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 D

Explanation

A. This is incorrect. Raloxifene is not classified as Category A. It is not recommended during pregnancy.
B. Raloxifene is not classified as Category B. It poses risks to the fetus.
C. This is incorrect. Raloxifene is classified as Category X due to its potential harm to a developing fetus. D to potential harm to the fetus.

A. The medication works in the distal tubule to block the reabsorption of sodium and chloride, B. This medication is the first choice to treat essential hypertension C. A complication of this medication is urinary retention D. A complication of this medication is opioid toxicity

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

Explanation

A. Hydrochlorothiazide is a thiazide diuretic that works in the distal convoluted tubule of the kidney. It inhibits the reabsorption of sodium and chloride, leading to increased excretion of water, sodium, and chloride.
B. Hydrochlorothiazide is often the first-line treatment for hypertension because it helps reduce blood pressure through diuresis (increased urine output), which reduces fluid volume in the body.
C. Urinary retention is not a known complication of hydrochlorothiazide. Instead, it may cause frequent urination due to its diuretic effect.
D. Hydrochlorothiazide does not interact with opioids in a way that would cause opioid toxicity. It primarily affects sodium and water balance in the body.

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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 providing an in-service on raloxifene (Evista) to a group of female clients. What is the pregnancy risk category of raloxifene (Evista)?

Correct Answer is D

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

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