A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also Response Feedback: The patient should be encouraged to exercise and lift light weights as often as she can to increase bone density. It is also important to have adequate amounts of vitamin C in her diet, but it would not be directly related to this therapy. Drinking at least 6 to 8 oz of milk daily is a good idea, but she is already taking a calcium and vitamin D supplement. There is no identified adverse relationship between artificial sweeteners and alendronate therapy. Question 2 1 out of 1 points Alprostadil (Caverject), a drug used to treat erectile dysfunction, has been prescribed to a 42-year-old patient. When providing education to the patient and his wife, the nurse should inform the wife about which of the following adverse effects? Response Feedback: Vaginal burning, itching, or both can occur in the female partner of a man using intraurethral alprostadil. The nurse will advise the wife to be aware that this is a possibility. The pharmacodynamics of alprostadil may lead to hemodynamic changes such as low blood pressure and increased heart rate in the man. However, these changes are not clinically important and would not affect the female partner. The drug is not known to decrease sexual desire in either men or women. Question 3 0 out of 1 points Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to Response Feedback: To decrease gastrointestinal distress, the patient should stand or sit upright for at least 30 minutes after taking the drug. Drinking at least 6 to 8 oz of water with the drug helps maximize the therapeutic effect of the drug. The patient should also take calcium and vitamin D supplements along with lifting weights to improve the success of therapy, but these interventions would not directly serve to decrease gastrointestinal distress.
Question 4 1 out of 1 points A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend? Response Feedback: Acetaminophen is the analgesic of choice during pregnancy. Question 5 1 out of 1 points A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because Response Feedback: Drugs may compete with the hormones of pregnancy for albumin-binding sites, which may result in a larger amount of unbound (or free) drug in
You've reached the end of your free preview.
Want to read all 14 pages?
- Summer '15