Nokea
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to:
- A. Take it with meals
- B. Remain upright for 30 minutes after taking
- C. Take it at bedtime
- D. Crush the tablet for easier swallowing
Correct Answer: B
Rationale: Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation and enhances absorption.
You may also like to solve these questions
The nurse is planning discharge care with the parents of a 16-year-old boy who recently attempted suicide. The nurse should advise the parents to tell the nurse if their son:
- A. Expresses a desire to date.
- B. Decides to try out for an extracurricular activity.
- C. Gives away valued personal items.
- D. Desires to spend more time with his friends.
Correct Answer: C
Rationale: Giving away valued items is a warning sign of suicidal intent, requiring immediate reporting. The other behaviors are normal adolescent activities.
The nurse is teaching a client how to mix regular and NPH insulins in the same syringe. Which action should the nurse instruct the client to take?
- A. Draw up the NPH insulin into the syringe first.
- B. Keep both bottles in the refrigerator at all times.
- C. Rotate the NPH insulin bottle in the hands before mixing.
- D. Take all of the air out of the insulin bottles before mixing.
Correct Answer: C
Rationale: The NPH insulin bottle needs to be rotated for at least 1 minute between both hands. This resuspends the insulin. The nurse should not shake the bottles. Shaking causes foaming and bubbles to form, which may trap particles of insulin and alter the dosage. Regular insulin is drawn up before NPH insulin. Insulin may be maintained at room temperature. Additional bottles of insulin for future use should be stored in the refrigerator. Air does not need to be removed from the insulin bottles.
A 24-year-old client has been diagnosed with acute osteomyelitis in the left leg. He complains of acute pain in the leg that intensifies when he moves it. The client has a temperature of 101°F (38.3°C) and a reddened, warm area in the midcalf region over the shaft of the tibia. Based on this information, which of the following nursing diagnoses would be most appropriate for this client?
- A. Grieving related to possible left lower leg amputation.
- B. Activity intolerance related to severe left leg pain.
- C. A disturbed body image related to left leg swelling and inflammation.
- D. Deficient fluid volume related to elevated temperature of 101°F (38.3°C).
Correct Answer: B
Rationale: Activity intolerance due to severe pain is the most appropriate diagnosis, as pain limits mobility. Amputation is not indicated, body image is secondary, and fever does not directly cause fluid volume deficit.
The nurse is caring for a client with a burn injury covering 30% of the body. Which fluid should the nurse expect to administer?
- A. Normal saline
- B. Lactated Ringer's
- C. 5% dextrose
- D. Albumin
Correct Answer: B
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation per the Parkland formula, restoring volume and electrolytes without causing hemolysis.
A client who has had a laparoscopic cholecystectomy receives discharge instructions from the nurse. Which statement indicates that the client has understood the instructions?
- A. I need to maintain a low-fat diet for the next 6 months
- B. I can remove the dressing from my incision tomorrow and take a shower
- C. I can anticipate some nausea for several days after surgery
- D. I can return to work in 4 to 6 weeks
Correct Answer: B
Rationale: Removing the dressing and showering the day after a laparoscopic cholecystectomy is standard, as incisions are small. A low-fat diet may be advised but not for a fixed 6 months, nausea is not expected, and return to work is typically sooner.