A 79-year-old woman has been diagnosed with osteoporosis, and the ...

[saraeharris]

A 79-year-old woman has been diagnosed with osteoporosis, and the nurse is reviewing the risks and benefits of Fosamax, which her care provider has prescribed.
 
  The patient should be instructed to seek prompt medical attention if she develops which of the following? A) Esophageal bleeding
  B) Fever
  C) Sudden fatigue
  D) Musculoskeletal pain

Question 2

An 80-year-old woman has experienced recent declines in bone density and has consequently been deemed a candidate for treatment with alendronate (Fosamax). During health education, what teaching point should the nurse emphasize?
 
  A) Your Fosamax will be most effective if you couple it with an increase in your consumption of dairy products.
  B) It's important that you not lie down for half an hour after taking your Fosamax.
  C) Make sure to let your care provider know promptly if you experience bone pain.
  D) You'll have less stomach upset if you take your Fosamax with some bland food.

[shayla]

Answer to Question 1

A
Feedback:
Esophageal erosion and ulcers can result in hemorrhage, which is a medical emergency. Fever, fatigue, and musculoskeletal pain warrant follow-up, but none is an emergency.

Answer to Question 2

B
Feedback:
The person must remain upright (with head elevated 90 degrees if in bed, sitting upright in a chair, or standing) for at least 30 minutes after administration of Fosamax. It is always necessary to take the drug with a full glass of water, not juice or coffee, at least 30 minutes before breakfast and before taking other drugs. Bone pain is a possible adverse effect, but prevention of esophageal ulceration is a priority. Increased dairy consumption is not vital.