The nurse is discharging a client who underwent an open reduction with internal fixation of the right hip secondary to a fracture related to osteoporosis. The client is prescribed a bisphosphonate to be taken daily. What should the nurse include in the discharge instructions regarding this medication?

The medication must be taken on an empty stomach, only with water

Calcium supplements are not needed when taking a bisphosphonate

The client must lie down for 30 minutes following ingestion of the drug.

Calcium supplements are recommended in lieu of calcium taken with food.

Answer and Explanation

The Correct Answer is A

A. Bisphosphonates (e.g., alendronate, risedronate) must be taken on an empty stomach with a full glass of water in the morning to enhance absorption. No other food, drink, or medications should be taken for at least 30 minutes afterward.

B. Calcium supplements may still be prescribed in addition to bisphosphonates for osteoporosis management. They are not excluded.

C. Clients must remain upright (sitting or standing) for at least 30 minutes after ingestion to prevent esophageal irritation or reflux, not lie down.

D. Calcium supplements are often recommended, but they should be taken at a different time of day than bisphosphonates to avoid interference with absorption.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Nausea with fatty foods is expected in cholecystitis and does not indicate immediate life-threatening complications.

B. A productive cough in bronchitis requires monitoring and supportive care, but it is not the most urgent concern.

C. Rigid abdomen and fever in appendicitis indicate peritonitis, a surgical emergency. This client is at highest risk for sepsis and requires immediate assessment and intervention.

D. Urine output of 30 mL/hour is low but not immediately life-threatening compared to peritonitis; it requires monitoring and possible intervention but is less urgent.

A. Treat infected house pets B. Use moist, warm compresses C. Use selenium sulfide shampoo D. Apply a topical antifungal cream

Correct Answer is D

Explanation

A. Treating infected pets is important in other fungal infections like tinea corporis (ringworm), but not specifically for tinea pedis (athlete’s foot), which is usually contracted from damp surfaces.
B. Moist, warm compresses create an environment that promotes fungal growth and would worsen the infection.
C. Selenium sulfide shampoo is used for tinea capitis (fungal infection of the scalp), not for tinea pedis.
D. Tinea pedis is best managed with topical antifungal creams or powders, such as clotrimazole or terbinafine. These reduce fungal growth, relieve itching, and promote healing.

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Heart Rate	115 beats per minute
Blood pressure	100/70 mmHg
Temperature	98.7 F (37.0 C)
Oxygen saturation	90% on room air

Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

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Naxlex Comprehensive Predictor Exams

The nurse is receiving morning report on several clients with diseases causing inflammation. What client is the priority for the nurse to assess first?

Correct Answer is C

Explanation

The nurse is planning care for a child who has tinea pedis. Which action should the nurse include in the plan of care?

Correct Answer is D

Explanation

The nurse is caring for a client who has just returned to the post-surgical unit following cholecystectomy for gallbladder disease. What assessment finding should the nurse immediately report to the health care provider?

The nurse is providing teaching to a young adult who is at risk for early-onset osteoporosis. Which intervention should the nurse suggest?

The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider? Heart Rate 115 beats per minute Blood pressure 100/70 mmHg Temperature 98.7 F (37.0 C) Oxygen saturation 90% on room air

The nurse is receiving morning report on several clients with mobility concerns. Which client is the priority for the nurse to assess?

The nurse is caring for a child who has cellulitis on the foot. Which is an appropriate nursing action? (Select all that apply)

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?