Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what else is available to her

The clinician explains that biphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking biphosphonates?

a. Taking biphosphonates can result in hypercalcemia, so calcium intake should be decreased while taking this class of drugs.
b. There is potential for upper gastrointestinal (GI) irritation, so these medications are contraindicated in people with abnormalities of the esophagus or delayed esophageal emptying.
c. This class of drugs can be taken at any time of the day without regard to meals.
d. None of the above


ANS: B

Nursing

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A new nurse caring for a toddler in pain after a procedure is reluctant to medicate the child for fear of causing a respiratory arrest. What action by the nurse's preceptor is best?

A. Agree about withholding medication and teach some distraction techniques. B. Explain that pain has detrimental health effects and needs treatment. C. Have the new nurse get naloxone (Narcan) and place it at the child's bedside. D. Tell the new nurse to give the child analgesics and not worry about respiratory arrest.

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What does the genetic analysis always include

A) Interventions for other potentially inherited conditions B) Evaluation of other potentially inherited conditions C) Planning for other potentially inherited conditions D) Assessment for any other potentially inherited condition

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An out-of-state caller becomes irate when the nurse cannot provide information over the telephone about a hospitalized friend. The caller says, "If you know what is good for you, you had better tell me." Has a civil assault occurred?

1. Yes, there is an indication that the caller has the physical strength to do harm. 2. No, the caller is out of state and cannot reach the nurse. 3. No, actual physical contact must be made for it to be assault. 4. Yes, the threat of harm is assault.

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Lucy is a first-time mother and is concerned about what type of medications she is to receive during labor. She is in a fair amount of pain and is nauseated. Additionally, she appears to be very anxious

You explain that opioid analgesics are often used with ataractics (analgesic potentiators) because: 1. "The two together work the best for you and your baby.". 2. "Ataractics help the opioid work better and they will help relax you and relieve your nausea.". 3. "They work better together so you can sleep until you have the baby.". 4. "This is what the doctor has ordered for you.".

Nursing