A client is seen for muscle spasms in the upper thigh. The nurse ...

[vHAUNG6011]

A client is seen for muscle spasms in the upper thigh. The nurse anticipates instructing the client on the use of which medication?
 
  1. Nonsteroidal anti-inflammatory drugs
  2. Muscle relaxants
  3. Both nonsteroidal anti-inflammatory drugs and muscle relaxants
  4. Nonsteroidal anti-inflammatory drugs, muscle relaxants, and narcotic pain relievers

Question 2

The parents of a toddler client who has cerebral palsy are only now beginning to accept that their child will have permanent disability. The nurse has been instructing the parents about the treatment for the spasticity their child is experiencing.
 
  Which statements by the parents indicate that the nurse should plan additional teaching sessions?
  Standard Text: Select all that apply.
  1. At some point, our child may require surgery to correct this spasticity.
  2. As long as we continue our child's medications, the spasticity can be controlled.
  3. Our physical therapy sessions should focus on flexing our child's muscles.
  4. We should repeat the exercises several times with each muscle group.
  5. It is best to give our child a rest from physical therapy by skipping 1 week a month.

[ilianabrrr]

Answer to Question 1

Correct Answer: 3
Rationale 1: Pain relief is greater when nonsteroidal anti-inflammatory drugs are used in combination with another type of medication.
Rationale 2: Pain relief is greater when muscle relaxants are used in combination with another type of medication.
Rationale 3: When skeletal muscle relaxants are used in combination with nonsteroidal anti-inflammatories, pain relief is greater than when either agent is used alone.
Rationale 4: Narcotic pain relievers are typically not prescribed along with muscle relaxants due to the additive effect of sedation.
Global Rationale: When skeletal muscle relaxants are used in combination with nonsteroidal anti-inflammatories, pain relief is greater than when either agent is used alone. Narcotic pain relievers are typically not prescribed along with muscle relaxants due to the additive effect of sedation.

Answer to Question 2

Correct Answer: 2,3,5
Rationale 1: Surgery is sometime necessary in these cases, so this statement reflects accurate knowledge.
Rationale 2: Medication alone is generally not enough to control spasticity in these children. The parents need additional teaching.
Rationale 3: The physical therapy sessions for spasticity focus on muscle stretching, not flexion. The parents need additional teaching.
Rationale 4: Repetitive motion exercises are beneficial in reducing and controlling spasticity. The parents have expressed accurate knowledge.
Rationale 5: Physical therapy should be routine and consistent in order to reduce or control spasticity. These parents need additional teaching.
Global Rationale: Medication alone is generally not enough to control spasticity in these children. The parents need additional teaching. The physical therapy sessions for spasticity focus on muscle stretching, not flexion. The parents need additional teaching. Repetitive motion exercises are beneficial in reducing and controlling spasticity. The parents have expressed accurate knowledge. Surgery is sometime necessary in these cases, so this statement reflects accurate knowledge. Physical therapy should be routine and consistent in order to reduce or control spasticity. These parents need additional teaching.

[vHAUNG6011]

TYSM

[mcarey591]

Excellent