Exam 40: Muscle Relaxants

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

A patient comes to the clinic complaining of low back pain unrelieved by NSAIDs.The patient has a history of angle-closure glaucoma and renal disease.The primary care NP should prescribe:

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 patient has acute low back pain caused by lifting a heavy object.The patient reports having one or two drinks with meals each day.The primary care NP should prescribe:

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 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: