A patient who has developed postmenopausal osteoporosis will begin taking alendronate (Fosamax). The nurse will teach this patient to take the drug:
a. at bedtime to minimize adverse effects.
b. for a maximum of 1 to 2 years.
c. while sitting upright with plenty of water.
d. with coffee or orange juice to increase absorption.
ANS: C
Alendronate can cause esophagitis, and this risk can be minimized if the patient takes the drug with water while in an upright position. Taking the drug at bedtime is not indicated. The drug may be taken up to 5 years before re-evaluation is indicated. Coffee and orange juice reduce the absorption of alendronate and should be delayed for 30 minutes after taking the drug.
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