Author Question: The client receives raloxifene (Evista). Which other medication would the nurse hold and validate ... (Read 32 times)

scienceeasy · **on:** Jul 23, 2018

The client receives raloxifene (Evista). Which other medication would the nurse hold and validate with the physician?

1. Lisinopril (Prinivil)
2. Paroxetine (Paxil)
3. Atorvastatin (Lipitor)
4. Diphenhydramine (Benadryl)

Question 2

The client receives alendronate (Fosamax) as treatment for osteoporosis. The nurse has completed medication education and evaluates learning has occurred when the client makes which statements?

1. I cannot lie down for at least 30 minutes after taking the medication.
2. Milk will help with the absorption of this medication.
3. I should call my doctor if I experience heartburn.
4. I must take this with a full glass of water.
5. The medication can be taken with or without food.

welcom1000 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: There is no contraindication to the use of lisinopril (Prinivil) and raloxifene (Evista).
Rationale 2: There is no contraindication to the use of paroxetine (Paxil) and raloxifene (Evista).
Rationale 3: Antilipids and hormones are the only medications contraindicated with raloxifene (Evista).
Rationale 4: There is no contraindication to the use of diphenhydramine (Benadryl) and raloxifene (Evista).

Answer to Question 2

Correct Answer: 1,3,4
Rationale 1: The client must stay upright for at least 30 minutes to prevent GI upset.
Rationale 2: Milk will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.
Rationale 3: Alendronate (Fosamax) is irritating to the esophagus; the client must contact the physician if heartburn occurs.
Rationale 4: Alendronate (Fosamax) must be taken on an empty stomach with a full glass of water to ensure absorption.
Rationale 5: Food will interfere with the absorption of alendronate (Fosamax); it should be taken on an empty stomach.