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"
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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Related Questions
Correct Answer is D
Explanation
A. Ibuprofen does not inhibit mu receptors. Mu receptors are associated with opioid actions, while ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID).
B. While long-term use of ibuprofen may increase the risk of cardiovascular events like myocardial infarction, this is not the primary action of the drug.
C. Ibuprofen does not decrease the risk of stroke. In fact, chronic use of NSAIDs may actually increase the risk of bleeding and stroke.
D. Ibuprofen inhibits both COX-1 and COX-2 enzymes, which are involved in the inflammatory process. This inhibition helps reduce pain, inflammation, and fever.
Correct Answer is A
Explanation
A. Dantrolene (Dantrium) is used to treat malignant hyperthermia, a life-threatening condition triggered by certain anesthetic agents. It works by inhibiting calcium release from the sarcoplasmic reticulum in muscle cells, reducing muscle rigidity and preventing further complications.
B. Dantrolene is not used for treating status epilepticus; other medications such as benzodiazepines are used for that purpose.
C. Dantrolene is not used for overactive bladder; medications like anticholinergics or beta-3 agonists are typically prescribed for this condition.
D. While dantrolene can relieve muscle spasms, it is primarily used for conditions like malignant hyperthermia and spasticity from conditions like cerebral palsy or spinal cord injury, rather than just for muscle injury.
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