Author Question: A nurse is talking with a patient who has just been prescribed cyclobenzaprine (Flexeril). The nurse ... (Read 81 times)

WhattoUnderstand · **on:** Jul 23, 2018

A nurse is talking with a patient who has just been prescribed cyclobenzaprine (Flexeril). The nurse would provide additional information if the patient made which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. My wife and I are driving our motor home to the beach tomorrow.
2. I am going home to mow my lawn.
3. I take a nap every afternoon.
4. I just checked out a new book from the library.
5. I am taking my grandchildren to the zoo tomorrow.

Question 2

The client receives interferon alfa-2b (Intron-A) for treatment of Kaposi's sarcoma. Which question by the client would alert the nurse that additional assessment is necessary?

1. I really feel sad; do I need to see a psychiatrist?
2. Is it safe to drink grapefruit juice with this medication?
3. Do I need to limit my fluids while on this medication?
4. Is it okay to use aspirin or ibuprofen products while on this medication?

vboyd24 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2,5
Rationale 1: The patient should avoid driving until the effects of the medication are known.
Rationale 2: The patient should not operate machinery until the effects of the medication are known.
Rationale 3: The medication will probably cause the patient to be drowsy.
Rationale 4: Reading is a quiet activity that does not require the use of dangerous equipment.
Rationale 5: It is not wise for the patient to be responsible for children until the effects of the medication are known.

Global Rationale: The patient should not drive or operate machinery until the effects of the medication are known. It is not wise for the patient to be responsible for children until the effects of the medication are known. The medication will probably cause the patient to be drowsy.

Answer to Question 2

1
Rationale 1: Use of immunostimulant drugs can lead to the development of encephalopathy. Assess mental status and be especially vigilant for signs and symptoms of depression and suicidal ideation.
Rationale 2: There is no relationship between interferon alfa-2b (Intron-A) and grapefruit juice.
Rationale 3: There is no relationship between limiting fluids and interferon alfa-2b (Intron-A).
Rationale 4: There is no relationship between interferon alfa-2b (Intron-A) and aspirin or ibuprofen products.
Global Rationale: Use of immunostimulant drugs can lead to the development of encephalopathy. Assess mental status and be especially vigilant for signs and symptoms of depression and suicidal ideation. There is no relationship between interferon alfa-2b (Intron-A) and grapefruit juice. There is no relationship between limiting fluids and interferon alfa-2b (Intron-A). There is no relationship between interferon alfa-2b (Intron-A) and aspirin or ibuprofen products.