This topic contains a solution. Click here to go to the answer

Author Question: A patient who has a lower back injury exhibits muscle spasms. The provider orders cyclobenza-prine ... (Read 96 times)

PhilipSeeMore

  • Hero Member
  • *****
  • Posts: 561
A patient who has a lower back injury exhibits muscle spasms. The provider orders cyclobenza-prine Flexeril 10 mg three times a day. What will the nurse include when teaching this patient about this drug?
 
  a. This drug carries some risk of developing hallucinations and psychotic symptoms.
  b. This medication may cause your urine to turn brown, black, or dark green.
  c. You may experience blurred vision, dry mouth, or constipation.
  d. You will need to have liver function tests performed while taking this medication.

Question 2

Based on changes in hepatic function in older adult patients, which adjustment should the nurse expect for oral medications that undergo extensive first pass metabolism?
 
  a. A higher dose should be used with the same time schedule.
  b. The interval between doses should be in-creased.
  c. No change is necessary; metabolism will not be affected.
  d. The interval between doses should be re-duced.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Expo

  • Sr. Member
  • ****
  • Posts: 351
Answer to Question 1

C
Cyclobenzaprine has significant anticholinergic effects and patients should be warned about dry mouth, blurred vision, and constipation. Tizanidine can cause hallucinations and psychotic symptoms. Methocarbamol may turn urine brown, black, or green, which is a harmless side effect. Tizanidine and metaxalone can cause liver toxicity and require monitoring.

Answer to Question 2

B
The interval between doses of the medication should be increased in older adult patients, because drugs that undergo the first pass effect may not be broken down as well as in an individual with full liver function. A higher dose of the medication is not indicated, because toxic effects could occur. A change in administration may be indicated in older adults, because their metabolism is affected. The interval between doses should not be reduced but increased.




Expo

  • Sr. Member
  • ****
  • Posts: 351

 

Did you know?

Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

For a complete list of videos, visit our video library