This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 70-year-old patient who has a high fracture risk has been taking alendronate (Fosamax) and calcium ... (Read 70 times)

Caiter2013

  • Hero Member
  • *****
  • Posts: 607
on: Jul 24, 2018
A 70-year-old patient who has a high fracture risk has been taking alendronate (Fosamax) and calcium for 6 months. The primary care NP orders a urine NTx level, which is 42 . The NP should discontinue the alendronate and prescribe:
 
  a. raloxifene (Evista).
  b. teriparatide (Forteo).
  c. calcitonin (Miacalcin nasal spray).
  d. ibandronate sodium (Boniva).

Question 2

A patient takes hydrochlorothiazide to treat hypertension and asks the primary care NP why it is necessary to reduce sodium intake while taking this medication. The NP should explain that decreasing sodium is necessary to:
 
  a. prevent renal insufficiency.
  b. minimize the risk of hypokalemia.
  c. prevent postdiuretic sodium retention.
  d. increase the likelihood that the drug may be discontinued.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

heyhey123

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
Teriparatide is used in patients with a high fracture risk or in whom bisphosphonate therapy has failed. Raloxifene and ibandronate are second-line treatments for patients with usual fracture risks. Calcitonin is a last-line treatment.

Answer to Question 2

C
If dietary salt intake is high, the amount of sodium lost in response to the diuretic may be partially or completely offset by postdiuretic sodium retention. Sodium restriction does not prevent renal insufficiency or minimize the incidence of hypokalemia. Sodium restriction is necessary to maintain the drug's effectiveness but does not increase the chance of discontinuing the medication.


Caiter2013

  • Member
  • Posts: 607
Reply 2 on: Jul 24, 2018
YES! Correct, THANKS for helping me on my review

rachel

  • Member
  • Posts: 323
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

About one in five American adults and teenagers have had a genital herpes infection—and most of them don't know it. People with genital herpes have at least twice the risk of becoming infected with HIV if exposed to it than those people who do not have genital herpes.

Did you know?

Recent studies have shown that the number of medication errors increases in relation to the number of orders that are verified per pharmacist, per work shift.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

A very high-resolution texture of the planet Mars A very high-resolution texture of the planet Mars
A 100-Year Flood Map of Montpelier, Vermont A 100-Year Flood Map of Montpelier, Vermont
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
Preparing the Patient’s Skin for Surgical Procedures Preparing the Patient’s Skin for Surgical Procedures
a) Avoid placing the face cradle too high because it hyperextends and strains the neck. b) When the ... a) Avoid placing the face cradle too high because it hyperextends and strains the neck. b) When the ...
Video: A timeline of the teeth (Explained - No Audio)

For a complete list of videos, visit our video library