Author Question: The patient takes a skeletal muscle relaxer for back pain. A consulting physician orders hydroxyzine ... (Read 124 times)

TVarnum · **on:** Jul 23, 2018

The patient takes a skeletal muscle relaxer for back pain. A consulting physician orders hydroxyzine (Vistaril) for the patient and he begins taking it. What will the best assessment by the nurse reveal?

1. Confusion
2. Hypertension
3. Respiratory depression
4. Delirium

Question 2

A client presents with severe inflammation of the knee. The physician prescribes a corticosteroid and asks the client to return to the office in 10 days for follow-up. How does the nurse explain these instructions?

1. We need to check to see if this is the correct treatment.
2. We need to re-examine the knee after a few days of treatment.
3. Corticosteroids should only be taken for 1 to 3 weeks.
4. You may be able to change to an NSAID at that visit.
5. You may need a 3-month prescription for a stronger corticosteroid at that time.

kristenb95 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3
Rationale 1: Confusion would not result from the use of these two medications.
Rationale 2: Hypertension would not result from the use of these two medications.
Rationale 3: Skeletal muscle relaxers and hydroxyzine (Vistaril) are both central nervous system (CNS) depressants, and the patient needs to be assessed for respiratory depression.
Rationale 4: Delirium would not result from the use of these two medications.
Global Rationale: Skeletal muscle relaxers and hydroxyzine (Vistaril) are both central nervous system (CNS) depressants, and the patient needs to be assessed for respiratory depression. Hypertension would not result from the use of these two medications. Confusion would not result from the use of these two medications. Delirium would not result from the use of these two medications.

Answer to Question 2

2,3,4
Rationale 1: There is no evidence that treatment is not correct.
Rationale 2: It is necessary to see if the treatment is working.
Rationale 3: Corticosteroid therapy can have serious adverse effects if taken for extended periods of time.
Rationale 4: The client should be switched to an NSAID as quickly as possible.
Rationale 5: Corticosteroid therapy should be discontinued after 13 weeks.
Global Rationale: It is necessary to see if the treatment is working. Corticosteroid therapy can have serious adverse effects if taken for extended periods of time. The client should be switched to an NSAID as quickly as possible. There is no evidence that treatment is not correct. Corticosteroid therapy should be discontinued after 13 weeks.