Author Question: A patient has been prescribed a bisphosphonate for treatment of osteoporosis. The nurse prioritizes ... (Read 22 times)

cookcarl · **on:** Jul 23, 2018

A patient has been prescribed a bisphosphonate for treatment of osteoporosis. The nurse prioritizes teaching about immediately reporting which finding?

1. New onset thigh pain
2. Nausea
3. Headache
4. Dry, itchy skin

Question 2

Which statements are true regarding opioid receptors?(Select all that apply.)

1. Opioid blockers inhibit both the mu and kappa receptors.
2. Some opioids stimulate a particular receptor; others block a receptor.
3. Opioid blockers stimulate both the mu and kappa receptors.
4. Opioids interact with mu and kappa receptors.
5. Opioids interact with delta receptors.

b614102004 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1
Rationale 1: There is an increased incidence of atypical fractures associated with bisphosphonate use. Thigh or groin pain has been noted to occur prior to fracture.
Rationale 2: Nausea may occur if the patient is on a vitamin D supplement, but this is not the priority.
Rationale 3: Headache may occur if the patient is on a vitamin D supplement, but this is not the priority.
Rationale 4: Skin eruptions are not an effect of bisphosphonate use.

Global Rationale: There is an increased incidence of atypical fractures associated with bisphosphonate use. Thigh or groin pain has been noted to occur prior to fracture. Nausea or headache may occur if the patient is on a vitamin D supplement, but this is not the priority. Skin eruptions are not an effect of bisphosphonate use.

Answer to Question 2

1, 2, 4

Rationale 1: Opioid blockers inhibit both the mu and kappa receptors.
Rationale 2: Some opioids stimulate a particular receptor; others block a receptor.
Rationale 3: Opioid blockers inhibit both the mu and kappa receptors.
Rationale 4: Opioids interact with at least six types of receptors: mu (types one and two), kappa, delta, and nociceptin.
Rationale 5: Opioids interact with at least four types of receptors: mu (types one and two), kappa, delta, and nociceptin.

Global Rationale: Opioid blockers inhibit both the mu and kappa receptors. Some opioids stimulate a particular receptor; others block a receptor. Opioids interact with at least four types of receptors: mu (types one and two), kappa, delta, and nociceptin.