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Chapter 40: Muscle Relaxants Test Bank

Chapter 40: Muscle Relaxants Test Bank

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Chapter 40: Muscle Relaxants
Test Bank
MULTIPLE CHOICE
1.   The primary care nurse practitioner (NP) is seeing a patient who reports chronic lower back pain. The patient reports having difficulty sleeping despite taking ibuprofen at bedtime each night. The NP should prescribe:
a.

diazepam (Valium).

b.

metaxalone (Skelaxin).

c.

methocarbamol (Robaxin).

d.

cyclobenzaprine (Flexeril).

2.   A patient reports having an acute onset of low back pain associated with lifting a heavy object the day before. Besides advising the patient to rest and apply ice, the primary care NP should prescribe:
a.

an opioid analgesic.

b.

metaxalone (Skelaxin)

c.

cyclobenzaprine (Flexeril).

d.

a nonsteroidal antiinflammatory drug (NSAID).

3.   A patient who was in a motor vehicle accident has been treated for lower back muscle spasms with metaxalone (Skelaxin) for 1 week and reports decreased but persistent pain. A computed tomography scan is normal. The primary care NP should:
a.

suggest ice and rest.

b.

order physical therapy.

c.

prescribe diazepam (Valium).

d.

add an opioid analgesic medication.

4.   A patient with lower back pain and right-sided sciatica has taken an NSAID and a TCA for 1 week. The patient reports some decrease in pain but is experiencing increased tingling and numbness of the right leg. The primary care NP should:
a.

order a magnetic resonance imaging (MRI) study.

b.

order physical therapy.

c.

refer the patient to a neurologist.

d.

continue the TCA for 1 more week.

5.   A 70-year-old patient has low back pain and will begin taking metaxalone (Skelaxin). The primary care NP should counsel this patient to:
a.

drink extra fluids.

b.

avoid taking NSAIDs.

c.

get up from a chair slowly.

d.

take care to avoid slips and falls.


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