The nurse is teaching a client about taking risedronate (Actonel) for osteoporosis. Which statement by the client indicates a need for further teaching?
1. "I will wait at least 30 minutes before eating."
2. "I will take the medication first thing in the morning, with water."
3. "I can return to bed while I wait for the medication to work."
4. "I will report difficulties with heartburn."
Correct Answer: 3
Rationale 1: Food in the stomach interferes with absorption of the medication.
Rationale 2: Bisphosphonates are not well absorbed from the GI tract. Taking them before eating with plain water will allow the best absorption.
Rationale 3: Bisphosphonates can irritate the esophagus, so clients should remain upright for at least 30 minutes after administration to reduce this risk.
Rationale 4: Esophagitis is a serious adverse effect and needs to be reported to a health care provider.
Global Rationale: Bisphosphonates can irritate the esophagus, so clients should remain upright for at least 30 minutes after administration to reduce this risk. Food in the stomach interferes with absorption of the medication. Bisphosphonates are not well absorbed from the GI tract. Taking them before eating with plain water will allow the best absorption. Esophagitis is a serious adverse effect and needs to be reported to a health care provider.
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