A nurse is educating an osteoporotic patient taking alendronate (Fosamax).Which instruction should the nurse stress?
a. Take the drug after breakfast.
b. Avoid the use of supplemental vitamin D.
c. Decrease fluid intake.
d. Sit or stand for 30 minutes after adminis-tration.
D
After taking the drug Fosamax with 8 oz of fluid, the patient should sit or stand for 30 minutes so the drug will be evenly distributed. The drug is taken on an empty stomach.
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The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork, the nurse notices that the patient is unable to feel vibrations on the great toe or ankle
bilaterally, but she is able to feel vibrations on both patellae. Given this information, what would the nurse suspect? a. Hyperalgesia b. Hyperesthesia c. Peripheral neuropathy d. Lesion of sensory cortex
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a. Administer the medication as ordered. b. Contact the provider to discuss giving the levothyroxine IV. c. Request an order to give desiccated thy-roid (Armour Thyroid). d. Suggest that the provider lower the dose.
A nurse is caring for an older patient in the intensive care unit. The patient has a sudden onset of confusion. What action by the nurse is best?
a. Request a sedative from the provider. b. Attempt to reorient the patient. c. Perform a sepsis screening. d. Review lab work for today.
An established group requests a teaching and learning session on hypertension. What can the nurse count on with this type of group?
1. The group membership will change from week to week. 2. The members all have the same interests. 3. They prefer lectures rather than demonstrations. 4. The group already has operating methods that have been successful.