A nurse is reinforcing teaching with a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include in the teaching?
Take the medication with food.
Drink orange juice when taking the medication.
Sit upright or stand for at least 30 min after taking the medication.
Plan to chew or suck on the tablet.
The Correct Answer is C
A. Alendronate should be taken on an empty stomach with plain water, not with food, to ensure proper absorption.
B. Beverages such as orange juice or coffee can interfere with absorption; only plain water should be used.
C. The client should sit upright or stand for at least 30 minutes after taking alendronate to prevent esophageal irritation and promote proper delivery to the stomach, making this correct.
D. Alendronate effervescent tablets should be dissolved in water and then consumed, not chewed or sucked.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tingling in the fingertips is not normal and may indicate neurovascular compromise; this requires immediate evaluation.
B. Placing an ice pack directly on itchy areas is unsafe; it can cause skin injury. Ice should only be applied to the outside of the cast with a barrier to protect the skin.
C. Fiberglass casts typically dry within a few hours to 2 days, so this statement demonstrates correct understanding of cast care.
D. Elevating the arm above heart level is recommended to reduce swelling, not letting it hang down, which can increase edema.
Correct Answer is A
Explanation
A. Long-term glucocorticoid therapy accelerates bone resorption, decreases bone formation, and reduces calcium absorption, all of which contribute to osteoporosis.
B. NSAIDs are not associated with bone loss; they are more commonly used for pain and inflammation management.
C. Oral antidiabetic medications primarily affect blood glucose regulation, not bone density.
D. Cardiac glycosides (e.g., digoxin) affect heart function but are not linked to osteoporosis development.
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