A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

The client has a history of anaphylaxis following a bee sting.

The client has a first-degree relative who has Paget's disease.

The client is postmenopausal.

The client has immobility that restricts her to a supine position.

Answer and Explanation

The Correct Answer is D

A. The client has a history of anaphylaxis following a bee sting: This finding is not directly related to the safety of taking alendronate for osteoporosis.
B. The client has a first-degree relative who has Paget's disease: While family history is

important in assessing the risk of osteoporosis, it is not a direct safety risk for taking alendronate.

C. The client is postmenopausal: Postmenopausal status is a common indication for the use of alendronate to prevent or treat osteoporosis. It is not a safety risk.
D. The client has immobility that restricts her to a supine position: Immobility, especially in a supine position, can increase the risk of esophageal irritation and reflux when taking alendronate. Therefore, this finding poses a safety risk for the client when taking this medication.

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Correct Answer is A

Explanation

A. Endocarditis: Metronidazole is an antibiotic commonly used to treat infections caused by anaerobic bacteria, including certain types of endocarditis.
B. Kidney transplant: Metronidazole is not typically indicated for kidney transplant. Other antibiotics may be used in post-transplant care to prevent or treat infections.
C. Seizures: Metronidazole is not indicated for seizures. In fact, it may rarely cause neurological side effects such as seizures, but it is not typically used to treat seizures.
D. Hypokalemia: Metronidazole is not indicated for hypokalemia. It is an antibiotic and does not directly affect potassium levels.

A. Ringing in the ears B. Urinary retention C. Increased blood pressure D. Respiratory depression

Correct Answer is D

Explanation

A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.

B. Urinary retention is not a common adverse effect of midazolam.

C. Midazolam typically causes decreased blood pressure, not increased blood pressure.

D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.

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A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Correct Answer is A

Explanation

A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

Correct Answer is D

Explanation

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