Week 6 quiz.docx - Question 1 1 out of 1 points A...

 Question 1
1 out of 1 points
A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed
cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What
nursing diagnosis should the nurse prioritize when updating the nursing care
plan for this patient?
Response
Feedback:
The CNS depression that is associated with the use of
cyclobenzaprine constitutes a risk for injury. The anticholinergic
effects of the drug constitute a risk for constipation, not diarrhea.
Nutrition and swallowing are not typically affected by the use of
cyclobenzaprine.
 Question 2
0 out of 1 points
A 34-year-old male patient is prescribed methimazole (MMI). The nurse will
advise him to report which of the following immediately?
Response
Feedback:
The nurse should ask the patient to report immediately if he
notices decreased cardiac rate, intolerance to cold, or weight gain.
These are indications of hypothyroidism resulting from antithyroid
therapy, and if the medication is continued unchanged, insidious
goitrogenic hypothyroidism may occur. Vertigo, drowsiness, loss of
appetite, and epigastric distress are possible adverse effects of the
therapy but would not present an immediate risk to the patient's
health.
 Question 3
1 out of 1 points
A 70-year-old woman who is on long-term ibuprofen therapy for osteoarthritis
has returned to the clinic for her regular 6-month visit. In the last couple of
months, she has been having increasing periods of abdominal pain. The nurse
suspects that this pain may be related to
Response
Feedback:
During long-term ibuprofen therapy, especially in patients older
than 60 years, the nurse needs to closely monitor for peptic ulcer
disease or gastritis that can lead to gastrointestinal bleeding or
even bowel perforation. These events can occur at any time, with
or without warning. Ibuprofen may also cause excessive or
abnormal bleeding, especially in patients with anemia, but it is not
known to cause anemia. Interstitial nephritis is one of the less

common renal toxicities associated with ibuprofen as is
constipation.
 Question 4
1 out of 1 points
A patient is taking gabapentin (Neurontin) for spasticity associated with multiple
sclerosis. Which of the following should be the priority for monitoring?
Response
Feedback:
Gabapentin is not metabolized and is excreted unchanged in the
urine. Therefore, it is important to monitor renal function.
Hepatic, cardiac, and respiratory functions are not compromised
with this drug.
 Question 5
1 out of 1 points
A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the
drug therapy begins, a priority action by the nurse will be to assess the patient's
Response
Feedback:
The nurse should assess the patient's alcohol consumption before
therapy is initiated. Concomitant alcohol use increases the rate of
glyburide metabolism and may cause a disulfiram-like reaction.