Chapter 25: Drugs for Muscle Spasm and Spasticity

Chapter 25: Drugs for Muscle Spasm and Spasticity

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. Intravenous diazepam (Valium) 4 mg is prescribed. A solution of 5 mg/mL is available. The nurse will administer _____ mL.

ANS:

0.8

5 mg ´ 4 mg

1 mL      mL

5x = 4

x = 4/5 = 0.8 mL

DIF:    Cognitive Level: Application             REF:    p. 242

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

2. A nurse is providing patient education for a patient who is to gradually discontinue baclofen (Lioresal). The nurse advises the patient to avoid abrupt discontinuation of the medication to prevent which adverse effect?

ANS:   C

Abrupt discontinuation (or withdrawal) from baclofen has been associated with adverse reactions such as visual hallucinations, paranoid ideation, and seizures.

Central nervous system effects may cause weakness and fatigue but not as a result of abrupt discontinuation.

Respiratory depression is a result of overdose, not abrupt discontinuation of the baclofen.

DIF:    Cognitive Level: Application             REF:    pp. 241-242

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

3. Intravenous dantrolene (Dantrium) 2 mg/kg is prescribed for preoperative prophylaxis for a patient with a history of malignant hyperthermia. The patient weighs 132 lb. The nurse administer _____ mg.

ANS:

120

132 lb = x kg

2.2 lb ´ 132 lb

1 kg           x

2.2y = 132

x = 60 kg

2 mg ´ x

1 kg    60

x = 120 mg

DIF:    Cognitive Level: Application             REF:    p. 242

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

4. A patient comes to the clinic with severe spastic paralysis. During the health history the patient asks a nurse which drug could be used in an attempt to provide relief from the spasms. The nurse explains that the only benzodiazepine used to treat spasticity is

ANS:   D

Diazepam is the only benzodiazepine labeled for the treatment of spasticity.

Carisoprodol, tizanidine, and orphenadrine are not benzodiazepines; they are muscle relaxers.

DIF:    Cognitive Level: Application             REF:    p. 242

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies