A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

The client has a history of anaphylaxis following a bee sting.

The client has a first-degree relative who has Paget's disease.

The client is postmenopausal.

The client has immobility that restricts her to a supine position.

Answer and Explanation

The Correct Answer is D

A. The client has a history of anaphylaxis following a bee sting: This finding is not directly related to the safety of taking alendronate for osteoporosis.
B. The client has a first-degree relative who has Paget's disease: While family history is

important in assessing the risk of osteoporosis, it is not a direct safety risk for taking alendronate.

C. The client is postmenopausal: Postmenopausal status is a common indication for the use of alendronate to prevent or treat osteoporosis. It is not a safety risk.
D. The client has immobility that restricts her to a supine position: Immobility, especially in a supine position, can increase the risk of esophageal irritation and reflux when taking alendronate. Therefore, this finding poses a safety risk for the client when taking this medication.

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Correct Answer is B

Explanation

A. Methimazole can lead to weight gain rather than weight loss.

B. Methimazole can cause hypersomnolence.

C. Methimazole does not typically affect skin temperature.

D. Methimazole is an antithyroid medication used to treat hyperthyroidism, including Graves' disease and can cause a decrease in heart rate.

A. File a report with the facility to document the incident as a near miss medication error. B. Contact the client's prescribing provider to report a facility medication error. C. Write in the client's medical record that the nurse prevented a facility medication error. D. Inform the client that medication will not be given due to a dispensary medication error.

Correct Answer is A

Explanation

A. Filing a report with the facility to document the incident as a near miss medication error is essential for tracking and investigating medication errors to prevent future occurrences.
B. While contacting the prescribing provider may be necessary, the priority is to report the error internally within the facility.
C. While documenting the nurse's actions is important, it is essential to report the error through the appropriate channels within the facility.
D. While informing the client about the error is necessary, the immediate action should be to report the error internally within the facility.

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A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is B

Explanation

A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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