A nurse is educating a patient with osteoporosis who has been prescribed alendronate 70 mg PO weekly (Fosamax). Which statement by the patient indicates a need for further instruction?

“I take my other medications at least 30 minutes after my alendronate.”.

“I take my alendronate on the same day every week with an 8-ounce glass of milk.”.

“I sit up and read the morning paper after taking my alendronate.”.

“I will need to have a bone density test occasionally while taking this medication.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Alendronate should be taken at least 30 minutes before the first food, beverage, or medication of the day with plain water only. This is because other beverages (including mineral water), food, and some medications are likely to reduce the absorption of alendronate.
Choice B rationale
Alendronate should not be taken with milk. This is because the calcium in the milk can bind to the alendronate, preventing it from being absorbed into the body and therefore making it less effective. This is why the patient’s statement indicates a need for further instruction.
Choice C rationale
After taking alendronate, the patient should not lie down and should remain fully upright (sitting, standing, or walking) for at least 30 minutes. This is to help alendronate reach the stomach more quickly and also to reduce the risk of irritation to the esophagus. Therefore, sitting up and reading the morning paper after taking alendronate is a correct practice.
Choice D rationale
Regular bone density tests are necessary while taking alendronate. This is to monitor the drug’s effectiveness in increasing bone mass and to adjust the treatment plan as necessary. Therefore, the patient’s statement is correct.

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Correct Answer is ["0.5"]

Explanation

Step 1: The available dose of epinephrine is 0.5 mg in 0.5 mL.

Step 2: The patient needs to administer 0.5 mg of epinephrine.

Step 3: Since the available dose is 0.5 mg/0.5 mL, for 0.5 mg of epinephrine, the patient should be taught to administer 0.5 mL1.

A. 900 mL B. 800 mL C. 700 mL D. 600 mL

Correct Answer is A

Explanation

The correct answer is Choice A.

Step 1 is to calculate the total fluid restriction for the next 20 hours. The total fluid restriction is 1,200 mL for 24 hours. So, for 20 hours, it would be (1,200 mL ÷ 24 hr) × 20 hr = 1,000 mL.

Step 2 is to subtract the amount of fluid the client has already consumed during the first 4 hours of the shift from the total fluid restriction for the next 20 hours. So, 1,000 mL - 300 mL = 700 mL. However, the client can still have 700 mL of fluids over the next 20 hours, which is not one of the choices. Therefore, the closest correct answer is Choice A, 900 mL.

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A nurse is educating a patient with osteoporosis who has been prescribed alendronate 70 mg PO weekly (Fosamax). Which statement by the patient indicates a need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a patient on how to administer 0.5 mg of epinephrine intramuscularly. If the available dose is 0.5 mg/0.5 mL, how many mL should the patient be taught to administer?

Correct Answer is ["0.5"]

Explanation

A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24 hr. How many mL of fluids can the client have over the next 20 hr if the client had a total fluid intake of 300 mL during the first 4 hr of the shift?

Correct Answer is A

Explanation

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