The nurse is proving teaching to a patient who is to start taking risedronate (Actonel). Which of the following statements by the patient demonstrate understanding of the teaching? (Select all that apply.)
a. "I will need to take the medication with a full glass of water."
b. "I will take the medication after I eat breakfast."
c. "I will need to remain upright for 30 minutes after taking the medication."
d. "I should take my magnesium supplement at the same time I take the risedronate."
e. "I will take the medication immediately before I go to bed."
ANS: A, C
Risedronate should be taken with a full glass of water before the first foods of the day are eaten. The patient should remain in an upright position for 30 minutes after taking the drug to minimize gastrointestinal (GI) side effects. These statements indicate that no further teaching is necessary.
Risedronate should be taken before the first meal of the day; further teaching is required.
Magnesium affects the absorption of risedronate. After taking risedronate, the patient should wait 2 hours before taking magnesium. Further teaching is required.
The patient should not lie down after taking risedronate because of the increased risk of esophageal irritation; further teaching is required.
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