A client is admitted to the unit from surgery for insertion of ...

[sam.t96]

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]

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.

[sam.t96]

TY

[FergA]

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