Page 2164 - Saunders Comprehensive Review For NCLEX-RN

administration. Alcohol should be avoided with the use of medications.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Musculoskeletal Medications: Muscle Relaxants
Health Problem: Adult Health: Musculoskeletal: Tissue or ligament injury
Priority Concepts: Client Education; Safety
Reference: Hodgson, Kizior (2018), pp. 113-114.

759. Answer: 3

Rationale: Dose-related liver damage is the most serious adverse effect of
dantrolene. To reduce the risk of liver damage, liver function tests should be
performed before treatment and throughout the treatment interval. Dantrolene is
administered at the lowest effective dosage for the shortest time necessary.
Test-Taking Strategy: Eliminate options 2 and 4 because these tests assess kidney
function and are comparable or alike. From the remaining options, you must recall
that this medication affects liver function.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Musculoskeletal Medications: Muscle Relaxants
Health Problem: Adult Health: Musculoskeletal: Tissue or ligament injury
Priority Concepts: Cellular Regulation; Tissue Integrity
Reference: Lilley et al. (2017), p. 198.

760. Answer: 1

Rationale: Because cyclobenzaprine has anticholinergic effects, it should be used
with caution in clients with a history of urinary retention, glaucoma, and increased
intraocular pressure. Cyclobenzaprine should be used only for a short time (2 to 3
weeks). The conditions in options 2, 3, and 4 are not a concern with this medication.
Test-Taking Strategy: Focus on the subject, a contraindication to cyclobenzaprine.
Recalling that this medication has anticholinergic effects will direct you to the correct
option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Musculoskeletal Medications: Muscle Relaxants
Health Problem: Adult Health: Musculoskeletal: Tissue or ligament injury
Priority Concepts: Collaboration; Safety
Reference: Skidmore-Roth (2017), pp. 300-301.

761. Answer: 1, 2, 3, 4

Rationale: Because emotional stress frequently exacerbates the symptoms of
rheumatoid arthritis, the absence of symptoms is a positive finding. DMARDs are

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