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 A

Explanation

A. Cyclobenzaprine (Flexeril) is a muscle relaxant used to relieve muscle spasms caused by muscle injury. It works by acting on the central nervous system to reduce muscle tone.
B. Cyclobenzaprine is not effective for spasticity related to conditions like cerebral palsy, spinal cord injury, or multiple sclerosis; other medications like baclofen are more appropriate for spasticity.
C. Cyclobenzaprine is not used to treat malignant hyperthermia. This condition is treated with dantrolene.
D. Cyclobenzaprine does not treat postmenopausal osteoporosis, which is typically managed with medications like bisphosphonates (e.g., alendronate).

A. Inflammation on the calf B. Drowsiness C. Dysphagia D. Nausea

Correct Answer is C

Explanation

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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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 client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

A new client has been admitted to the hospital and reported taking acetaminophen (Tylenol) at home. The nurse should identify that which of the following conditions is contraindicated for acetaminophen (Tylenol)?

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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.).

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

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