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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Digoxin Toxicity: The client’s symptoms (nausea, vomiting, diarrhea, weakness), vital signs (bradycardia), and lab results (high digoxin level, low potassium and magnesium) suggest digoxin toxicity.
Cardiac Monitor: To detect any arrhythmias resulting from digoxin toxicity.
Icterus: To assess liver function, which could be impacted in severe toxicity.
Electrolytes: Imbalances in potassium and magnesium can worsen digoxin toxicity and need to be corrected.
Fever: The fever might indicate an infection or inflammatory process, which can affect treatment and recovery.
Correct Answer is C
Explanation
A. Measuring the circumference of the thigh can help assess for swelling but is not specific for neurovascular assessment.
B. Palpating the femoral pulse is not as relevant for assessing neurovascular status at the site of a femur fracture; instead, the focus is on more distal pulses and sensations.
C. Instructing the client to wiggle his toes assesses motor function and circulation to the distal extremities, which are crucial for neurovascular status.
D. Monitoring the calf for edema is not the primary method for assessing neurovascular status at the site of a femur fracture; it’s more relevant for assessing for deep vein thrombosis.
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