A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

Right after breakfast and to lay the patient flat (as tolerated) for 30 minutes.

With food but to avoid giving this medication with dairy products.

On an empty stomach with a full glass of water and keep the patient upright for 30 minutes.

On an empty stomach with a full glass of juice or milk.

Answer and Explanation

The Correct Answer is C

A. The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation.

B. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements.

C. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers.

D. The medication should not be taken with milk or juice, as they can interfere with absorption.

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

Explanation

A. Feet should not be wedged tightly against the footboard, as it may cause pressure injuries.

B. Providing pin care prevents infection at the pin sites.

C. Neurovascular checks monitor for complications like compartment syndrome.

D. Assessing for skin breakdown is essential due to prolonged immobility.

E. Weights should not be removed unless prescribed, as it can disrupt the traction setup.

A. Increased incisional drainage B. Painful, abnormally rotated leg C. Reddened incision D. Sudden shortness of breath

Correct Answer is B

Explanation

A. Increased incisional drainage is not a typical sign of dislocation.

B. A painful, abnormally rotated leg is a classic sign of hip dislocation.

C. Reddened incision may indicate infection but not dislocation.

D. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.

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A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY

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

Explanation

A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, "Something is not right. I felt something 'pop' in my hip." What would cause the nurse to suspect that the client has dislocated the hip?

Correct Answer is B

Explanation

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

A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?

The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY).

A client is admitted with a dislocation of the right shoulder. The nurse knows this is an orthopedic emergency and that the priority for treatment will be:

A client has undergone a total knee replacement and is using a continuous passive motion machine (CPM). The client asks the nurse about the purpose of this therapy. The nurse's most appropriate response would be that "It

A client has been prescribed a full liquid diet following surgery. Which items should the nurse remove from the client's tray? (SELECT ALL THAT APPLY)

The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?