Nokea
The nurse is caring for a client prescribed tizanidine. The nurse understands that this medication has had a therapeutic effect when the client reports
- A. Increased ability to focus
- B. Decreased muscle spasms
- C. Improved short-term memory
- D. Sleeping without awakening at night
Correct Answer: B
Rationale: Tizanidine is a muscle relaxant used to treat spasticity. A therapeutic effect is indicated by decreased muscle spasms. Increased focus, improved memory, and better sleep are not primary effects of tizanidine.
You may also like to solve these questions
A client presents to the emergency department with symptoms of muscle weakness, double vision, and difficulty swallowing. The nurse suspects botulism poisoning. Which of the following statements accurately describes botulism?
- A. Botulism is caused by a bacterial infection with Clostridium difficile.
- B. Botulism is primarily transmitted through contaminated water sources.
- C. Botulism toxin acts by enhancing muscle contractions and reflexes.
- D. Botulism toxin inhibits the release of acetylcholine at neuromuscular junctions.
Correct Answer: D
Rationale: Botulism toxin inhibits acetylcholine release, causing muscle weakness.
The nurse is performing medication reconciliation for a client with Parkinson's disease. Which medication should the nurse question with the primary healthcare provider (PHCP)?
- A. Haloperidol
- B. Levodopa-carbidopa
- C. Pramipexole
- D. Ropinirole
Correct Answer: A
Rationale: Haloperidol is a typical antipsychotic that blocks dopamine receptors, which can worsen Parkinson's disease symptoms by counteracting the dopamine-enhancing effects of medications like levodopa-carbidopa, pramipexole, and ropinirole, which are used to manage Parkinson's disease.
The nurse is caring for a client receiving prescribed sumatriptan. Which client report would indicate that the client is experiencing an adverse response?
- A. Nervousness
- B. Warm sensation
- C. Angina
- D. Tingling sensation
Correct Answer: C
Rationale: Sumatriptan, a triptan used for migraines, can cause coronary vasospasm, leading to angina (chest pain), a serious adverse effect requiring immediate attention. Nervousness, warm sensation, and tingling are common, less severe side effects.
Of the following, which conditions would the nurse recognize as potential sources of neuropathic pain?
- A. Spinal tumor
- B. Arthritic joint
- C. Muscle strain
- D. Shingles
- E. Kidney stones
Correct Answer: A,D
Rationale: Spinal tumors and shingles cause neuropathic pain due to nerve involvement.
The nurse is reviewing laboratory data for a client with epilepsy taking prescribed valproic acid (VPA). The client's VPA level is 40 mcg/mL (50-125 mcg/mL). Based on the laboratory data, the nurse should
- A. Evaluate the client for non-adherence
- B. Instruct the client to skip the next scheduled dose
- C. Assess the client for VPA toxicity
- D. Document the result as within normal limits
Correct Answer: A
Rationale: A VPA level of 40 mcg/mL is below the therapeutic range (50-125 mcg/mL), suggesting possible non-adherence to the prescribed regimen. Skipping a dose is inappropriate, toxicity is unlikely with a low level, and the result is not within normal limits.