CHAPTER 30: AGENTS USED IN MUSCULOSKELETAL DISORDERS

CHAPTER 30: AGENTS USED IN MUSCULOSKELETAL DISORDERS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is admitted to the hospital with acute severe burns to his upper torso from an explosion. He is prescribed a neuromuscular blocking agent for which of the following reasons?

a.	to facilitate surgery by reducing muscle movement
b.	to aid in the treatment of a condition resulting in severe muscle spasms
c.	to facilitate electroconvulsive therapy by reducing muscle movement
d.	to prevent muscle spasm of the larynx in clients who require endotracheal intubation

 

 

ANS:  D

 

	Feedback
A	Incorrect: Acute severe burns are not immediately sent to surgery.
B	Incorrect: Burns with the resulting shock do not cause severe muscle spasms.
C	Incorrect: Acute severe burns do not result in the need for electroconvulsive therapy.
D	Correct: Acute severe upper torso burns from a explosion will result in the need for endotracheal intubation and mechanical ventilation.

 

 

PTS:   1                    REF:   p. 680            OBJ:   Cognitive Level: Comprehension

 

2. When preparing a client for the administration of atrocurium, the nurse should:

a.	prepare emergency equipment to support the client’s respiratory system.
b.	administer neostigmine intravenously.
c.	prepare the atrocurium for intramuscular administration.
d.	prepare the client for paralysis of smooth muscles.

 

 

ANS:  A

 

	Feedback
A	Correct: Because of the risk of respiratory muscle blockade, the nurse needs to be sure this equipment is available.
B	Incorrect: This is an antidote and is only given in the event the atrocurium needs to be reversed.
C	Incorrect: Atrocurium should never be administered IM.
D	Incorrect: This agent paralyzes skeletal muscles.

 

 

PTS:   1                    REF:   p. 681, Table 30-1

OBJ:   Cognitive Level: Application

 

3. The nurse should monitor clients receiving dantrolene for hepatic adverse effects:

a.	within days of initiating therapy.	c.	3-12 months after initiating therapy.
b.	3-4 weeks after initiating therapy.	d.	after therapy has been discontinued.

 

 

ANS:  C

 

	Feedback
A	Incorrect: These effects don’t occur this early.
B	Incorrect: These effects don’t occur this early.
C	Correct: This is the appropriate time frame to monitor clients receiving dantrolene.
D	Incorrect: These effects don’t occur after discontinuing the drug.

 

 

PTS:   1                    REF:   p. 685            OBJ:   Cognitive Level: Application

 

4. The nurse understands that the most common use of neuromuscular blockade is to:

a.	sedate clients with a head injury.
b.	treat the client with multiple sclerosis.
c.	facilitate intubation and mechanical ventilation.
d.	decrease spasticity and muscular rigidity.

 

 

ANS:  C

 

	Feedback
A	Incorrect: These are not appropriate medications for clients with head injuries.
B	Incorrect: These drugs are not used for this purpose.
C	Correct: This is one of four uses for neuromuscular blockade.
D	Incorrect: These drugs are not used for this purpose.

 

 

PTS:   1                    REF:   p. 680            OBJ:   Cognitive Level: Comprehension

 

5. Nursing care of the client receiving a neuromuscular blocking agent while on a mechanical ventilator includes to:

a.	avoid using mechanical ventilators, as these may startle the client.
b.	be sure to leave the call button within the client’s reach.
c.	provide frequent mouth care to the client.
d.	communicate to the client what the nurse is going to do before touching the client.

 

 

ANS:  D

 

	Feedback
A	Incorrect: Ventilator alarms always should be set when in use.
B	Incorrect: The client is unable to speak or move and cannot use the call button.
C	Incorrect: Although appropriate for the client on mechanical ventilation, it does not relate specifically to the use of a neuromuscular blocking agent.
D	Correct: The client is unable to speak and can be easily startled and frightened.

 

 

PTS:   1                    REF:   p. 688            OBJ:   Cognitive Level: Comprehension