A nurse is providing instruction to a client who has a new prescription for calcitonin for postmenopausal osteoporosis. Which of the following instructions should the nurse include in the teaching?
Mix the liquid medication with juice and take it after meals.
Alternate nostrils each time calcitonin is inhaled.
Swallow tablets on an empty stomach with plenty of water.
Watch for skin rash and redness when applying calcitonin topically.
The Correct Answer is B
A. Mix the liquid medication with juice and take it after meals: Calcitonin (intranasal formulation) should not be mixed with juice for swallowing; typical instruction is nasal administration.
B. Alternate nostrils each time calcitonin is inhaled: Intranasal calcitonin is usually given by alternating nostrils with each dose to reduce local irritation and ensure even nasal mucosa exposure.
C. Swallow tablets on an empty stomach with plenty of water: Calcitonin is not given as tablets to be swallowed for osteoporosis (intranasal or injectable forms are used).
D. Watch for skin rash and redness when applying calcitonin topically: Topical application is not the usual route; monitor for local nasal irritation with intranasal forms rather than topical skin redness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Magnesium hydroxide (Maalox): Maalox is an antacid, not a proton pump inhibitor.
B. Ranitidine (Zantac): Ranitidine is an H2 blocker (not a PPI).
C. Famotidine (Pepcid): Famotidine is an H2 receptor antagonist, not a proton pump inhibitor.
D. Omeprazole (Prilosec): Omeprazole is a proton pump inhibitor commonly prescribed for GERD.
Correct Answer is D
Explanation
A. Vitamin C deficiency: Antilipemic (statin) therapy does not cause vitamin C deficiency.
B. Neutropenia: Neutropenia is not a primary or common complication of statins/antilipemics.
C. Pulmonary problems: Pulmonary disease is not a characteristic complication of statin therapy.
D. Liver dysfunction: Statins (common antilipemic agents) can cause elevations in liver enzymes and, rarely, clinically significant liver injury -clinicians monitor liver function at baseline and as clinically indicated.
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