Question

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?

Answer 1

Correct Answers:

Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosis

Rationale :

♦️Baclofen is a centrally acting skeletal muscle relaxant used to treat muscle spasticity from conditions like MS, spinal cord injury, and cerebral palsy. ♦️It is not used for general muscle injury or for opioid overdose.

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Answer 2

Correct Answers:

Persistent chest pain

Rationale :

♦️Sumatriptan can cause coronary vasospasm, leading to chest pain or tightness, a potentially serious adverse effect. ♦️Clients should stop the drug and notify the provider immediately if chest pain occurs.

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Answer 3

Correct Answers:

Butorphanol Stado

Rationale :

♦️Butorphanol is a mixed opioid agonist-antagonist, acting as an agonist on kappa and antagonist on mu receptors. ♦️This provides pain relief with less risk of respiratory depression.

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Answer 4

Correct Answers:

4 to 5 minutes

Rationale :

♦️Morphine IV push should be administered over 4–5 minutes to reduce the risk of respiratory depression and hypotension. ♦️ Faster administration increases risk of adverse effects.

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Answer 5

Correct Answers:

Jaundice

Rationale :

♦️Raloxifene may cause thromboembolic events (leg redness, swelling, tenderness), but jaundice is not an expected effect. ♦️Liver injury is not a common complication of raloxifene.

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Answer 6

Correct Answers:

Alcohol use disorder

Rationale :

♦️Chronic alcohol use increases the risk of hepatotoxicity with acetaminophen. ♦️It should be avoided in clients with liver disease or alcohol dependence.

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Answer 7

Correct Answers:

Naltrexone (Muition)

Rationale :

♦️Naltrexone is used to prevent relapse in clients who have completed opioid detox. ♦️It blocks the euphoric effects of opioids without producing dependence.

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Answer 8

Correct Answers:

oral (PO)

Rationale :

♦️Naloxone has a high first-pass effect, making oral administration ineffective. ♦️ It should be given IV, IM, or SQ for rapid effect.

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Answer 9

Correct Answers:

Dysphagia

Rationale :

♦️Alendronate can cause esophagitis or esophageal ulcers. ♦️Clients should report difficulty swallowing, as it could indicate serious GI complications.

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Answer 10

Correct Answers:

An absence of muscle rigidity and spasms with a good range of motion.

Rationale :

♦️Cyclobenzaprine is a muscle relaxant used to relieve acute muscle spasms. ♦️Effective therapy results in improved movement and reduced rigidity.

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QLexNursing

1 : 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?

2 : 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?

3 : Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

4 : 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) IVR the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

5 : A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?

6 : A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

7 : A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

8 : A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first- pass inactivation. Which of the route should the nurse NOT administer this medication?

9 : A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

10 : 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?