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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Hypertension, or high blood pressure, is not typically a side effect of piperacillin-tazobactam. While it’s important to monitor a client’s blood pressure during any infusion, hypertension alone would not typically be a reason to stop the infusion of piperacillin-tazobactam.

Choice B rationale

A scratchy throat could be a sign of an allergic reaction to piperacillin-tazobactam. Allergic reactions to medications can range from mild to severe, and can include symptoms such as hives, difficulty breathing, and swelling in the face or throat. If a client reports a scratchy throat shortly after starting an infusion of piperacillin-tazobactam, it would be prudent for the nurse to stop the infusion and assess the client for other signs of an allergic reaction.

Choice C rationale

Bradycardia, or a slow heart rate, is not typically a side effect of piperacillin-tazobactam. While it’s important to monitor a client’s heart rate during any infusion, bradycardia alone would not typically be a reason to stop the infusion of piperacillin-tazobactam.

Choice D rationale

Pupillary constriction is not typically a side effect of piperacillin-tazobactam. While it’s important to monitor a client’s pupils during any infusion, pupillary constriction alone would not typically be a reason to stop the infusion of piperacillin-tazobactam.

A. Administer glucagon intramuscularly. B. Measure the client’s vital signs. C. Obtain a fingerstick blood glucose. D. Perform a neurological exam.

Correct Answer is C

Explanation

Choice A rationale

Administering glucagon intramuscularly is typically done in response to severe hypoglycemia, not for symptoms of confusion and blurred vision which are side effects of glipizide. Glucagon works by triggering the liver to release stored glucose into the bloodstream, which would not be beneficial in this case as the client’s symptoms suggest hypoglycemia, not hyperglycemia.

Choice B rationale

While measuring the client’s vital signs is an important part of overall patient assessment, it does not directly address the client’s immediate issue of confusion and blurred vision after receiving a dose of glipizide.

Choice C rationale

Obtaining a fingerstick blood glucose level is the most appropriate action. The client’s symptoms of confusion and blurred vision are common side effects of glipizide, which is used to lower blood sugar levels in people with type 2 diabetes. These symptoms may indicate that the client’s blood sugar level is too low (hypoglycemia). Checking the blood glucose level will provide immediate information about the client’s current blood sugar level and guide further interventions.

Choice D rationale

Performing a neurological exam is not the most appropriate immediate response. While confusion and blurred vision can be symptoms of neurological issues, in this context, they are likely related to the client’s recent dose of glipizide.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well.Which client manifestation should the nurse identify as a reason to stop the infusion?

Correct Answer is B

Explanation

A client reports confusion and blurred vision after receiving a dose of glipizide. What should the nurse do?

Correct Answer is C

Explanation

A patient with nasal congestion has been prescribed phenylephrine 10 mg by mouth every 4 hours.What patient condition should the nurse report to the healthcare provider before administering the medication?

The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba.What is the most important information for the nurse to include in the teaching plan for this client?

A client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)

The nurse is preparing to administer the anti-ulcer gastrointestinal agent sucralfate to a patient with peptic ulcer disease.What should be included in this patient’s care plan?

A patient in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system to manage asthma.This system delivers an inhaled powdered form of these combined medications. What instruction should the nurse provide to this patient’s caregivers?

The nurse is preparing to administer a scheduled dose of labetalol orally to a client with hypertension.The client’s vital signs are temperature 99° F (37.2 C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (BP) 150/90 mm Hg. What action should the nurse take?

A client with type I diabetes mellitus has been prescribed a glucagon emergency kit for home use. When should the nurse instruct the client and family to administer glucagon?

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?