A patient has been prescribed a bisphosphonate for treatment of osteoporosis. The nurse prioritizes teaching about immediately reporting which finding?
1. New onset thigh pain
2. Nausea
3. Headache
4. Dry, itchy skin
1
Rationale 1: There is an increased incidence of atypical fractures associated with bisphosphonate use. Thigh or groin pain has been noted to occur prior to fracture.
Rationale 2: Nausea may occur if the patient is on a vitamin D supplement, but this is not the priority.
Rationale 3: Headache may occur if the patient is on a vitamin D supplement, but this is not the priority.
Rationale 4: Skin eruptions are not an effect of bisphosphonate use.
Global Rationale: There is an increased incidence of atypical fractures associated with bisphosphonate use. Thigh or groin pain has been noted to occur prior to fracture. Nausea or headache may occur if the patient is on a vitamin D supplement, but this is not the priority. Skin eruptions are not an effect of bisphosphonate use.
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