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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Redness and swelling of the leg may indicate a deep vein thrombosis (DVT), which is a known risk with raloxifene.
B. Swelling of the lower leg is a common sign of DVT, which is a potential side effect of raloxifene.
C. Jaundice is not a typical adverse effect of raloxifene. However, if a client experiences jaundice, it could indicate a liver issue, and the medication should be reviewed.
D. Tenderness in the lower leg could also indicate DVT, another serious adverse effect related to raloxifene.
Correct Answer is ["A","B"]
Explanation
A. Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B. Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C. Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D. Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.
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