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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Morphine is an opioid agonist, not an antagonist. It binds to the mu and kappa receptors to produce its analgesic effects.
B. Morphine sulfate is an opioid analgesic that works by binding to the mu and kappa receptors in the brain and spinal cord, which produces pain relief.
C. This statement is not accurate. Morphine sulfate typically has a stronger analgesic effect than butorphanol, a partial opioid agonist.
D. Morphine sulfate has a high potential for abuse due to its euphoric effects and is classified as a controlled substance.
Correct Answer is B
Explanation
A. Omeprazole is not used for motion sickness. It is a proton pump inhibitor used to treat gastric acid- related conditions.
B. Omeprazole is used to prevent and treat gastric ulcers, including stress ulcers that may occur in critically ill patients.
C. Omeprazole is used to treat conditions like GERD, ulcers, and Zollinger-Ellison syndrome, not just heartburn.
D. Omeprazole is not used to treat nausea and vomiting. It reduces gastric acid production to treat acid- related conditions.
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