A client is prescribed cyclobenzaprine (Flexeril) for the treatment of muscle spasticity associated with multiple sclerosis. Which statement below should the nurse emphasize to the client prior to administration?
Monitor heart rate for bradycardia
Ensure naloxone is available in the case of an overdose
Do not operate motor vehicles after taking cyclobenzaprine
Excessive salivation is associated with this medication
The Correct Answer is C
A. Monitoring heart rate for bradycardia is not a primary concern with cyclobenzaprine; instead, it can cause drowsiness and sedation.
B. Naloxone is not necessary for cyclobenzaprine overdose, as it is not an opioid.
C. Cyclobenzaprine can cause sedation and impair cognitive function, so the nurse should emphasize that clients should not operate heavy machinery or motor vehicles until they know how the medication affects them.
D. Excessive salivation is not a common side effect of cyclobenzaprine; instead, dry mouth is more frequently reported.
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Correct Answer is B
Explanation
A. Tardive dyskinesia is primarily associated with long-term use of antipsychotics, not SSRIs like sertraline.
B. Serotonin syndrome is a serious condition that can occur with overdose or interaction of SSRIs, leading to symptoms such as agitation, confusion, rapid heart rate, and increased muscle tone.
C. Hypertensive emergency is not typically associated with SSRIs; it is more related to the use of MAOIs and certain foods.
D. Extrapyramidal syndrome is also primarily linked to antipsychotics rather than SSRIs and would not be a concern with sertraline use.
Correct Answer is B
Explanation
A. Black-colored stools may indicate gastrointestinal bleeding, which is not a common side effect of rifampin.
B. Rifampin is known to cause orange-colored secretions, including urine, sweat, and tears, which is a normal and expected side effect.
C. Rifampin does not typically cause staining of teeth; this is more commonly associated with other medications like tetracyclines.
D. Constipation is not a recognized side effect of rifampin, and patients are not typically advised to expect this as a result of the medication.