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 A
Explanation
Choice A rationale
Without specific patient data, it’s challenging to provide a detailed rationale.
However, initiating seizure precautions could be necessary if the patient’s medical record indicates a history of seizures or a condition that increases the risk of seizures.
Choice B rationale
Assisting the patient to the bathroom is a routine nursing intervention and would not typically be determined based on a review of the patient’s medical record.
Choice C rationale
Keeping the patient’s head in a mid position would depend on the patient’s condition and would not typically be determined based on a review of the patient’s medical record.
Choice D rationale
Decreasing oxygen to 1.5 L/min via nasal cannula would depend on the patient’s oxygen saturation levels and overall respiratory status.
Correct Answer is A
Explanation
Choice A rationale
Participating in reminiscence therapy can be beneficial for patients with Alzheimer’s disease. This therapy involves discussing past experiences and life events, which can help improve mood, enhance communication, and maintain self-identity.
Choice B rationale
Raising all four side rails on a patient’s bed is not recommended. This can be considered a form of restraint and can increase the risk of injury if the patient attempts to climb over the rails. It’s important to promote a safe environment while respecting the patient’s rights.
Choice C rationale
Alternating the patient’s daily routine can be confusing and disorienting for individuals with Alzheimer’s disease. Maintaining a consistent routine can provide a sense of security and predictability.
Choice D rationale
Keeping the lights dimmed is not specifically beneficial for patients with Alzheimer’s disease. Adequate lighting can help prevent falls and other accidents. However, creating a calm and quiet environment can help reduce agitation.
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