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1. A nurse is teaching a client who has osteoporosis and Alendronate, which of the following instructions should the nurse pr
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Answer #1

1)A,B,C

A: Food and beverages will reduce the absorption of alendronate .So it is taken in an empty stomach.

B: Sit in an upright position for at least 30 minutes after taking a drug that will help rech the drug in the stomach faster. It will also prevent irritation to the esophagus

C: Drink at least 240 ml of water, this will allow the medicine to reach intestines and absorbed by the body more quickly.

2) B,C,D.

B: Prime pump according to manufacturers instruction.

C)The alternate nostril is used for administration each day.

D:Calcitonin salmon nasal spray: keep in the refrigerator. before administration, it should be in room temperature. remove the unopened bottle from refrigerator and allow to reach room temperature.

3)c: Alendronate:

4)A

OSTEONECROSIS OF JAW(ONJ) is a rare side effect of the jaw caused by bisphosphonates.it affects maxilla and mandible .it is manifested as pain and purulent discharge from the exposed bone in the jaw.

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