The nurse is teaching the patient how to take his newly prescribed alendronate and includes what teaching points? (Select all that apply.)
A) "Take the drug in the morning."
B) "Wait 60 minutes before eating breakfast."
C) "Take the drug with a full glass of water."
D) "Remain upright for 30 minutes after taking the medication."
E) "Eat a breakfast high in calcium after taking the medication."
A, C, D
Feedback:
Alendronate, ibandronate, and risedronate need to be taken on arising in the morning, with a full glass of water, fully 30 minutes before any other food or beverage, and the patient must then remain upright for at least 30 minutes; taking the drug with a full glass of water and remaining upright for at least 30 minutes facilitates delivery of the drug to the stomach. These drugs should not be given to anyone who is unable to remain upright for 30 minutes after taking the drug because serious esophageal erosion can occur. There is no need to eat a high-calcium breakfast, although the patient should make certain of adequate calcium intake.
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