A client diagnosed with osteoporosis will begin taking alendronate. The nurse will teach this patient to take the

At bedtime to minimize adverse effects.

For a maximum of 1 to 2 years.

While sitting upright with plenty of water.

With coffee or orange juice to increase absorption.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.

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Correct Answer is D

Explanation

Choice A rationale: Managing dry-mouth symptoms is not the greatest teaching priority for a patient prescribed varenicline.
Choice B rationale: Increasing fiber in the diet to reduce constipation is not the greatest teaching priority for a patient prescribed varenicline.
Choice C rationale: The greatest teaching priority for a patient prescribed varenicline is to report thoughts of self-harm. Varenicline is a medication used for smoking cessation, and there have been reports of neuropsychiatric symptoms, including suicidal ideation.
Choice D rationale: Teaching about the decreased pleasurable effect of nicotine is important but not the greatest priority compared to ensuring the patient's safety.

A. Shallow breathing B. Diarrhea C. Urinary retention D. Hypotension

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale: Meperidine can cause respiratory depression, leading to shallow breathing.
Choice B rationale: Diarrhea is not a common effect of meperidine.
Choice C rationale: Meperidine can cause urinary retention.
Choice D rationale: Meperidine can cause hypotension.

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A client diagnosed with osteoporosis will begin taking alendronate. The nurse will teach this patient to take the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the greatest teaching priority for a patient who has been prescribed varenicline?

Correct Answer is D

Explanation

Meperidine hydrochloride [Demerol] is given to a client who is experiencing post- operative pain. Which of the following are effects of the medication? [select all that apply]

Correct Answer is ["A","C","D"]

Explanation

The nurse cares for a patient with seasonal allergies. The provider recommends phenylephrine [Neo-synephrine], an adrenergic agonist nasal spray to treat symptoms of allergic rhinitis. The nurse is most concerned if the patient makes which of the following statements?

The nurse is setting up the patient-controlled analgesia device to deliver morphine for postoperative pain control recognizes the need for further teaching when the client states:

The nurse administers cholinergic (muscarinic agonist) medication, Bethanechol to a patient. The nurse should assess the patient for which intended effect?

A patient is brought to the emergency department for the treatment of an overdose of alprazolam. Which medication should the nurse prepare to administer to this patient?

The client with osteopenia (low bone mass) has been prescribed calcium supplementation. Teaching for reducing risk of osteoporosis will include:

A postoperative patient who received an intravenous infusion of morphine has a respiratory rate of 8 breaths per minute and is lethargic. Which as-needed medication should the nurse administer to the patient?

A client diagnosed with osteoporosis will begin taking alendronate. The nurse will teach this patient to take the