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.