Page 2161 - Saunders Comprehensive Review For NCLEX-RN
P. 2161

4. Take the medication with a full glass of water after rising in the
                                   morning.
                   758. The nurse is preparing discharge instructions for a client who sustained a
                        skeletal muscle injury and is receiving baclofen. Which instruction should be
                        included in the teaching plan?
                                 1. Restrict fluid intake.
                                 2. Avoid the use of alcohol.
                                 3. Stop the medication if diarrhea occurs.
                                 4. Notify the primary health care provider (PHCP) if fatigue occurs.
                   759. The nurse is analyzing the laboratory studies on a client receiving dantrolene
                        to treat muscle spasms from an injury. Which laboratory test would identify
                        an adverse effect associated with the administration of this medication?
                                 1. Platelet count
                                 2. Creatinine level
                                 3. Liver function tests
                                 4. Blood urea nitrogen level
                   760. Cyclobenzaprine is prescribed for a client for muscle spasms, and the nurse
                        is reviewing the client’s record. Which disorder, if noted in the record, would
                        indicate a need to contact the primary health care provider about the
                        administration of this medication?
                                 1. Glaucoma
                                 2. Emphysema
                                 3. Hypothyroidism
                                 4. Diabetes mellitus
                   761. In monitoring a client’s response to disease-modifying antirheumatic drugs
                        (DMARDs), which assessment findings would the nurse consider acceptable
                        responses? Select all that apply.
                                      1. Control of symptoms during periods of emotional stress

                                      2. Normal white blood cell, platelet, and neutrophil counts

                                      3. Radiological findings that show no progression of joint
                                   degeneration

                                      4. An increased range of motion in the affected joints 3 months
                                   into therapy
                                      5. Inflammation and irritation at the injection site 3 days after

                                   the injection is given
                                      6. A low-grade temperature on rising in the morning that
                                   remains throughout the day
                   762. The nurse is administering an intravenous dose of methocarbamol to a client
                        with a muscle skeletal injury. For which adverse effect should the nurse
                        monitor?
                                 1. Tachycardia
                                 2. Rapid pulse
                                 3. Bradycardia
                                 4. Hypertension




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