A patient calls the clinic and asks for a refill for a ...

[mia]

A patient calls the clinic and asks for a refill for a prescription for cyclobenzaprine (Flexeril) that was written a year ago. Which information from the medical record would the nurse draw to the prescriber's attention? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. The patient reported drinking wine each day with dinner.
  2. The patient has been using nasal saline spray for allergies.
  3. The patient was prescribed a MAO inhibitor last month.
  4. The patient's blood glucose was elevated at the last visit.
  5. The patient had a ulnar fracture repaired a year ago.

Question 2

When planning care for a patient receiving immunostimulant therapy, the nurse puts the highest priority on monitoring for which changes?
 
  1. Weight
  2. Intake and output
  3. Hepatic enzymes
  4. Vital signs

[Ahernandez18]

Answer to Question 1

1,3
Rationale 1: Alcohol should not be consumed while taking cyclobenzaprine (Flexeril).
Rationale 2: There is no interaction between nasal saline spray and cyclobenzaprine (Flexeril).
Rationale 3: Concurrent use of cyclobenzaprine (Flexeril) and MAOIs is contraindicated.
Rationale 4: There is no contraindication for use of cyclobenzaprine (Flexeril) in a patient with elevated blood glucose.
Rationale 5: There is no relationship between use of cyclobenzaprine (Flexeril) and a fractured ulna.

Global Rationale: Alcohol should not be consumed while taking cyclobenzaprine (Flexeril). Concurrent use of cyclobenzaprine (Flexeril) and MAOIs is contraindicated. There is no interaction between nasal saline spray and cyclobenzaprine (Flexeril). There is no contraindication for use of cyclobenzaprine (Flexeril) in a patient with elevated blood glucose. There is no relationship between use of cyclobenzaprine (Flexeril) and a fractured ulna.

Answer to Question 2

3
Rationale 1: Weight changes are not the highest priority.
Rationale 2: Monitoring intake and output is important but not the most important consideration.
Rationale 3: Hepatic enzymes may become elevated, which could require discontinuation of the drug.
Rationale 4: Vital signs are necessary with any medication.
Global Rationale: Hepatic enzymes may become elevated, which could require discontinuation of the drug. Weight changes are not the highest priority. Monitoring intake and output is important but not the most important consideration. Vital signs are necessary with any medication.

[mia]

Thanks for the timely response, appreciate it

[shailee]

Gracias!