A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.
What should the nurse’s response be?

Advise the patient to only consume water with the medication.

Delay the medication until the patient’s breakfast tray arrives.

Consult with a pharmacist about administering the dose one hour post-meal.

Assign an unlicensed assistive personnel to bring the patient a glass of low-fat milk.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Risedronate should be taken with a full glass of plain water on an empty stomach, at least 30 minutes before any food, beverage, or other medicines. This is because food and beverages can decrease the absorption of risedronate.

Choice B rationale

Delaying the medication until the patient’s breakfast tray arrives would not be appropriate, as risedronate needs to be taken on an empty stomach.

Choice C rationale

Consulting with a pharmacist about administering the dose one hour post-meal would not be appropriate, as risedronate should be taken on an empty stomach.

Choice D rationale

Assigning an unlicensed assistive personnel to bring the patient a glass of low-fat milk would not be appropriate, as risedronate should be taken with plain water.

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Correct Answer is D

Explanation

Choice A rationale

Diarrhea is a common side effect of many medications, including metoclopramide. However, it is not considered a serious adverse effect that would require immediate medical attention.

Choice B rationale

Unusual irritability can be a side effect of metoclopramide, but it is not the most serious adverse effect of this medication. It is important to monitor for changes in mood or behavior, but these changes do not typically require immediate medical intervention.

Choice C rationale

Nausea is actually one of the conditions that metoclopramide is used to treat. If a patient experiences nausea while taking this medication, it may indicate that the medication is not effectively managing the patient’s symptoms, but it is not considered a serious adverse effect.

Choice D rationale

Involuntary movements, also known as tardive dyskinesia, are a serious potential side effect of metoclopramide. This condition is characterized by repetitive, involuntary movements, most often affecting the lower face. Tardive dyskinesia can be irreversible, even after

discontinuation of the medication, and can be debilitating. Therefore, any signs of involuntary movements should be reported to a healthcare provider immediately.

A. Instruct the client to request assistance when ambulating to the bathroom. B. Administer a stool softener/laxative at the same time as the analgesic. C. Tell the client to notify the nurse if the pain is not relieved. D. Advise the client that the medication should start to work in about 30 minutes.

Correct Answer is A

Explanation

Choice A rationale

Codeine is an opioid medication that can cause drowsiness and dizziness. This can increase the risk of falls, particularly in older adults or those with balance or mobility issues. Therefore, it is important to instruct the client to request assistance when ambulating to prevent falls.

Choice B rationale

While constipation is a common side effect of opioid medications like codeine, and a stool softener or laxative may be helpful in managing this side effect, it is not the highest priority nursing action. The risk of falls due to drowsiness or dizziness is a more immediate safety concern.

Choice C rationale

While it is important for the client to notify the nurse if the pain is not relieved, this is not the highest priority nursing action. The safety of the client is the primary concern, and preventing falls by providing assistance with ambulation is a more immediate need.

Choice D rationale

Advising the client that the medication should start to work in about 30 minutes is an important part of patient education, but it is not the highest priority nursing action. The safety of the client is the primary concern, and preventing falls by providing assistance with ambulation is a more immediate need.

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A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.What should the nurse’s response be?

Nursing Test Bank

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A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.
What should the nurse’s response be?