NCLEX Pharmacology Quiz 51 Musculoskeletal Medications

1. A nurse is providing instructions to a client receiving Baclofen (Lioresal). Which of the following would be included in the teaching plan?

Limit fluid intake.

Hold the medication if diarrhea occurs.

Restrict alcohol intake.

Notify the physician if weakness occurs.

Baclofen is a skeletal muscle relaxant. The client should be cautioned against the use of alcohol and other central nervous system depressants because baclofen potentiates the depressant activity of these agents.Option A: Limiting fluid intake is not necessary. but the client should be warned that urinary retention occurs.Option B: Constipation rather than diarrhea is a side effect.Option D: Weakness is related to a CNS effect that is prevalent during the early phase of the treatment and diminishes with continued medication use.

Explanation

Baclofen is a skeletal muscle relaxant. The client should be cautioned against the use of alcohol and other central nervous system depressants because baclofen potentiates the depressant activity of these agents.Option A: Limiting fluid intake is not necessary. but the client should be warned that urinary retention occurs.Option B: Constipation rather than diarrhea is a side effect.Option D: Weakness is related to a CNS effect that is prevalent during the early phase of the treatment and diminishes with continued medication use.

2. A client is prescribed Colchicine. After taking three doses. the client complaints of nausea. vomiting. and loose bowel stools. Which of the following should the client do?

Skip the next dose. and take the another dose.

Withhold the medication and the physician is notified.

Continue taking the medication as these symptoms will go away.

Cut in half the next dosage.

If gastrointestinal symptoms occur (nausea. vomiting. diarrhea and abdominal pain). the medication is with held and the physician is notified.Options A and D: Cutting in half and skipping the next dose will not give the assurance of avoiding these symptoms.Option C: These side effects are signs of overdosage that can be fatal.

Explanation

If gastrointestinal symptoms occur (nausea. vomiting. diarrhea and abdominal pain). the medication is with held and the physician is notified.Options A and D: Cutting in half and skipping the next dose will not give the assurance of avoiding these symptoms.Option C: These side effects are signs of overdosage that can be fatal.

3. A nurse is caring for a client who is receiving Cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasm. Which of the following medical condition is contraindicated with the use of the medication?

Diabetes Mellitus.

Angle-closure glaucoma.

Emphysema.

Urinary tract infection.

Cyclobenzaprine hydrochloride (Flexeril) has an anticholinergic effect. so it is used in caution with patients with angle-closure glaucoma. urinary retention. and increased intraocular pressure.

Explanation

Cyclobenzaprine hydrochloride (Flexeril) has an anticholinergic effect. so it is used in caution with patients with angle-closure glaucoma. urinary retention. and increased intraocular pressure.

4. Colchicine is prescribed for a client with gout. The nurse reviews the client's record. knowing that this medication would be used in caution in which of the following medical condition?

Behcet disease.

Aplastic Anemia.

Amyloidosis.

Familial Mediterranean fever (FMF).

Colchicine is contraindicated in patients with a known hypersensitivity to the drug. in those with serious gastrointestinal. renal. hepatic. or cardiac disorders. and in those with blood dyscrasias such as aplastic anemia.Options A. C. and D all have joint pain as one of the symptoms. so the use of colchicine helps in reducing the inflammation of the joint.

Explanation

Colchicine is contraindicated in patients with a known hypersensitivity to the drug. in those with serious gastrointestinal. renal. hepatic. or cardiac disorders. and in those with blood dyscrasias such as aplastic anemia.Options A. C. and D all have joint pain as one of the symptoms. so the use of colchicine helps in reducing the inflammation of the joint.

5. A nurse is analyzing the laboratory studies on a client receiving Dantrolene Sodium (Dantrium). Which of the following laboratory test would identify an adverse effect associated with the use of the medication?

Blood urea nitrogen.

Creatinine.

Liver function test.

Triglyceride.

Liver damage is the most serious adverse effect of dantrolene. To reduce the risk of liver damage. liver function test should be performed before and during the duration of the treatment.Options A and B assesses the kidney function.Option D is not related to the use of the medication.

Explanation

Liver damage is the most serious adverse effect of dantrolene. To reduce the risk of liver damage. liver function test should be performed before and during the duration of the treatment.Options A and B assesses the kidney function.Option D is not related to the use of the medication.

6. A client taking probenecid is complaining of gout pain. Which of the following medication should the nurse expect to be administered?

Acetaminophen (Tylenol).

Aspirin (Ecotrin).

Orphenadrine (Norflex).

Tizanidine (Zanaflex).

The concurrent use of antigout medications and aspirin causes an increase in the uric acid level in the body; The client should be instructed to use acetaminophen (Tylenol) if prescribed rather than aspirin.Options C and D are skeletal muscle relaxant medications.

Explanation

The concurrent use of antigout medications and aspirin causes an increase in the uric acid level in the body; The client should be instructed to use acetaminophen (Tylenol) if prescribed rather than aspirin.Options C and D are skeletal muscle relaxant medications.

7. Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to?

Take the medication on an empty stomach.

To limit the use of vitamin C.

A rash is a normal side effect of the medication.

The effect of the medication will happen immediately.

Instruct the client not to take larger doses of Vitamin C while taking allopurinol because kidney stones may occur.Option A: Allopurinol is taken with a meal or with a milk.Option C: This is a sign of hypersensitivity so the physician should be notified immediately.Option D: A full therapeutic effect usually takes 1 week or longer.

Explanation

Instruct the client not to take larger doses of Vitamin C while taking allopurinol because kidney stones may occur.Option A: Allopurinol is taken with a meal or with a milk.Option C: This is a sign of hypersensitivity so the physician should be notified immediately.Option D: A full therapeutic effect usually takes 1 week or longer.

8. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdosage of the medication?

Flushing.

Dizziness.

Joint pain.

Metallic taste.

Gold sodium thiomalate toxicity signs are pruritus. diarrhea. dermatitis. stomatitis. and metallic taste.Options A and B: Flushing and dizziness are the side effects that may occur soon after the injection.Option C: Increased joint pain may occur 1-2 days after the injection.

Explanation

Gold sodium thiomalate toxicity signs are pruritus. diarrhea. dermatitis. stomatitis. and metallic taste.Options A and B: Flushing and dizziness are the side effects that may occur soon after the injection.Option C: Increased joint pain may occur 1-2 days after the injection.

9. A client is receiving Methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. Which of the following is not true regarding with the use of the medication?

The parenteral form causes hypotension and bradycardia when given rapidly.

The medicine can cause the urine to turn into brown. black or green.

The use of a cold or allergy medicine will lessen the side effects of the medication.

The parenteral form is contraindicated in clients with liver damage.

Methocarbamol is a muscle relaxant. Medicines such as cold or allergy medicine. sedatives. narcotic pain medicine. sleeping pills. muscle relaxers. and medicine for seizures. depression. or anxiety add to the sleepiness caused by methocarbamol.

Explanation

Methocarbamol is a muscle relaxant. Medicines such as cold or allergy medicine. sedatives. narcotic pain medicine. sleeping pills. muscle relaxers. and medicine for seizures. depression. or anxiety add to the sleepiness caused by methocarbamol.

10. Gold salt toxicity can be reversed using which medication?

Acetaminophen.

Dimercaprol.

Calcium salts.

Hydroxycobalamin.

Dimercaprol is used to treat arsenic. gold. or mercury poisoning.Option A is an analgesic/antipyretic.Option C is the antidote for fluoride ingestion.Option D is the antidote for cyanide poisoning.

Explanation

Dimercaprol is used to treat arsenic. gold. or mercury poisoning.Option A is an analgesic/antipyretic.Option C is the antidote for fluoride ingestion.Option D is the antidote for cyanide poisoning.