A patient who has developed postmenopausal osteoporosis will ...

[809779]

A patient who has developed postmenopausal osteoporosis will begin taking alendronate (Fosamax). The nurse will teach this patient to take the drug:
 
  a. at bedtime to minimize adverse effects.
  b. for a maximum of 1 to 2 years.
  c. while sitting upright with plenty of water.
  d. with coffee or orange juice to increase absorption.

Question 2

A nurse is providing education to a patient who will begin taking alendronate (Fosamax). Which complication should the patient be instructed to report immediately?
 
  a. Difficulty swallowing
  b. Dizziness
  c. Drowsiness
  d. Pallor

[Meganchabluk]

Answer to Question 1

ANS: C
Alendronate can cause esophagitis, and this risk can be minimized if the patient takes the drug with water while in an upright position. Taking the drug at bedtime is not indicated. The drug may be taken up to 5 years before re-evaluation is indicated. Coffee and orange juice reduce the absorption of alendronate and should be delayed for 30 minutes after taking the drug.

Answer to Question 2

ANS: A
Esophagitis is the most serious adverse effect of alendronate, sometimes resulting in ulceration. The nurse should instruct the patient to report difficulty swallowing immediately, because it can be a sign of esophageal injury. Dizziness is not an adverse effect of alendronate. Drowsiness is not a symptom associated with alendronate. Pallor is not a symptom associated with alendronate.

[809779]

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[Meganchabluk]

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