Author Question: A client is admitted to the unit from surgery for insertion of pins for traction due to a compound ... (Read 42 times)

sam.t96

  • Hero Member
  • *****
  • Posts: 570
A client is admitted to the unit from surgery for insertion of pins for traction due to a compound fracture to the left femur.
 
  The client has a Foley catheter for gravity drainage. Chlorzoxazone (Parafon Forte) is ordered for the client. The next day, it is noted that the urine has a reddish-orange discoloration. How should the nurse respond to this development?
  1. Call the health care provider for an order for a urinalysis.
  2. Check the urine for bacteria with a urine chemstick.
  3. Continue to monitor I & O.
  4. Notify the health care provider about the discoloration in the urine.

Question 2

An adult client who prescribed the anticholinergic oxybutynin (Ditropan) for urinary incontinence is admitted to the unit with acute muscle spasms after twisting her back in a fall.
 
  Which medication used for muscle spasm relaxation would cause the nurse the most concern?
  1. Ibuprofen 600 mg
  2. Cyclobenzaprine (Flexeril)
  3. Tizanidine (Zanaflex)
  4. Chlorzoxazone (Parafon Forte)



FergA

  • Sr. Member
  • ****
  • Posts: 352
Answer to Question 1

Correct Answer: 3
Rationale 1: Red-orange urine is an adverse effect of chlorzoxazone but does not in itself warrant a urinalysis.
Rationale 2: Red-orange urine is an adverse effect of chlorzoxazone but does not in itself warrant a dipstick for bacteria.
Rationale 3: Red-orange urine is an adverse effect of chlorzoxazone, so the nurse should continue to monitor I & O.
Rationale 4: Red-orange urine is an expected adverse effect of chlorzoxazone. It is not necessary to notify the health care provider.
Global Rationale: Red-orange urine is an adverse effect of chlorzoxazone, so the nurse should continue to monitor I & O. Red-orange urine is an adverse effect of chlorzoxazone but does not in itself warrant a urinalysis, a urine dipstick for bacteria, or a notifying the health care provider.

Answer to Question 2

Correct Answer: 2
Rationale 1: There is no contraindication for use of ibuprofen with anticholinergics.
Rationale 2: Cyclobenzaprine will enhance anticholinergic side effects and is contraindicated with anticholinergics.
Rationale 3: There is no contraindication for use of tizanidine with anticholinergics.
Rationale 4: There is no contraindication for use of chlorzoxazone with anticholinergics.
Global Rationale: Cyclobenzaprine will enhance anticholinergic side effects and is contraindicated with anticholinergics. There is no contraindication for use of ibuprofen, tizanidine, orchlorzoxazone with anticholinergics.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

For a complete list of videos, visit our video library