A nurse is providing education to a patient who has a new prescription for alendronate for the treatment of osteoporosis.
Which of the following instructions should the nurse include?
Drink milk with the medication.
Take the medication right before eating breakfast.
Sit upright for 30 to 60 min after taking the medication.
Chew the tablets thoroughly.
The Correct Answer is C
Choice A rationale
Drinking milk with the medication is not recommended because calcium can bind to alendronate, reducing its absorption.
Choice B rationale
Alendronate should be taken on an empty stomach, at least 30 minutes before the first food, beverage, or other medication of the day.
Choice C rationale
Patients should sit upright for at least 30 minutes after taking alendronate to prevent esophageal irritation.
Choice D rationale
Alendronate tablets should be swallowed whole, not chewed, to prevent oropharyngeal ulceration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering 5 mL of the available medication would only provide 12.5 mg of diphenhydramine, which is half the required dose. Therefore, this is not the correct choice.
Choice B rationale
The available medication is diphenhydramine syrup 12.5 mg/5 mL. To administer the required dose of 25 mg, the nurse would need to give 10 mL of the syrup. This is because 25 mg (required dose) divided by 12.5 mg (dose per 5 mL) equals 2. Therefore, 2 times 5 mL equals 10 mL. This is the correct choice as it provides the exact required dose.
Choice C rationale
Administering 15 mL of the available medication would provide 37.5 mg of diphenhydramine, which is more than the required dose. Therefore, this is not the correct choice.
Choice D rationale
Administering 20 mL of the available medication would provide 50 mg of diphenhydramine, which is double the required dose. Therefore, this is not the correct choice.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}
Explanation
The client is at highest risk for developing hypovolemic shock as evidenced by the client’s capillary refill time and urine output.
These indicators suggest poor perfusion and decreased blood volume, which are key signs of hypovolemic shock.
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