A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include?

"Take this medication with orange juice."

"Take this medication with food."

"Sit upright or stand for at least 30 minutes after taking this medication."

"Chew or suck on the tablet."

Answer and Explanation

The Correct Answer is C

A. Take this medication with orange juice is incorrect; alendronate should be taken with plain water to avoid food or drink interactions.

B. Take this medication with food is incorrect; alendronate should be taken on an empty stomach to enhance absorption.

C. Sit upright or stand for at least 30 minutes after taking this medication helps prevent esophageal irritation and ensure the medication reaches the stomach.

D. Chew or suck on the tablet is incorrect; the effervescent tablet should be dissolved in water as directed.

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Correct Answer is B

Explanation

A. Driving the client to the nearest medical facility is not appropriate; professional emergency medical services are needed.

B. Notifying emergency management services ensures that the client receives professional medical evaluation and care immediately.

C. Providing water to test the gag reflex is not appropriate in an emergency situation and could pose a choking risk.

D. Performing carotid massage is not recommended and could worsen the condition; it is not a standard emergency procedure.

Correct Answer is []

Explanation

1. Condition: Acute Compartment Syndrome

Justification: The presence of severe pain, swelling, numbness, and a weak radial pulse along with delayed capillary refill are classic signs of acute compartment syndrome. Immediate surgical intervention (fasciotomy) is necessary to relieve the pressure within the muscle compartments.

2. Actions to Take

Prepare for Fasciotomy:

Justification: This surgical procedure will relieve the internal pressure causing the symptoms.

Request Prescription for Pain Medication:

Justification: Adequate pain management is important for client comfort and can also indicate response to treatment.

3. Parameters to Monitor

Neurovascular Status:

Justification: Monitoring for further deterioration of symptoms such as worsening numbness or weak pulses is essential.

WBC Count:

Justification: Helps in the broader assessment of possible infection, though not directly related to acute compartment syndrome

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A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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