A patient with osteoporosis is prescribed alendronate (Fosamax). What should the nurse include when instructing the patient about this medication?
Select all that apply.
1. Report new or worsening heartburn, and difficult or painful swallowing.
2. Take the medication with orange juice one hour after food.
3. Do not lie down for 30 minutes after taking medication.
4. Take vitamin C supplements as instructed for bone mineralization.
5. This medication has a gradual response and continues for months after the drug is stopped.
Correct Answer: 1, 3, 5
New or worsening heartburn, difficult or painful swallowing are adverse reactions to the medication. Alendronate (Fosamax) should be administered with water 30 minutes before food or other medications. Lying down within thirty minutes of ingestion of the medication may precipitate adverse gastrointestinal reactions. Vitamin D supplements should be used as well as calcium and not Vitamin C. This medication has a gradual response and continues for months after the drug is stopped.
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