A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include?

"Take this medication with orange juice."

"Take this medication with food."

"Sit upright or stand for at least 30 minutes after taking this medication."

"Chew or suck on the tablet."

Answer and Explanation

The Correct Answer is C

A. Take this medication with orange juice is incorrect; alendronate should be taken with plain water to avoid food or drink interactions.

B. Take this medication with food is incorrect; alendronate should be taken on an empty stomach to enhance absorption.

C. Sit upright or stand for at least 30 minutes after taking this medication helps prevent esophageal irritation and ensure the medication reaches the stomach.

D. Chew or suck on the tablet is incorrect; the effervescent tablet should be dissolved in water as directed.

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

Explanation

A. Myoglobin is an early biomarker for myocardial injury and can be used for initial detection of myocardial infarction. However, it is less specific than troponins.
B. Plasma low-density lipoproteins (LDL) are associated with cardiovascular risk but are not used to diagnose an acute myocardial infarction.
C. Troponin T is a highly specific biomarker for myocardial infarction and is used to confirm the diagnosis of an MI.
D. Troponin I is another highly specific biomarker for myocardial infarction and is used to confirm the diagnosis of an MI.

A. Educate the client that hematuria is expected following the procedure. B. Notify the provider immediately if mucus is present in the urine. C. Monitor hourly urine output. D. Apply skin barrier around the stoma site. E. Maintain the client on a fluid restriction.

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

Explanation

A. Hematuria is commonly expected following an ileal conduit procedure due to the surgical intervention in the urinary tract.
B. Mucus in the urine is a normal finding after an ileal conduit procedure because the ileum secretes mucus naturally; it does not require immediate notification of the provider unless there are other concerning symptoms.
C. Monitoring hourly urine output is crucial to ensure the patency of the urinary system and to detect any early signs of complications such as obstruction or leakage.
D. Applying a skin barrier around the stoma site is essential to protect the skin from the corrosive effects of urine and to prevent skin breakdown.
E. Fluid restriction is not typically required unless specifically indicated by the provider for other medical reasons; maintaining adequate hydration is important for the client's recovery and to ensure proper urine production.

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A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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