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pharm chapter 21
Chapter 21
23
Pharmacology
Undergraduate 1
10/24/2011

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Cards

Term
The nurse teaches a class about muscle movement to a group of clients who have neuromuscular disorders. What will the best plan of the nurse include? Select all that apply.
Definition
1.Body movement depends on intact nerves.
2.Body movement depends on proper functioning of muscles.
Term
The nurse teaches the client with a neuromuscular disorder about nonpharmacological treatment of muscle spasms. What will the best information include? Select all that apply.
Definition
1.Application of heat or cold
2.Ultrasound
3.Massage
Term
The client is started on a medication to treat a neuromuscular disorder. What does the nurse teach as the primary therapeutic goal of the medication?
Definition
To allow the client increased independence
Term
The client receives dantrolene (Dantrium). The nurse has completed medication education and determines that that learning has occurred when the client makes which statement?
Definition
“If I experience side effects, I will call my doctor before stopping the medicine.”
Term
The client receives baclofen (Lioresal) and the nurse has completed medication education. The nurse determines that learning has occurred when the client makes which statement?
Definition
“I must take the medication with milk or meals.”
Term
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)
Definition
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)
Term
The client receives dantrolene (Dantrium). A consulting physician orders hydroxyzine (Vistaril) for the client and he begins taking it. What will the best assessment of the nurse reveal?
Definition
Respiratory depression
Term
The physician orders dantrolene (Dantrium) for the client. Which assessment data would result in the nurse contacting the physician prior to administration of this medication?
Definition
The client has glaucoma.
Term
The client receives baclofen (Lioresal). What will the best plan of the nurse include as relates to medication education?
Definition
Do not stop the medication abruptly.
Term
The physician has ordered dantrolene (Dantrium) for a client. What is a priority assessment by the nurse prior to administering this medication?
Definition
Is the client pregnant or lactating?
Term
The physician prescribes cyclobenzaprine (Flexeril) for the client. When doing medication education, what will the best information of the nurse include?
Definition
Increase the intake of fiber while taking this medication.
Term
The client receives dantrolene (Dantrium) for treatment of muscle spasms following a spinal cord injury. What is the best outcome for this client?
Definition
Client will sleep without pain
Term
The client tells the nurse that she awakens frequently during the night because of leg and foot cramps. What is the best response by the nurse?
Definition
“Increase your intake of calcium.”
Term
The client receives dantrolene (Dantrium). Which medication would the nurse evaluate as being contraindicated with dantrolene (Dantrium)?
Definition
Verapamil (Calan)
Term
The client receives dantrolene (Dantrium) intravenously (IV). What will a priority assessment of the nurse include?
Definition
Assessing the client’s intravenous (IV) site
Term
Which of the following lists of treatment options would be considered optimal for treating a muscle spasm with an unknown cause?
Definition
Analgesics, muscle relaxants, and massage
Term
Which statement about skeletal muscle relaxants is correct?
Definition
2. They inhibit upper motor neuron activity within the central nervous system.
Term
The nurse identifies a patient with a repeating pattern of muscle contraction of the leg for 5 seconds followed by 2 seconds of relaxation as experiencing:
Definition
A clonic spasm.
Term
Which of the following is a common adverse effect of cyclobenzaprine (Flexeril)?
Definition
Drowsiness
Term
Which statement describes the primary difference between centrally acting muscle relaxants and direct-acting antispasmodics?
Definition
3. Centrally acting agents inhibit neurons of the central nervous system, while direct-acting agents work at the level of the neuromuscular junction and skeletal muscles.
Term
Which of the following patients suffering from muscle spasms should not receive the direct-acting antispasmodic medication dantrolene sodium (Dantrium)?
Definition
57-year-old suffering from congestive heart failure
Term
Spasticity is most commonly caused by damage to what area of the body?
Definition
Cerebral cortex
Term
Which statement is correct in regard to the muscle relaxant botulinum toxin type B (Myobloc)?
Definition
1. In high doses, it is poisonous, causing the same symptoms food poisoning does.
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