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The nurse is teaching the client with a new prescription for ibandronate how to take the medication.
Which instruction provided by the nurse is correct?

“Take 400 mg each day, at the same time each day.”.

“Take 150 mg once a month on the same day of the month.”.

“Take 70 mg once a week on the same day of the week.”.

“Take 3 mg twice daily with food.”.

Answer and Explanation

The Correct Answer is A

This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.

Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.

Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.

Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.

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Correct Answer is A

Explanation

Tolbutamide is preferred for clients with renal dysfunction, who may not be able to excrete chlorpropamide, because it is more easily cleared from the body.

Choice B. Tolazamide is wrong because it is a first-generation sulfonylurea that is used less frequently and is usually tried after tolbutamide and chlorpropamide have been shown to be ineffective.

Choice C. Chlorpropamide is wrong because it is a first-generation sulfonylurea that may accumulate in clients with renal dysfunction and cause hypoglycemia.

Choice D. Chlorpromazine is wrong because it is an antipsychotic agent, not an oral antidiabetic agent.

First-generation sulfonylureas are oral antidiabetic agents that stimulate insulin secretion from the pancreas.

They are used to treat type 2 diabetes mellitus.

The normal range of blood glucose level is 70 to 110 mg/dL.

A. “Split the dose into two equal doses.”. B. “Take before bedtime.”. C. “Take 1 hour before meals.”. D. “Take it first thing in the morning.”.

Correct Answer is D

Explanation

This is because prednisolone can cause insomnia if taken later in the day, and it mimics the natural secretion of cortisol by the adrenal glands, which peaks in the morning.

Choice A is wrong because splitting the dose into two equal doses can increase the risk of adrenal suppression and reduce the efficacy of alternate-day therapy (ADT), which is used to minimize adverse effects of corticosteroids.

Choice B is wrong because taking prednisolone before bedtime can interfere with sleep and cause nocturnal cortisol secretion, which can lead to Cushing syndrome.

Choice C is wrong because taking prednisolone 1 hour before meals can cause gastric irritation and ulceration, and it is recommended to take it with food or milk.

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The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

Nursing Test Bank

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Correct Answer is D

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The nurse is teaching the client with a new prescription for ibandronate how to take the medication.
Which instruction provided by the nurse is correct?