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The nurse is teaching the client with a new prescription for ibandronate how to take the medication.
Which instruction provided by the nurse is correct?

“Take 400 mg each day, at the same time each day.”.

“Take 150 mg once a month on the same day of the month.”.

“Take 70 mg once a week on the same day of the week.”.

“Take 3 mg twice daily with food.”.

Answer and Explanation

The Correct Answer is A

This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.

Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.

Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.

Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.

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Correct Answer is A

Explanation

Glycerin suppositories are safe and effective for infants with constipation. They work by lubricating and softening the stool, and stimulating the rectal muscles to contract.

Choice B is wrong because magnesium hydroxide is not recommended for infants under 6 months of age, and may cause diarrhea, electrolyte imbalance, or magnesium toxicity.

Choice Cis wrong because watchful waiting for 24 hours may not be enough to relieve the infant’s discomfort and may lead to further complications such as fecal impaction or dehydration.

Choice Dis wrong because feeding supplementation with free water may not be sufficient to treat constipation, and may dilute the infant’s intake of nutrients and electrolytes.

A. A 12-year-old child with obsessive-compulsive disorder. B. A 46-year-old trial lawyer with hypertension. C. An 83-year-old client with rheumatoid arthritis. D. A 22-year-old pregnant client. E. None F. None

Correct Answer is C

Explanation

A. A 12-year-old child with obsessive-compulsive disorder is not typically a candidate for misoprostol, as it is not indicated for this condition.

B. A 46-year-old trial lawyer with hypertension might need caution when using misoprostol, as it can cause diarrhea and abdominal pain, which could be problematic.

C. An 83-year-old client with rheumatoid arthritis is the best candidate for misoprostol, particularly if they are taking nonsteroidal anti-inflammatory drugs (NSAIDs) for their condition. Misoprostol is often used to prevent NSAID-induced gastric ulcers in patients at high risk, such as elderly individuals or those with a history of ulcers.

D. A 22-year-old pregnant client should not be given misoprostol unless it is used for specific obstetric indications under close supervision. Misoprostol can induce uterine contractions and is contraindicated in pregnancy unless used for medical reasons like inducing labor or treating postpartum hemorrhage.

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The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

Correct Answer is A

Explanation

Which of these clients would the nurse expect to be the best candidate for misoprostol?

Correct Answer is C

Explanation

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The nurse is teaching the client with a new prescription for ibandronate how to take the medication.
Which instruction provided by the nurse is correct?