Nokea
A patient who is taking the bisphosphonate alendronate has been instructed to lie flat in bed for 2 days after having ophthalmic surgery. Which intervention is appropriate at this time?
- A. She will continue to take the alendronate with water.
- B. She cannot take the alendronate until she can sit up for 30 minutes.
- C. She can take the medication with breakfast.
- D. She will stop taking the medication 72 hours before her surgery.
Correct Answer: B
Rationale: Alendronate requires the patient to remain upright for 30 minutes post-dose to prevent esophageal damage. Lying flat post-surgery necessitates withholding the drug until the patient can sit up.
You may also like to solve these questions
A woman visits a health center requesting oral contraceptives. Which laboratory test is most important for the nurse to assess before the patient begins oral contraceptive therapy?
- A. Complete blood count
- B. Serum potassium level
- C. Vaginal cultures
- D. Pregnancy test
Correct Answer: D
Rationale: A pregnancy test is critical before starting oral contraceptives, as they are category X and can harm a fetus. Other tests are not routinely required for initiation.
The nurse is administering oxytocin. Which situation is an indication for the use of oxytocin?
- A. Decreased fetal heart rate and movements
- B. Stimulation of contractions during labor
- C. Cervical ripening near term in pregnant patients
- D. To reverse premature onset of labor
Correct Answer: B
Rationale: Oxytocin is used to stimulate uterine contractions during labor to induce or augment labor. It is also used for cervical ripening, but not to reverse preterm labor or address fetal distress.
The nurse is providing teaching for a patient who is to receive progestin therapy. Which statement is correct to include in the teaching session?
- A. If you miss a dose, double-up on the next dose.
- B. There's no need to be concerned about breast lumps or bumps that occur.
- C. Be sure to report any weight gain of 5 pounds or more per week.
- D. Take the medication on an empty stomach to enhance absorption.
Correct Answer: C
Rationale: Significant weight gain (5 pounds or more per week) during progestin therapy may indicate fluid retention or other adverse effects, requiring medical evaluation. Doubling doses, ignoring breast lumps, or taking on an empty stomach are incorrect.
When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?
- A. Monophasic
- B. Biphasic
- C. Triphasic
- D. Short acting
Correct Answer: C
Rationale: Triphasic contraceptives mimic the natural hormonal fluctuations of the menstrual cycle by varying estrogen and progestin doses in three phases, unlike monophasic or biphasic forms.
A patient is to receive medroxyprogesterone (Depo-Provera) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. Identify how many milliliters will the nurse draw up and administer with each injection. (record answer using one decimal place)
Correct Answer: 1.8 mL
Rationale: To calculate: 400 mg/1 mL = 700 mg/x mL. Cross-multiply: (400 * x) = (1 * 700); 400x = 700; x = 700/400 = 1.75 mL, rounded to 1.8 mL.