A client states, I stopped taking my medications for ...

[darbym82]

A client states, I stopped taking my medications for osteoporosis. I couldn't see how they were helping me any. How should the nurse respond?
 
  1. The results from these medications are hard for you to see.
  2. It takes about 6 months to see any results.
  3. When did you stop taking the medications?
  4. Were there any other reasons that you decided to discontinue the medications?
  5. You are not helping us help you when you don't follow directions.

Question 2

A client has been prescribed denosumab (Prolia). What medication education should the nurse provide?
 
  1. I will give your medication in the form of an injection.
  2. You may feel more fatigued than usual when taking this drug.
  3. Be certain to keep your appointments for follow-up.
  4. Do not take any kind of calcium supplement or vitamin D supplement while taking this drug.
  5. We must monitor your cholesterol while you are taking this drug.

[bblaney]

Answer to Question 1

Correct Answer: 1,3,4
Rationale 1: The changes from taking medications for osteoporosis are difficult for the client to measure.
Rationale 2: Therapeutic response may take 1 to 3 months.
Rationale 3: The nurse should determine how long it has been since therapy was discontinued.
Rationale 4: The nurse should determine if other reasons, such as adverse side effects or cost of medication, were factors in the client's decision.
Rationale 5: This is not a therapeutic approach to this client's statement.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale 1: Denosumab is given subcutaneously.
Rationale 2: An adverse reaction of this drug is fatigue.
Rationale 3: This drug can cause severe hypocalcemia, so it is important to monitor lab values.
Rationale 4: Calcium and vitamin D supplementation may be necessary to keep serum calcium at normal level.
Rationale 5: This drug may result in hypercholesterolemi a.

[darbym82]

TYSM

[amandalm]

Thanks for the timely response, appreciate it