdose when muscle relaxants are taken with
__________.
Muscle relaxant overdose requires __________ aggressive treatment than does an
overdose of other CNS depressants. The priority is airway, breathing, and circulation
(ABCs), including airway maintenance, heart rhythm monitoring, and intravenous (IV)
fluids. - ✔✔All
Other CNS depressive substances and drugs
More
✔✔The nurse who is caring for a client prescribed a muscle relaxant is aware that the
assessment of this client will include __________. - ✔✔Awareness of muscle function,
pain, and range of motion.
✔✔The nurse caring for a client prescribed a muscle relaxant is aware that there are
two subclasses, each with a mechanism of action that is __________. - ✔✔Unique to
this subclass.
✔✔The therapeutic effect of muscle relaxants can be assessed by the client's
__________. - ✔✔Muscle spasticity, pain, and stiffness
✔✔The nurse is caring for a client taking dantrolene for malignant hyperthermia
resulting from a recent surgical procedure. Which assessment item evaluates the
therapeutic effect for this client? - ✔✔Relief of muscle rigidity
✔✔The nurse is caring for a client taking a muscle relaxant for the treatment of muscle
spasms and pain. The nurse should assess for which side effect? - ✔✔Drowsiness and
dizziness if taking cyclobenzaprine.
✔✔The nurse caring for a client taking cyclobenzaprine, a centrally-acting muscle
relaxant, should include which instruction when preparing the client for discharge? -
✔✔The client should see how they do on cyclobenzaprine for a few days before they go
back to driving.
✔✔The nurse caring for a client taking cyclobenzaprine, a centrally-acting skeletal
muscle relaxant. The clients asks the nurse why they must not drink alcohol while taking
, this medication. What is the best response? - ✔✔"Alcohol and this medication both
cause central nervous system (CNS) depression."
✔✔The nurse is caring for a client hospitalized for muscle spasms associated with
multiple sclerosis. The healthcare provider is prescribing baclofen for long-term use.
Based on the nurse's knowledge of this medication, which should be considered? Select
all that apply. - ✔✔Prepare to administer a test dose as ordered by the healthcare
provider.
Prepare the client for an implantable baclofen pump device.
✔✔The nurse is caring for a client who has just arrived on the unit from post-op. The
client is exhibiting signs of malignant hyperthermia, and the healthcare provider
prescribed a directly-acting skeletal muscle relaxant for treatment. Which action by the
nurse indicates an understanding of the prescribed order? - ✔✔Prepare to administer
dantrolene and monitor the heart rhythm, vital signs, electrolyte levels, and urine output
continuously.
✔✔The nurse caring for a client who is taking cyclobenzaprine following an injury
should include what information in the discharge teaching for this medication? -
✔✔Sedation is a common side effect.
✔✔The nurse caring for an older adult client with arthritis who has started taking
cyclobenzaprine should prioritize which nursing assessments? Select all that apply. -
✔✔Sedation level
Fall risk
✔✔The nurse is providing discharge instructions to an older adult client taking
cyclobenzaprine. Which should be included in the teaching? Select all that apply. -
✔✔The medication should not be stopped abruptly.
To avoid dizziness, do not stand up from a seated position too quickly.
The client should see how they do on cyclobenzaprine for a few days before driving.
✔✔The nurse is caring for a client who has come to the emergency room reporting
confusion, restlessness, and an increase in muscle spasms. Cyclobenzaprine is a noted
medication on the health history. Aside from this change in neurological status, the
physical assessment is within normal limits. Which would the nurse suspect? - ✔✔The
client stopped taking cyclobenzaprine abruptly.
✔✔A client has been brought to the emergency room with the following symptoms:
hypotension, bradypnea, diminished reflexes, and extreme drowsiness. The reported
medical history notes the client has been taking a prescribed muscle relaxant for a
