PHARMACOLOGY EXAMBANK FOR CHAPTERS
20-27 TEST 2 CORRECTLT SOLVED AND
FREQUENTLY TESTED.
A nurse is instructing a patient who was recently diagnosed with multiple
sclerosis about dantrolene (Atrium). The patient is a 38-year-old-male and the
foreman for a construction company. In order to minimize one important adverse
effect of the drug, the nurse will give the patient which instruction?
Correct Answer -Wear appropriate clothing and sunscreen whenever he is in
direct sunlight.
The client is taking cyclobenzaprine for muscle spasms secondary to an injury to
the lumbar spine that occurred while lifting a motor at work. The client is being
seen for a follow-up visit by the health care provider. The client reports dry mouth,
blurred vision, and constipation. Why is the client having these side effects from
cyclobenzaprine?
Correct Answer -Cyclobenzaprine produces an anticholinergic response
A patient has been diagnosed with cervical dystonia. The nurse would expect
which medication to be ordered for this patient?
Correct Answer -Botulinum toxin type B
A client has been admitted to the unit for treatment of a multiple sclerosis
exacerbation. The admission order indicates that the client is taking baclofen.
Which outcome would the nurse expect to be associated with use of this
medication?
Correct Answer -decreased muscle spasms
,What is the most important teaching from the plan of care, to emphasize, when a
client is prescribed a skeletal muscle relaxant?
Correct Answer -do not drive or operate machinery until drug effects are known
A 50-year-old woman has begun taking baclofen to treat her recently diagnosed
multiple sclerosis (MS). What teaching point should the nurse provide to the
patient about her new drug regimen?
Correct Answer -"Make sure that you don't stop taking baclofen suddenly because
it might cause your symptoms to rebound quite sharply."
Baclofen is a prototype drug for the centrally acting skeletal muscle relaxants.
What adverse effects do these drugs have? (Mark all that apply.)
Correct Answer -Hypotension
Weakness
Dizziness
The nurse is providing education to a client who has been prescribed tizanidine.
What adverse effect should the nurse mention during teaching?
Correct Answer -hypotension
Dantrolene should be avoided in all patients who are 35 or older because of the
increased risk of:
Correct Answer -hepatocellular disease.
A 60 year-old female client has multiple sclerosis accompanied by muscle
spasticity. The client has responded well to dantrolene 200 mg PO daily in divided
doses. What assessment finding should the nurse prioritize for communication to
,the client's provider?
Correct Answer -upward trend in AST and ALT
A client diagnosed with multiple sclerosis-induced spasticity asks why deep
tissue massages do not relieve the associated pain. What facts about spasticity
should be the basis of the nurse's response?
Correct Answer -Spasticity is caused by nerve damage in the brain and spinal
cord, and it is a permanent condition.
A client with amyotrophic lateral sclerosis is experiencing muscle spasticity.
Which drug would the nurse expect the physician to order?
Correct Answer -dantrolene
The nurse's home care teaching for a client who takes baclofen will include which
instructions? (Select all that apply.)
Correct Answer -"Rise carefully from a seated to a standing position."
"This medication may cause you to have to urinate more frequently."
"This medicine may give you a headache or make sleeping difficult."
Which skeletal muscle relaxant is also available in intrathecal form?
Correct Answer -baclofen
The nurse is caring for a client whose current medication regimen includes
baclofen 60 mg PO daily. What assessment should the nurse prioritize when
assessing for therapeutic effects?
Correct Answer -Inspection for muscle spasticity and range of motion
assessment
, A client with spinal cord injury is experiencing muscle spasticity. Which agent
would most likely be ordered?
Correct Answer -baclofen
A patient has been prescribed methocarbamol for fibromyalgia. The nurse has
spent an hour educating the patient on the use of methocarbamol for muscle
pain. Which statement by the patient indicates that the patient has an
understanding of at least one of the significant side effects of methocarbamol?
Correct Answer -"My urine could be discolored while I take this drug."
An older adult is prescribed a skeletal muscle relaxant for reports of neck pain.
What is the top priority of care for the nurse to teach the family?
Correct Answer -Monitor the client before ambulating.
A client with spastic hypertonia resulting from cerebral palsy has not responded
appreciably to oral baclofen. During the client's care conference, the nurse
should anticipate a discussion about what possible treatment?
Correct Answer -intrathecal baclofen infusion
When reviewing the medical record of a client who is to receive dantrolene, which
condition would alert the nurse to the need for close monitoring?
Correct Answer -the client has respiratory depression from opioid analgesia
A nurse should review a client's medical conditions prior to administering a
dantrolene as its use is contraindicated in clients with which issues? (Select all
that apply.)
Correct Answer -lactation
20-27 TEST 2 CORRECTLT SOLVED AND
FREQUENTLY TESTED.
A nurse is instructing a patient who was recently diagnosed with multiple
sclerosis about dantrolene (Atrium). The patient is a 38-year-old-male and the
foreman for a construction company. In order to minimize one important adverse
effect of the drug, the nurse will give the patient which instruction?
Correct Answer -Wear appropriate clothing and sunscreen whenever he is in
direct sunlight.
The client is taking cyclobenzaprine for muscle spasms secondary to an injury to
the lumbar spine that occurred while lifting a motor at work. The client is being
seen for a follow-up visit by the health care provider. The client reports dry mouth,
blurred vision, and constipation. Why is the client having these side effects from
cyclobenzaprine?
Correct Answer -Cyclobenzaprine produces an anticholinergic response
A patient has been diagnosed with cervical dystonia. The nurse would expect
which medication to be ordered for this patient?
Correct Answer -Botulinum toxin type B
A client has been admitted to the unit for treatment of a multiple sclerosis
exacerbation. The admission order indicates that the client is taking baclofen.
Which outcome would the nurse expect to be associated with use of this
medication?
Correct Answer -decreased muscle spasms
,What is the most important teaching from the plan of care, to emphasize, when a
client is prescribed a skeletal muscle relaxant?
Correct Answer -do not drive or operate machinery until drug effects are known
A 50-year-old woman has begun taking baclofen to treat her recently diagnosed
multiple sclerosis (MS). What teaching point should the nurse provide to the
patient about her new drug regimen?
Correct Answer -"Make sure that you don't stop taking baclofen suddenly because
it might cause your symptoms to rebound quite sharply."
Baclofen is a prototype drug for the centrally acting skeletal muscle relaxants.
What adverse effects do these drugs have? (Mark all that apply.)
Correct Answer -Hypotension
Weakness
Dizziness
The nurse is providing education to a client who has been prescribed tizanidine.
What adverse effect should the nurse mention during teaching?
Correct Answer -hypotension
Dantrolene should be avoided in all patients who are 35 or older because of the
increased risk of:
Correct Answer -hepatocellular disease.
A 60 year-old female client has multiple sclerosis accompanied by muscle
spasticity. The client has responded well to dantrolene 200 mg PO daily in divided
doses. What assessment finding should the nurse prioritize for communication to
,the client's provider?
Correct Answer -upward trend in AST and ALT
A client diagnosed with multiple sclerosis-induced spasticity asks why deep
tissue massages do not relieve the associated pain. What facts about spasticity
should be the basis of the nurse's response?
Correct Answer -Spasticity is caused by nerve damage in the brain and spinal
cord, and it is a permanent condition.
A client with amyotrophic lateral sclerosis is experiencing muscle spasticity.
Which drug would the nurse expect the physician to order?
Correct Answer -dantrolene
The nurse's home care teaching for a client who takes baclofen will include which
instructions? (Select all that apply.)
Correct Answer -"Rise carefully from a seated to a standing position."
"This medication may cause you to have to urinate more frequently."
"This medicine may give you a headache or make sleeping difficult."
Which skeletal muscle relaxant is also available in intrathecal form?
Correct Answer -baclofen
The nurse is caring for a client whose current medication regimen includes
baclofen 60 mg PO daily. What assessment should the nurse prioritize when
assessing for therapeutic effects?
Correct Answer -Inspection for muscle spasticity and range of motion
assessment
, A client with spinal cord injury is experiencing muscle spasticity. Which agent
would most likely be ordered?
Correct Answer -baclofen
A patient has been prescribed methocarbamol for fibromyalgia. The nurse has
spent an hour educating the patient on the use of methocarbamol for muscle
pain. Which statement by the patient indicates that the patient has an
understanding of at least one of the significant side effects of methocarbamol?
Correct Answer -"My urine could be discolored while I take this drug."
An older adult is prescribed a skeletal muscle relaxant for reports of neck pain.
What is the top priority of care for the nurse to teach the family?
Correct Answer -Monitor the client before ambulating.
A client with spastic hypertonia resulting from cerebral palsy has not responded
appreciably to oral baclofen. During the client's care conference, the nurse
should anticipate a discussion about what possible treatment?
Correct Answer -intrathecal baclofen infusion
When reviewing the medical record of a client who is to receive dantrolene, which
condition would alert the nurse to the need for close monitoring?
Correct Answer -the client has respiratory depression from opioid analgesia
A nurse should review a client's medical conditions prior to administering a
dantrolene as its use is contraindicated in clients with which issues? (Select all
that apply.)
Correct Answer -lactation
