A patient with severe back pain from spinal stenosis is prescribed propoxyphene. Which of the following should be included in the nurse's instruction for this patient?

Question

1. Ways to reduce the risk of falls and subsequent fractures
2. The need to take this medication on an empty stomach
3. The need to take this medication first thing in the morning with a full glass of water
4. The need to sit or stand for 30 minutes after taking this medication

Answer 1

Ways to reduce the risk of falls and subsequent fractures

Rationale: Patients at risk for falls and subsequent fractures include those prescribed opioids, including propoxyphene-containing pain medication. The nurse should instruct this patient on the ways to reduce the risk of falls and subsequent fractures. This medication should not be taken on an empty stomach. This medication does not need to be taken first thing in the morning with a full glass of water, and the patient does not need to sit or stand for 30 minutes after taking this medication.