Author Question: An adult client is prescribed dantrolene sodium ((Dantrium) for spasms related to progression of ... (Read 39 times)

xclash · **on:** Jul 23, 2018

An adult client is prescribed dantrolene sodium ((Dantrium) for spasms related to progression of multiple sclerosis. Which intervention is most important for the nurse to include in this client's care plan?

1. Teach the client the importance of using sunscreen when taking this medication.
2. Assess the client for pain using the pain scale and range of motion.
3. Monitor the client for sedation.
4. Monitor liver function tests.

Question 2

The operating room (OR) nurse is scheduled as the circulator in a case that involves a client with a family history of malignant hyperthermia.

The nurse checks to see that dantrolene is readily available. What other medication should the nurse check for availability in case dantrolene must be administered?
1. Dilantin
2. Romazicon
3. Regitine
4. Lovenox

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

Answer to Question 1

Correct Answer: 4
Rationale 1: Sunscreen should be worn by the client whenever exposure to sun is expected, but this is not the most important intervention.
Rationale 2: Assessing for pain is important, but it is not the most important issue.
Rationale 3: Some sedation is expected with skeletal muscle relaxants.
Rationale 4: The risk of dantrolene-induced hepatotoxicity is greatest in women over the age of 35, so it should be administered cautiously in these clients.
Global Rationale: The risk of dantrolene-induced hepatotoxicity is greatest in women over the age of 35, so it should be administered cautiously in these clients. Sunscreen should be worn by the client whenever exposure to sun is expected, but this is not the most important intervention. Assessing for pain is important, but it is not the most important issue. Some sedation is expected with skeletal muscle relaxants.

Answer to Question 2

Correct Answer: 3
Rationale 1: Dantrolene is a derivative of Dilantin.
Rationale 2: Romazicon is used to reverse sedation due to benzodiazepines.
Rationale 3: Regitine should be available in the event of extravasation of dantrolene.
Rationale 4: Lovenox is a low-molecular-weight heparin not used in malignant hyperthermia.
Global Rationale: Regitine should be available in the event of extravasation of dantrolene. Dantrolene is a derivative of Dilantin. Romazicon is used to reverse sedation due to benzodiazepines. Lovenox is a low-molecular-weight heparin not used in malignant hyperthermia.