A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

Inflammation on the calf

Drowsiness

Dysphagia

Nausea

Answer and Explanation

The Correct Answer is C

A.   Inflammation on the calf is not a common complication of alendronate.
B.   Drowsiness is not typically associated with alendronate.
C.   Dysphagia (difficulty swallowing) can be a sign of esophageal irritation or ulceration, which are known complications of alendronate. Clients should be instructed to take the medication with a full glass of water and remain upright for at least 30 minutes after administration.
D.   Nausea is a common side effect, but dysphagia is a more serious concern that requires attention.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A. Agitation is not a typical complication of morphine sulfate. In fact, morphine and other opioids generally cause sedation rather than agitation. Agitation may occur in rare cases due to discomfort (such as from constipation) or withdrawal symptoms, but it is not a common complication of morphine use.
B. Respiratory depression is a known and serious complication of morphine sulfate and other opioid medications. Opioids can reduce the body's respiratory drive, leading to slower and less effective breathing. This can be life-threatening, especially with higher doses or if combined with other sedative medications.
C. Dilated pupils (mydriasis) are typically not a complication of morphine use. Opioids, including morphine, typically cause constricted pupils (miosis), which is a hallmark sign of opioid use or overdose. Dilated pupils are more commonly associated with stimulant drug use (e.g., cocaine) or certain medical conditions, not opioids like morphine.
D. Bradycardia (slow heart rate) is a known side effect of morphine sulfate and other opioids. Opioids can affect the autonomic nervous system and cause a decrease in heart rate. This is particularly important to monitor for, especially in patients with existing heart conditions or those taking other medications that might also affect heart rate.
E. Diarrhea is generally not a complication of morphine use. Instead, one of the most common side effects of morphine and other opioids is constipation due to their effect on the gastrointestinal system. Opioids slow down the movement of the intestines, which can lead to constipation, but diarrhea is not a typical response.

A. "After taking this medication, you must lie down flat for at least 30 hours." B. "You should take this medication before going to bed after a large meal." C. "After taking this medication, you should sit up or ambulate for at least 30 minutes.” D. "You should chew on this medication and take it after breakfast"

Correct Answer is C

Explanation

A. After taking alendronate, clients should not lie down flat for at least 30 minutes to avoid esophageal irritation and potential damage.
B. Alendronate should be taken before breakfast, but the client should not lie down afterward. It should be taken on an empty stomach.
C. The correct instruction is to sit up or ambulate for at least 30 minutes after taking alendronate. This prevents esophageal irritation and ensures proper absorption.
D. Alendronate is typically taken whole with a full glass of water, not chewed, and should not be taken after meals.

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A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

Correct Answer is C

Explanation

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