A nurse is teaching a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following instructions should the nurse provide?

Take this medication with mess.

Take this medication with an antacid if heartburn occurs

Take this medication in the morning before eating.

Chew the tablets to increase bioavailability.

Answer and Explanation

The Correct Answer is C

A.   Alendronate should be taken on an empty stomach with a full glass of water, at least 30 minutes before any food or other medications. This ensures better absorption.
B.   Alendronate should not be taken with antacids, as they can interfere with its absorption. The patient should not lie down immediately after taking it to prevent esophageal irritation.
C.   This is the correct recommendation. Alendronate should be taken in the morning, on an empty stomach, with a full glass of water. The patient should then remain upright for at least 30 minutes.
D.   Alendronate tablets should be swallowed whole. Crushing or chewing the tablet may increase the risk of esophageal irritation and reduce its effectiveness.

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Correct Answer is A

Explanation

A. This medication inhibits COX-2 receptors only: Celecoxib is a selective COX-2 inhibitor used to reduce inflammation and pain.
B. This medication inhibits mu and kappa receptors: Celecoxib does not affect opioid receptors.
C. This medication inhibits kappa receptors only: Celecoxib does not target kappa receptors.
D. This medication inhibits COX receptors only: Celecoxib specifically targets COX-2, not all cyclooxygenase receptors.

A. A client with a history of thromboembolic disease, B. A client within story of hypertension C. A client with history of depression D. A client with atypical vaginal bleeding that is not diagnose

Correct Answer is ["A","D"]

Explanation

A. A client with a history of thromboembolic disease: Estrogen therapy is contraindicated in clients with a history of thromboembolic disease due to the increased risk of blood clots.
B. A client with a history of hypertension: Hypertension is a relative contraindication, but it may still be prescribed with caution.
C. A client with a history of depression: Depression is not a contraindication to estrogen therapy.
D. A client with atypical vaginal bleeding that is not diagnosed: Unexplained vaginal bleeding should be investigated before administering estrogen therapy.

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A nurse is teaching a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is newly prescribed with celecoxib (Celebrex) Which of the following statements is TRUE regarding celecoxib (Celebrex)?

Correct Answer is A

Explanation

A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).

Correct Answer is ["A","D"]

Explanation

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