A nurse is reviewing a new prescription for alendronate 70 mg PO once per week upon waking to be taken 30 min before food, ﬂuids, or medication with a client who has osteoporosis. The client is to remain upright for 30 min after administration. How should the nurse interpret this prescription for the client?

Take the medication at 1800, 30 min after the evening meal.

Over-the-counter oral preparations can be taken with this medication.

Choose the same day of each week to take this medication.

The client can return to bed after taking the medication, but before eating.

Answer and Explanation

The Correct Answer is C

c) Choose the same day of each week to take this medication.

The nurse should interpret the prescription for alendronate 70 mg PO once per week upon waking to be taken 30 min before food, ﬂuids, or medication with a client who has osteoporosis as instructing the client to choose the same day of each week to take the medication. This will help to ensure that the medication is taken consistently and at the appropriate time.

Taking the medication at 1800, 30 min after the evening meal (option A) is not consistent with the prescription, which specifies that the medication should be taken upon waking and before food, ﬂuids, or other medications. Over-the-counter oral preparations can be taken with this medication (option B) is not accurate; the prescription specifies that alendronate should be taken 30 min before other medications. The client can return to bed after taking the medication, but before eating (option D) is not consistent with the prescription, which specifies that the client should remain upright for 30 min after administration.

The correct answer is c. Choose the same day of each week to take this medication.

Rationale for each choice:

Choice a. Take the medication at 1800, 30 min after the evening meal. is incorrect.

Statement: The prescription specifies that the medication should be taken upon waking, 30 minutes before any food, fluids, or other medications. Taking it at 1800, 30 minutes after the evening meal, would not meet these requirements.

Choice b. Over-the-counter oral preparations can be taken with this medication. is incorrect.

Statement: The prescription states that alendronate should be taken 30 minutes before any other medications. This includes over-the-counter oral preparations, as they could potentially interfere with the absorption of alendronate.

Choice d. The client can return to bed after taking the medication, but before eating. is incorrect.

Statement: The prescription instructs the client to remain upright for 30 minutes after taking alendronate. This is because lying down can increase the risk of the medication irritating the esophagus.

Choice c. Choose the same day of each week to take this medication. is the correct interpretation of the prescription.

Statement: Alendronate is typically taken once a week to maintain consistent levels in the body and effectively treat osteoporosis. Choosing the same day each week helps ensure that the medication is taken regularly and consistently.

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Free Nursing Study Resources

Correct Answer is 75

Explanation

According to the medication label, the total volume of medication in the container following reconstitution will be 75 mL.

The label states that when reconstituted, the total volume of the medication will be 75 mL.

A. Kilogram B. Pound C. Minim D. Ounce

Correct Answer is A

Explanation

The nurse should identify **Kilogram** as a metric unit. The other units listed - Pound, Minim, and Ounce - are not metric units.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is 75

Explanation

A nurse is assisting an assistive personnel to document a client's weight in the medical record. Which of the following should the nurse identify as a metric unit?

Correct Answer is A

Explanation

A nurse is preparing to administer cyanocobalamin 100 mcg IM monthly. Available is cyanocobalamin injection 1,000 mcg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse weighed a client who is following a weight-loss plan. The scale shows that the client weighs 91 kg. What is the client's weight in lb? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer filgrastim 480 mcg subcutaneously daily. Filgrastim injection 300 mcg/mL is available. How many mL should the nurse administer per dose? Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero."

A nurse is preparing to administer furosemide 20 mg PO to a client. How should the nurse expect the medication to appear? Refer to the medication label options below to answer the question.

A nurse is preparing to administer diclofenac sodium 200 mg PO daily in equally divided doses every 6 hours. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer isoniazid 187 mg IM. Available is isoniazid injection 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is talking with the parent of a child who has asthma and a new prescription for albuterol inhalation aerosol 8.5 g, inhale 1 to 2 puﬀs orally every 4 to 6 hr as needed for asthma. The nurse interprets this medication as which of the following types of prescription?

A nurse is preparing to administer morphine 0.2 mg/kg IM to a client who weighs 99 lb. Available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)