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?

"After taking this medication, you must lie down flat for at least 30 hours."

"You should take this medication before going to bed after a large meal."

"After taking this medication, you should sit up or ambulate for at least 30 minutes.”

"You should chew on this medication and take it after breakfast"

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

A. Morphine is a full agonist on mu receptors and does not act on kappa receptors in the same way.
B. Naloxone is an opioid antagonist that blocks both mu and kappa receptors.
C. Butorphanol is a mixed opioid agonist-antagonist that acts as an agonist on kappa receptors and an antagonist on mu receptors. It is used for pain management and has a lower risk of dependence compared to full opioid agonists.
D. Acetaminophen does not act on opioid receptors and is not classified as an opioid.

A. Ginger B. Vitamin D C. Feverfew D. Garlic

Correct Answer is ["A","C","D"]

Explanation

A. Ginger is known to increase the risk of bleeding when taken with NSAIDs like aspirin because it has anticoagulant properties that can enhance the bleeding effects.
B. Vitamin D does not have an effect on bleeding and is not associated with an increased risk when taken with NSAIDs.
C. Feverfew also has anticoagulant effects and can increase the risk of bleeding, especially when combined with NSAIDs.
D. Garlic has natural blood-thinning properties and can increase the risk of bleeding, particularly when combined with NSAIDs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?

Correct Answer is C

Explanation

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

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