The nurse is discharging an older adult client who was ...

[Zulu123]

The nurse is discharging an older adult client who was hospitalized after a muscle strain injury to his back. One of the discharge prescriptions for this client is cyclobenzaprine (Flexeril) 10 mg three times per day with food.
 
  The prescription is written for 90 tablets and there are three refills available. Which information from this situation would alert the nurse for the need to collaborate with the client's health care provider?
  Standard Text: Select all that apply.
  1. The dosage amount is too low for the type of injury this client sustained.
  2. Cyclobenzaprine should be used with great caution in those over 65.
  3. If taken as directed, the client would be able to take the medication for 120 days.
  4. Cyclobenzaprine is not effective for back pain.
  5. Cyclobenzaprine should not be taken with food.

Question 2

A client is prescribed cyclobenzaprine for muscle spasms. Which nursing diagnosis should the nurse add to this client's care plan?
 
  1. Infection, Risk for
  2. Urinary Elimination, Impaired
  3. Tissue Perfusion: Peripheral, Risk for Ineffective
  4. Injury, Risk for

[InfiniteSteez]

Answer to Question 1

Correct Answer: 2,3
Rationale 1: The dosage of 10 mg three times daily is standard.
Rationale 2: The adverse reactions from cyclobenzaprine include confusion, hallucinations, and cardiac events, which are more common in clients over 65.
Rationale 3: The manufacturer recommends that treatment not extend beyond 3 weeks or 21 days.
Rationale 4: Cyclobenzaprine is not effective for muscle spasm due to spinal cord injury, but is useful in the treatment of back pain from muscle strain.
Rationale 5: The drug may be taken with food or milk if gastric upset occurs.
Global Rationale: The adverse reactions from cyclobenzaprine include confusion, hallucinations, and cardiac events, which are more common in clients over 65. The manufacturer recommends that treatment not extend beyond 3 weeks or 21 days. The dosage of 10 mg three times daily is standard. Cyclobenzaprine is not effective for muscle spasm due to spinal cord injury, but is useful in the treatment of back pain from muscle strain. The drug may be taken with food or milk if gastric upset occurs.

Answer to Question 2

Correct Answer: 4
Rationale 1: Muscle spasms without skeletal injury do not pose a risk for infection.
Rationale 2: Bladder spasms are treated with a different medication.
Rationale 3: There is generally no risk for tissue perfusion in muscle spasms unless the client is immobile and not turned appropriately.
Rationale 4: The client should be protected from injury related to falls due to excessive drowsiness.
Global Rationale: The client should be protected from injury related to falls due to excessive drowsiness. Muscle spasms without skeletal injury do not pose a risk for infection. Bladder spasms are treated with a different medication. There is generally no risk for tissue perfusion in muscle spasms unless the client is immobile and not turned appropriately.

[Zulu123]

Excellent

[dantucker]

TYSM