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PNE 104. Ch. 30 Skeletal Muscle, Bone, and Joint
Disorder Drugs. Clinical Pharm. Susan Ford 11th
ed.
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?
The client has respiratory depression from opioid analgesia
A nurse understands that which skeletal muscle relaxants should not be administered to a client with
skeletal muscle spasms caused by systemic lupus erythematosus?
Baclofen
Certain bisphosphonates can be utilized in the treatment of which of the following conditions?
(Choose one)
Paget's disease
The nurse would administer alendronate cautiously to a client with which of the following?
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Gastritis
While lifting weights a patient suffered a severe back spasm, similar to the back spasms she
experienced during her 2nd pregnancy. She asks the physician for the same drug she used before
because it really helped decrease the pain. The nurse expects that the physician will prescribe what?
Cyclobenzaprine (Flexeril)
A client with a spinal cord injury has developed central spasticity and the care provider wishes to
administer a muscle relaxant intrathecally. What is the nurse's best action?
Prepare to administer baclofen (Lioresal)
A 44-year-old warehouse worker experienced a painful lower back injury that has not responded to
treatment with nonsteroidal anti-inflammatory drugs. Consequently, the man's care provider is
considering the short-term use of cyclobenzaprine (Flexeril). Which of the following assessment
questions would inform the clinician's decision to prescribe this drug?
"Are you taking antidepressant medications these days?"
For which patient would cyclobenzaprine not be prescribed for muscle spasms?
The patient who is having muscle spasms because of cerebral palsy
A client asks the nurse about herbal therapies for osteoarthritis. What is the nurse's best response?
"Glucosamine and chondroitin are generally well tolerated and not considered harmful."
A client diagnosed with Crohn's disease is taking a disease-modifying antirheumatic drug (DMARD).
What is this client's top priority of care?
Monitor for signs of infection.
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The nurse can determine that the client taking uric acid inhibitors is drinking enough fluids when
which of the following occurs?
The daily urine output is about two liters.
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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?
Monitor the client before ambulating.
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The client has been prescribed medication to treat rheumatoid arthritis (RA). The nurse should tell the
client to notify the healthcare provider if the client experiences which problems? Select all that apply.
Sore mouth
Fever
Itching
Nausea
A client taking medication to treat an acute attack of gout should do which of the following?
Contact the health care provider if a mild skin rash appears.
A client with a spinal cord injury is experiencing increasing muscle spasticity and the care team is
considering the use of dantrolene. The nurse should identify what possible contraindication to the
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safe and effective use of this medication?
The client has hepatitis C
An older adult resident of a long-term care facility is experiencing muscle spasticity and has just been
prescribed a centrally acting skeletal muscle relaxant. The client has comorbidities of early stage
Alzheimer's disease and chronic obstructive pulmonary disease (COPD). What nursing action should
the nurse prioritize for adding to the client's care plan?
Falls prevention measures
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The nurse is working in collaboration with a nurse anesthetist to assess a preoperative client. When
addressing the client's risk for malignant hyperthermia as a result of neuromuscular junction blockers,
what assessment should be prioritized?
Assessing for a family history of malignant hyperthermia
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A client is diagnosed with rheumatoid arthritis. Which medication would the nurse expect the primary
health care provider to prescribe?
Hydroxychloroquine
The nurse would expect to administer tiludronate to a client with which condition?
Paget disease
A client sustained a musculoskeletal injury to his left leg that has resulted in occasional spasticity.
What should the nurse expect the health care provider to prescribe?
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