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 nausea and diarrhea can occur when using ginkgo biloba, these are not the most critical side effects to be aware of.

Choice B rationale

Ginkgo biloba should indeed be used with caution during pregnancy due to potential risks. However, this is not the most important information for this patient.

Choice C rationale

Ginkgo biloba can interact with aspirin and non-steroidal anti-inflammatory drugs, increasing the risk of bleeding. This is crucial information for the patient, especially if they are taking these medications.

Choice D rationale

While anxiety and headaches can increase with the use of ginkgo biloba, these are not the most critical side effects to be aware of.

A. Substitute salt with a salt substitute. B. Protect your skin before going outside. C. Limit intake of high-potassium foods. D. Monitor skin for excessive bruising.

Correct Answer is C

Explanation

Choice A rationale

While salt substitutes can be a good option for some patients with heart failure, they are often high in potassium. Because spironolactone is a potassium-sparing diuretic, using a salt substitute could lead to dangerously high levels of potassium.

Choice B rationale

Protecting your skin before going outside is generally good advice, but it’s not specifically related to the use of spironolactone.

Choice C rationale

Spironolactone is a potassium-sparing diuretic, which means it can cause the body to retain potassium. Therefore, patients taking spironolactone should limit their intake of high- potassium foods to prevent hyperkalemia.

Choice D rationale

While it’s always important to monitor for side effects when taking a new medication, excessive bruising is not a common side effect of spironolactone.

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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?

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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?