Nokea
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to take the medication:
- A. At bedtime with a snack.
- B. First thing in the morning with water.
- C. With meals to enhance absorption.
- D. With milk to reduce stomach irritation.
Correct Answer: A
Rationale: Alendronate should be taken first thing in the morning with water, on an empty stomach, to maximize absorption and minimize esophageal irritation.
You may also like to solve these questions
An expected physiologic response to a low potassium level is:
- A. Cardiac dysrhythmias.
- B. Hyperglycemia.
- C. Hypertension.
- D. Increased energy.
Correct Answer: A
Rationale: Hypokalemia can cause cardiac dysrhythmias due to its effect on cardiac muscle excitability, making it the most significant physiologic response.
A comprehensive health assessment includes:
- A. A complete medical history, a general survey and a complete physical assessment.
- B. A complete medical history, a general survey and a focused physical assessment.
- C. A client interview, a significant other interview, a general survey and a complete physical assessment.
- D. A client interview, a significant other interview, a general survey and a focused physical assessment.
Correct Answer: A
Rationale: A comprehensive health assessment includes a complete medical history, a general survey (vital signs, appearance), and a complete physical assessment covering all body systems.
The nurse talks to students at a high school about sexually transmitted infections (STIs). Which effective methods of preventing STIs does the nurse include in the discussion? Select all that apply.
- A. Some birth control pills prevent STIs.
- B. STIs do not transmit through oral sex.
- C. Diaphragms are a barrier against STIs.
- D. Abstinence prevents transmission of STIs.
- E. Proper condom use provides STI protection.
- F. Multiple sex partners increase the risk of STIs.
Correct Answer: D,E,F
Rationale: Effective measures to avoid STIs include abstinence, using condoms properly, and avoiding multiple partners, and the nurse should provide this factual information to the high school students. The nurse also includes information about ineffective methods of preventing STIs, including birth control pills, oral sex, and diaphragms.
The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?
- A. Pain at McBurney's point.
- B. Decreased bowel sounds.
- C. Bradycardia.
- D. Fever of 99°F.
Correct Answer: A, B
Rationale: Pain at McBurney's point and decreased bowel sounds are classic signs of appendicitis due to peritoneal irritation and intestinal obstruction.
When a rubella vaccine is administered to a client who delivered a healthy newborn 2 days ago, the nurse provides instructions to the client regarding the potential risks associated with this vaccination. Which statement by the client indicates an understanding of the medication?
- A. I need to stay out of the sunlight for 3 days.
- B. The injection site may itch, but I can scratch it if I need to.
- C. I need to avoid sexual intercourse for 2 to 3 days after the vaccination.
- D. I need to prevent becoming pregnant for 2 to 3 months after the vaccination.
Correct Answer: D
Rationale: Rubella vaccine is a live attenuated virus that evokes an antibody response and provides immunity for approximately 15 years. Because rubella is a live vaccine, it will act as the virus and is potentially teratogenic in the organogenesis phase of fetal development. The client needs to be informed about the potential effects this vaccine may have and the need to avoid becoming pregnant for a period of 2 to 3 months afterward. Sunlight has no effect on the person who is vaccinated. The vaccine may cause local or systemic reactions, but all are mild and short-lived. Abstinence from sexual intercourse is not necessary, unless another form of effective contraception is not being used.