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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.
Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.
However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.
Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.
However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.
Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.
However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.
Correct Answer is A
Explanation
Levothyroxine is a synthetic form of thyroxine, the hormone that the thyroid gland normally produces.It is used to treat hypothyroidism by replacing the missing hormone and restoring the normal metabolism.
Some explanations for the other choices are:
• Choice B. Thyroid desiccated is a natural thyroid hormone derived from animal thyroid glands.
It contains both T4 and T3 hormones, which may cause side effects or complications in some people with hypothyroidism.It is not recommended as a first-line treatment for hypothyroidism.
• Choice C. Methimazole is an antithyroid drug that blocks the production of thyroid hormones.
It is used to treat hyperthyroidism, not hypothyroidism.Giving methimazole to someone with hypothyroidism would worsen their condition.
• Choice D. Liothyronine is a synthetic form of T3, the active thyroid hormone.
It is sometimes used in combination with levothyroxine to treat hypothyroidism, but it is not a standard treatment.It has a shorter half-life and more variable effects than levothyroxine, and it may increase the risk of cardiac arrhythmias or osteoporosis.
Normal ranges for thyroid function tests vary depending on the laboratory and the method used, but generally they are:
• TSH: 0.4 to 4.0 mIU/L
• Free T4: 0.8 to 2.0 ng/dL
• Free T3: 2.3 to 4.2 pg/mL
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