Author Question: A client is admitted to the unit from surgery for insertion of pins for traction due to a compound ... (Read 33 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?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

The horizontal fraction bar was introduced by the Arabs.

For a complete list of videos, visit our video library