The client receives raloxifene (Evista). Which other medication ...

[scienceeasy]

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]

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.

[scienceeasy]

Excellent

[elyse44]

Gracias!