A nurse works in a long-term care facility where many of the ...

[pragya sharda]

A nurse works in a long-term care facility where many of the residents have osteoporosis. For which resident would alendronate (Fosamax) be contraindicated?
 
  a. A patient on a continuous tube feeding
  b. A wheelchair-bound patient
  c. A patient over the age of 85
  d. A male patient

Question 2

An older adult patient newly diagnosed with peripheral vascular disease (PVD) is being educated on the possibility of developing a foot ulcer. What assessment finding indicates the pa-tient may have an ulcer resulting from this disease?
 
  a. Deep, necrotic, and painless sore
  b. Shiny, dry, cyanotic skin surrounding the ulcer
  c. Ulcer appears shallow, crusty with warm skin
  d. Sore that has dull pain and is oozing

[jessofishing]

Answer to Question 1

A
Fosamax must be taken 1 hour before meals. This would probably not be the most appropriate medication for a patient on a continuous tube feeding. The other patients are appropriate candi-dates for this medication.

Answer to Question 2

B
As the disease advances, the extremity develops a cyanotic hue and becomes cool. The skin be-comes thin, shiny, and dry and has an associated loss of hair and thickened nails, all of which results from the diminished blood supply. This assessment finding indicates PVD.

[pragya sharda]

Excellent

[pangili4]

TYSM