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","D"]

Explanation

A. Oxycodone is an opioid agonist, not an antagonist. It is used for pain management.
B. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID), not an opioid antagonist. It is used to reduce inflammation and pain.
C. Naltrexone is an opioid antagonist that blocks the effects of opioids and is used for treating opioid addiction and alcohol use disorder.
D. Naloxone (Narcan) is an opioid antagonist used to reverse opioid overdose by blocking the effects of opioids on the brain.

A. Coma B. Pinpoint pupils C. Fever D. Vomiting

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

Explanation

A. Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B. Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C. Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D. Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.

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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

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

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

Explanation

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

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

Explanation

A nurse is caring for a client who is taking acetaminophen (Tylenol) at regular intervals for mild pain. The nurse should tell the client to report which of the following early manifestations of acetaminophen toxicity?

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

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.)

A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. Which of the route should the nurse NOT administer this medication?

A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

A nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

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?