While conducting a physical assessment, the nurse is concerned that the client, who is taking a bisphosphonate, is showing signs of osteonecrosis of the jaw. What did the nurse assess in this client?
Standard Text: Select all that apply.
1. Jaw pain and swelling
2. Several loose teeth
3. Elevated blood pressure
4. Oral lesions
5. Difficulty swallowing
Correct Answer: 1,2
Rationale 1: Symptoms of osteonecrosis of the jaw, which is a possible adverse effect of biphosphonate therapy, include jaw pain and swelling.
Rationale 2: Symptoms of osteonecrosis of the jaw, which is a possible adverse effect of biphosphonate therapy, include loose teeth.
Rationale 3: Elevated blood pressure is not a symptom of osteonecrosis of the jaw.
Rationale 4: Oral lesions are not symptoms of osteonecrosis of the jaw.
Rationale 5: Difficulty swallowing is not a symptom of osteonecrosis of the jaw.
Global Rationale: Symptoms of osteonecrosis of the jaw, which is a possible adverse effect of biphosphonate therapy, include jaw pain and swelling and loose teeth. Elevated blood pressure, oral lesions, and difficulty swallowing are not symptoms of osteonecrosis of the jaw.
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