ATI; Musculoskeletal
Prior to starting alendronate, the nurse should assess which of the following in the client?
- ability to swallow - baseline vision
Which of the following information in the client's history causes the HCP to suspect the client has osteoporosis? (Select all that apply)
- menopause - long-term corticosteroid use - loss of height
Which of the following drugs are effective in disease prevention as well as treatment of osteoporosis?
- raloxifene - alendronate
When instructing the client about alendronate, which of the following information should the HCP include? (Select all that apply)
- take the drug on an empty stomach - sit upright for 30 min following dosage - take with a full glass of water
Match the pharmacologic action with the drug used to treat osteoporosis Reduces the number of osteoclasts
Biophosphonates
Match the pharmacologic action with the drug used to treat osteoporosis Increases the excretion of calcium
Calcitonin
Match the pharmacologic action with the drug used to treat osteoporosis Raises calcium levels
Calcium supplements
Match the pharmacologic action with the drug used to treat osteoporosis Mimics the effects of estrogen on the bones
Selective estrogen receptor modulator's (SERMs)
The HCP prescribes alendronate (Fosamax) to reduces bone resorption and instructs the client to monitor for which of the following indications of a serious adverse effect of this drug?
dysphagia
A patient with rheumatoid arthritis is taking methotrexate. Toxicity from methotrexate may be reduced with which of the following?
folic acid
A patient is given raloxifene (Evista), A selective estrogen receptor modulator (SERM), to treat osteoporosis. Which of the following is an adverse effect of raloxifene.
hot flashes
The primary care provider prescribes calcitonin-salmon (Miacalcin) for a post-menopausal client. Knowing the adverse effects of calcitonin, you should instruct the client to do which of the following?
increase calcium and vitamin D intake
A nurse is caring for a client taking etanercept. Which of the following adverse effects is MOST important to mention when educating this client?
injection site reaction can occur
A client who is menopausal is taking a calcium supplement to prevent osteoporosis. You instruct the client to watch for which of the following indications of hypercalcemia?
nausea
The HCP instructs the client about the importance of taking the prescribed 1,500 mg/day dosage of calcium carbonate (Tums). Which of the following instructions should the HCP recommend?
set up a simple reminder system
A client is about to start therapy with methotrexate for rheumatoid arthritis. Knowing the adverse effects of methotrexate, you advise the client to watch for which of the following?
sore throat
The HCP explains to the client that there may be a drug interaction between the glucocorticoid and the calcium supplement. Which of the following may occur?
the glucocorticoid may cause reduced absorption of the calcium supplement
A primary care provider prescribes etanercept (Enbril) to treat a client's rheumatoid arthritis. Prior to beginning the treatment, the client requires testing for which of the following?
tuberculosis
