The nurse is reviewing the medical record of a newly assigned ...

[colton]

The nurse is reviewing the medical record of a newly assigned client and notes that the client is receiving cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasms.
 
  The nurse questions the prescription if which of the following disorders is noted in the admission history? 1. Hypothyroidism
  2. Chronic bronchitis
  3. Recurrent pneumonia
  4. Angle-closure glaucoma

Question 2

The nurse is assisting the physician with a bedside liver biopsy. When the procedure is complete, the nurse assists the client into which of the following positions?
 
  1. Left side-lying, with the right-sided arm elevated above the head
  2. Right side-lying, with the left-sided arm elevated above the head
  3. Left side-lying, with a small pillow or towel under the puncture site
  4. Right side-lying, with a small pillow or towel under the puncture site

[kusterl]

Answer to Question 1

4

Rationale: Because cyclobenzaprine has anticholinergic effects, it should be used cautiously in clients with a history of urinary retention, angle-closure glaucoma, and increased intraocular pressure. It is intended for short-term (2- to 3-week) therapy. Hypothyroidism, chronic bronchitis, and recurrent pneumonia are incorrect.

Answer to Question 2

4

Rationale: Following a liver biopsy, the client is assisted to assume a right side-lying position with a small pillow or folded towel under the puncture site for at least 3 hours. This helps immo-bilize the area and provides pressure to minimize bleeding in this vascular organ. The other op-tions are incorrect.

[colton]

Excellent

[tranoy]

TYSM