An 80-year-old woman has experienced recent declines in bone density and has consequently been deemed a candidate for treatment with alendronate (Fosamax). During health education, what teaching point should the nurse emphasize?
A) "Your Fosamax will be most effective if you couple it with an increase in your consumption of dairy products."
B) "It's important that you not lie down for half an hour after taking your Fosamax."
C) "Make sure to let your care provider know promptly if you experience bone pain."
D) "You'll have less stomach upset if you take your Fosamax with some bland food."
B
Feedback:
The person must remain upright (with head elevated 90 degrees if in bed, sitting upright in a chair, or standing) for at least 30 minutes after administration of Fosamax. It is always necessary to take the drug with a full glass of water, not juice or coffee, at least 30 minutes before breakfast and before taking other drugs. Bone pain is a possible adverse effect, but prevention of esophageal ulceration is a priority. Increased dairy consumption is not vital.
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The nurse is conducting secondary prevention measures for a group of clients who smoke. Screening is aimed at early diagnosis of
a. basal cell carcinoma. b. hemangioma. c. neurofibroma. d. squamous cell carcinoma.
Who authored the first ethics textbook, Nursing Ethics for Hospital and Private Use?
a. Florence Nightingale c. Isabel Hampton Robb b. Lillian Wald d. Abraham Flexner
Which of the following best identifies how Piaget described play during the school-age years?
a. work that is fun c. a moral character builder b. interactive socialization d. games with rules