A client who sustained an L-1 spinal cord injury six months ago that resulted in paraplegia is now experiencing spastic muscle movements in the lower extremities. Which intervention should the nurse implement?
Perform active range of motion exercises.
Apply compression stockings.
Give antispasmodic medications.
Massage the extremities twice a week.
The Correct Answer is C
A. Perform active range of motion exercises: Active ROM exercises are beneficial for maintaining joint mobility and circulation, but they may not sufficiently reduce spasticity in clients with upper motor neuron lesions.
B. Apply compression stockings: Compression stockings help prevent venous thromboembolism and manage edema, but they do not treat muscle spasticity. They offer circulatory support, not neuromuscular control, and therefore would not alleviate the client’s current concern.
C. Give antispasmodic medications: Antispasmodics such as baclofen or tizanidine directly target muscle spasticity by acting on the central nervous system. These medications reduce the frequency and intensity of spasms, improving comfort and mobility in clients with spinal cord injuries.
D. Massage the extremities twice a week: Massage may offer relaxation and temporary relief but is not a primary treatment for spasticity. It does not alter the neurophysiological causes of muscle spasms and is unlikely to produce sustained control over involuntary muscle activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diabetes mellitus: While diabetes mellitus can affect circulation and healing, it is not a direct contraindication for the use of lidocaine. However, monitoring for effects on circulation and neuropathy may be necessary in diabetic patients.
B. Heart block: Lidocaine is a local anesthetic that can have systemic effects, especially on the cardiovascular system. It can cause conduction abnormalities, including heart block, so it is crucial to assess for this condition before administering lidocaine to avoid exacerbating cardiac issues.
C. Gastric ulcers: Lidocaine's effects are primarily cardiac and neurological, and it does not have a known adverse effect on gastric ulcers that would require pre-administration review. This condition is more relevant for oral medications that can irritate the gastric mucosa.
D. Glaucoma: Lidocaine does not have a significant effect on intraocular pressure or glaucoma. The main concern with lidocaine is its effect on the heart and nervous system, rather than its impact on eye conditions.
Correct Answer is C
Explanation
A. This tablet has no score line and could have an extended-release or special coating that should not be altered. Cutting it may affect absorption and safety.
B. The triangular shape and lack of score line suggest it is not intended to be split, risking improper dosing or altered release.
C. The tablet in option C has a scored line (a groove down the middle), which indicates that it can be safely split. Scored tablets are manufactured to ensure even distribution of the active ingredient, making it safe for dose division.
D. This is a capsule, which should never be cut or opened unless specifically directed, as it may contain extended-release beads or irritants.
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