A client diagnosed with osteoporosis will begin taking alendronate. The nurse will teach this patient to take the
At bedtime to minimize adverse effects.
For a maximum of 1 to 2 years.
While sitting upright with plenty of water.
With coffee or orange juice to increase absorption.
The Correct Answer is C
Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: A blood pressure reading of 130/80 mmHg is within the normal range and would not be a priority to report.
Choice B rationale: Expiratory wheezing is a potential adverse effect of propranolol, especially in patients with a history of asthma or other respiratory conditions. It should be reported promptly to the provider.
Choice C rationale: Hunger and thirst are not typically associated with adverse effects of propranolol.
Choice D rationale: A pulse of 98 beats/min is within the normal range and would not be a priority to report.

Correct Answer is B
Explanation
Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.
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