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A nurse is providing education to a patient who has a new prescription for alendronate for the treatment of osteoporosis.
Which of the following instructions should the nurse include?

Drink milk with the medication.

Take the medication right before eating breakfast.

Sit upright for 30 to 60 min after taking the medication.

Chew the tablets thoroughly.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Drinking milk with the medication is not recommended because calcium can bind to alendronate, reducing its absorption.

Choice B rationale

Alendronate should be taken on an empty stomach, at least 30 minutes before the first food, beverage, or other medication of the day.

Choice C rationale

Patients should sit upright for at least 30 minutes after taking alendronate to prevent esophageal irritation.

Choice D rationale

Alendronate tablets should be swallowed whole, not chewed, to prevent oropharyngeal ulceration.

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Correct Answer is A

Explanation

Choice A rationale

For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.

Choice B rationale

Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.

Choice C rationale

Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.

Choice D rationale

Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.

A. A client who needs a sputum specimen collected before breakfast. B. A client with Alzheimer’s disease who needs help going to the bathroom. C. A client who had a head injury 2 days ago and now has a decreased level of consciousness. D. A client with diverticulitis and a temperature of 38.3 C (100.9 F).

Correct Answer is C

Explanation

A decreased level of consciousness in a client who had a head injury 2 days ago is a critical sign that requires immediate attention. This could indicate a serious complication such as brain swelling or bleeding. The other clients’ needs, while important, are not as immediately life- threatening and can be addressed after the client with the head injury is stabilized.

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A nurse is providing education to a patient who has a new prescription for alendronate for the treatment of osteoporosis.Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

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A nurse is providing education to a patient who has a new prescription for alendronate for the treatment of osteoporosis.
Which of the following instructions should the nurse include?