A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

A decrease in urinary urgency, frequency, nocturia, and urge incontinence,

An absence of muscle rigidity and spasms with a good range of motion.

Physical dependence from chronic long-term use

No spontaneous respiratory movements in the clients caving mechanical ventilation

Answer and Explanation

The Correct Answer is B

A.   Urinary symptoms such as urgency and frequency are not related to the therapeutic effects of cyclobenzaprine.
B.   Cyclobenzaprine is a muscle relaxant, and its effectiveness is indicated by a reduction in muscle rigidity and spasms, along with improved range of motion.
C.   Physical dependence is not a goal of treatment with cyclobenzaprine. The effectiveness of the medication should be measured by symptom relief, not dependence.
D.   Cyclobenzaprine does not affect respiratory function, so the absence of spontaneous respiratory movements in mechanically ventilated clients is unrelated to the medication's action.

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Correct Answer is D

Explanation

A. Ibuprofen does not inhibit mu receptors. Mu receptors are associated with opioid actions, while ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID).
B. While long-term use of ibuprofen may increase the risk of cardiovascular events like myocardial infarction, this is not the primary action of the drug.
C. Ibuprofen does not decrease the risk of stroke. In fact, chronic use of NSAIDs may actually increase the risk of bleeding and stroke.
D. Ibuprofen inhibits both COX-1 and COX-2 enzymes, which are involved in the inflammatory process. This inhibition helps reduce pain, inflammation, and fever.

A. Analyze Cues B. Acetaminophen C. Alendronate D. Naloxone E. Morphine sulfate

Correct Answer is B

Explanation

A. Acetaminophen is an over-the-counter pain reliever commonly used to reduce mild to moderate pain, such as headaches or muscle aches. It does not treat osteoporosis. It may help with pain associated with bone fractures or discomfort from osteoporosis but does not impact bone density or prevent fractures.
B. Alendronate (brand name Fosamax) is a bisphosphonate used specifically to treat and prevent osteoporosis, particularly in postmenopausal women. It works by inhibiting bone resorption (the process by which bone is broken down and minerals are released into the bloodstream), thereby increasing bone density and reducing the risk of fractures.
C. Naloxone (brand name Narcan) is an opioid antagonist used to reverse opioid overdoses. It has no role in the treatment or prevention of osteoporosis. This medication is used in emergency settings to counteract respiratory depression caused by opioid overdose and should not be used for osteoporosis treatment.
D. Morphine sulfate is a narcotic analgesic used to manage severe pain. While it may be used for pain relief in individuals with osteoporosis who have experienced a fracture or severe pain, it does not treat the underlying condition of osteoporosis.

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A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about a new prescription for Ibuprofen (Motrin) Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)