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 B

Explanation

A. Acetaminophen is an over-the-counter pain reliever commonly used to reduce mild to moderate pain, such as headaches or muscle aches. It does not treat osteoporosis. It may help with pain associated with bone fractures or discomfort from osteoporosis but does not impact bone density or prevent fractures.
B. Alendronate (brand name Fosamax) is a bisphosphonate used specifically to treat and prevent osteoporosis, particularly in postmenopausal women. It works by inhibiting bone resorption (the process by which bone is broken down and minerals are released into the bloodstream), thereby increasing bone density and reducing the risk of fractures.
C. Naloxone (brand name Narcan) is an opioid antagonist used to reverse opioid overdoses. It has no role in the treatment or prevention of osteoporosis. This medication is used in emergency settings to counteract respiratory depression caused by opioid overdose and should not be used for osteoporosis treatment.
D. Morphine sulfate is a narcotic analgesic used to manage severe pain. While it may be used for pain relief in individuals with osteoporosis who have experienced a fracture or severe pain, it does not treat the underlying condition of osteoporosis.

A. Morphine sulfate (Astramorph B. Fentanyl C. Naltrexone (Muition) D. Methadone (Methacose)

Correct Answer is D

Explanation

A. Morphine sulfate is an opioid used for pain management and not for treating opioid use disorder.
B. Fentanyl is a powerful opioid and would not be prescribed for opioid abuse; it may be used for pain management in certain cases but is not for detoxification or maintenance.
C. Naltrexone is another option for opioid use disorder but is typically used after detoxification. It is not used for detoxification itself.
D. Methadone is commonly prescribed for the treatment of opioid use disorder, as it helps reduce cravings and withdrawal symptoms without causing a high.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

Correct Answer is D

Explanation

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