Author Question: An older adult who has OA receives a prescription for alendronate (Fosamax). Which instruction ... (Read 76 times)

dalyningkenk · **on:** Jul 11, 2018

An older adult who has OA receives a prescription for alendronate (Fosamax). Which instruction should the nurse include in patient teaching?

a. Use with a bisphosphonate medication.
b. Is available for oral use.
c. Take this medication for up to 2 years.
d. Consume up to 600 mg of calcium daily.

Question 2

Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults?

a. Kidney c. Brain
b. Thyroid gland d. Skeleton

flexer1n1 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Fosamax is available for oral use. This medication is bisphosphonate therapy. No time limit on administration exists. The nurse instructs the patient to consume 1200 mg of calcium daily.

Answer to Question 2

B
Secretion of thyroid hormones tends to decrease with age, resulting in a greater likelihood of a slower metabolism, hypothyroidism, and thinning hair and nails. Decreased kidney function leads to decreased glomerular filtration rate and the ability of the kidneys to concentrate urine and clear waste. Decreasing brain function tends to result in decreased cognitive functioning. Osteoclastic activity tends to decrease with age, increasing the risk for osteopenia and osteopo-rosis.