A nurse is providing teaching for a patient with osteoporosis who has just switched from alendronate (Fosamax) to zoledronate (Reclast). Which statement by the patient indicates a need for further teaching?
a. "I will need to have blood tests periodically while taking this drug."
b. "I will only need a dose of this medication every 1 to 2 years."
c. "This drug is less likely to cause osteonecrosis of the jaw."
d. "This drug is only given intravenously."
ANS: C
Zoledronate has an increased risk of osteonecrosis of the jaw, as does alendronate. The patient is correct to identify the need for periodic blood tests. Zoledronate is given only every 1 to 2 years and is given only intravenously.
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