A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.
What should the nurse’s response be?

Advise the patient to only consume water with the medication.

Delay the medication until the patient’s breakfast tray arrives.

Consult with a pharmacist about administering the dose one hour post-meal.

Assign an unlicensed assistive personnel to bring the patient a glass of low-fat milk.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Risedronate should be taken with a full glass of plain water on an empty stomach, at least 30 minutes before any food, beverage, or other medicines. This is because food and beverages can decrease the absorption of risedronate.

Choice B rationale

Delaying the medication until the patient’s breakfast tray arrives would not be appropriate, as risedronate needs to be taken on an empty stomach.

Choice C rationale

Consulting with a pharmacist about administering the dose one hour post-meal would not be appropriate, as risedronate should be taken on an empty stomach.

Choice D rationale

Assigning an unlicensed assistive personnel to bring the patient a glass of low-fat milk would not be appropriate, as risedronate should be taken with plain water.

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Correct Answer is C

Explanation

Choice A rationale

While changes in stool color and character can be indicative of various health conditions, they are not the best indicators of a patient’s therapeutic response to lactulose in the context of hepatic encephalopathy.

Choice B rationale

Fingerstick glucose monitoring is important in managing conditions like diabetes, but it does not provide the best information to evaluate a patient’s therapeutic response to lactulose in the context of hepatic encephalopathy.

Choice C rationale

Lactulose is used in the management of hepatic encephalopathy, a condition that can occur in patients with severe liver disease. It works by reducing the absorption of ammonia in the gut, which is a toxin that can accumulate in the blood in patients with liver dysfunction. Therefore, monitoring serum electrolytes and ammonia levels can help evaluate the effectiveness of lactulose therapy.

Choice D rationale

While monitoring serum hepatic enzymes can provide valuable information about liver function, it does not provide the best information to evaluate a patient’s therapeutic response to lactulose in the context of hepatic encephalopathy.

A. One hour after completion of the IV dose and one hour before the next administration of the medication. B. Two hours after completion of the IV dose and two hours before the next administration of the medication. C. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the medication. D. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.

Correct Answer is D

Explanation

The correct answer is D. Immediately after completion of the IV dose and 30 minutes before the next administration of the medication.

Explanation:

Peak levels measure the highest concentration of the drug in the bloodstream, typically drawn immediately after completion of the infusion.
Trough levels measure the lowest concentration, typically drawn 30 minutes before the next scheduled dose to ensure effective drug levels while preventing toxicity.

Why the other options are incorrect:

A. One hour after completion of the IV dose and one hour before the next administration – Waiting one hour for the peak level could lead to an inaccurate measurement, as the drug may already be metabolized or distributed.
B. Two hours after completion of the IV dose and two hours before the next administration – This timing is too late for both peak and trough levels, missing the best points for measurement.
C. Thirty minutes into the administration of the IV dose and 30 minutes before the next administration – The sample drawn mid-infusion does not represent peak levels, making this method ineffective.

Key takeaway:

Peak and trough monitoring for vancomycin is essential to maximize effectiveness while avoiding nephrotoxicity and ototoxicity. Proper timing ensures accurate therapeutic drug monitoring.

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A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.What should the nurse’s response be?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with hepatic encephalopathy is receiving lactulose.Which assessment provides the nurse with the best information to evaluate the patient’s therapeutic response to the drug?

Correct Answer is C

Explanation

A client is receiving intravenous vancomycin, and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times would provide the best determination of these levels?

Correct Answer is D

Explanation

Explanation:

Why the other options are incorrect:

Key takeaway:

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A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication.
What should the nurse’s response be?