The nurse is caring for a patient with a history of Paget's disease of the bone. The prescriber has ordered tiludronate (Skelid), and the nurse provides patient education. Which statement by the patient demonstrates a need for further teaching?
a. "I should report any new heartburn."
b. "I should report any difficulty with swallowing."
c. "I may experience ringing in my ears."
d. "I may feel muscle aches or pain."
ANS: C
Ringing in the ears is not an adverse effect of tiludronate; this statement indicates that the patient needs further teaching to become familiar with side effects, specifically those that require that treatment be stopped.
Dyspepsia or heartburn is a common side effect of tiludronate; no further teaching is needed.
Tiludronate use increases the risk for esophagitis, which may manifest as difficulty swallowing; no further teaching is needed.
An adverse effect of tiludronate is musculoskeletal pain; no further teaching is needed.
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