When administering alendronate (Fosamax) to a patient with ...

[mynx]

When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will
 
  a. ask about any leg cramps or hot flashes.
  b. assist the patient to sit up at the bedside.
  c. be sure that the patient has recently eaten.
  d. administer the ordered calcium carbonate.

Question 2

Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
 
  a. Check ability to plantar and dorsiflex the foot.
  b. Determine the patient's readiness to ambulate.
  c. Log roll the patient from side to side every 2 hours.
  d. Ask about pain control with the patient-controlled analgesia (PCA).

[jordangronback]

Answer to Question 1

ANS: B
To avoid esophageal erosions, the patient taking bisphosphonates should be upright for at least 30 minutes after taking the medication. Fosamax should be taken on an empty stomach, not after taking other medications or eating. Leg cramps and hot flashes are not side effects of bisphosphonates.

Answer to Question 2

ANS: C
Repositioning a patient is included in the education and scope of practice of UAP, and experienced UAP will be familiar with how to maintain alignment in the postoperative patient. Evaluation of the effectiveness of pain medications, assessment of neurologic function, and evaluation of a patient's readiness to ambulate after surgery require higher level nursing education and scope of practice.