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 C
Explanation
Choice A rationale: Fatigue is a nonspecific symptom and may not be directly indicative of salicylism.
Choice B rationale: Heartburn after meals is not a classic symptom of salicylism.
Choice C rationale: Ringing in the ears (tinnitus) is a characteristic symptom of salicylism and indicates high levels of aspirin in the blood.
Choice D rationale: Vomiting can occur with aspirin toxicity, but it is not as specific a symptom as tinnitus.
Correct Answer is D
Explanation
Choice A rationale: Allopurinol dosing is not typically adjusted based on target serum drug levels.
Choice B rationale: The absence of gastrointestinal (GI) effects is not a parameter used to adjust the dosing of allopurinol.
Choice C rationale: This is partially correct. Allopurinol dosing is adjusted based on renal function, but specifically, it is adjusted based on serum creatinine levels. The higher the creatinine levels, the lower the dose of allopurinol should be.
Choice D rationale: This is correct. Allopurinol dosing is adjusted based on plasma urate levels. The goal is to reduce uric acid levels in the blood to prevent the formation of urate crystals and subsequent gout attacks. Regular monitoring of plasma urate levels helps determine the effectiveness of the medication, and adjustments can be made to achieve the target urate level.
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