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 C
Explanation
The nurse should question an order for bismuth salts for a client with an allergy to aspirin because bismuth salts contain salicylates, which are chemically related to aspirin and can cause allergic reactions.
Choice A is wrong because rheumatoid arthritis is not a contraindication for bismuth salts.
Bismuth salts may have anti-inflammatory effects that could benefit clients with rheumatoid arthritis.
Choice B is wrong because viral gastroenteritis is not a contraindication for bismuth salts.
Bismuth salts may help reduce diarrhea and inflammation caused by viral gastroenteritis.
Choice D is wrong because hypertension is not a contraindication for bismuth salts.
Bismuth salts do not affect blood pressure or interact with antihypertensive medications.
Correct Answer is A
Explanation
Prednisone is a glucocorticoid that suppresses the production of natural cortisol by the adrenal glands. Taking prednisone on alternate days allows the adrenal glands to recover and produce some cortisol on the days without prednisone.
Choice B is wrong because prednisone does not eliminate adverse side effects, but may cause some such as weight gain, fluid retention, increased blood pressure, increased blood glucose, and increased risk of infection.
Choice C is wrong because there is no evidence of steroid tolerance, which means that higher doses are needed to achieve the same effect.
Choice D is wrong because prednisone does not prolong therapeutic effects, but may decrease them over time due to feedback inhibition of cortisol secretion.
Normal ranges for cortisol are 6 to 23 mcg/dL in the morning and 2 to 11 mcg/dL in the afternoon.
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