The client receives alendronate (Fosamax) as treatment for osteoporosis. The nurse has completed medication education and evaluates learning has occurred when the client makes which statements?
1. "I cannot lie down for at least 30 minutes after taking the medication."
2. "Milk will help with the absorption of this medication."
3. "I should call my doctor if I experience heartburn."
4. "I must take this with a full glass of water."
5. "The medication can be taken with or without food."
Correct Answer: 1,3,4
Rationale 1: The client must stay upright for at least 30 minutes to prevent GI upset.
Rationale 2: Milk will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.
Rationale 3: Alendronate (Fosamax) is irritating to the esophagus; the client must contact the physician if heartburn occurs.
Rationale 4: Alendronate (Fosamax) must be taken on an empty stomach with a full glass of water to ensure absorption.
Rationale 5: Food will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.
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