Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
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CHAPTER 30: AGENTS USED IN MUSCULOSKELETAL DISORDERS
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
| 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
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