Question

A nurse is teaching a client who has osteoporosis and has a new prescription for alendronate. Which of the following information should the nurse include in the teaching?

A) Take the medication with calcium-rich foods.
B) Remain upright for 30 minutes after taking the medication.
C) Expect immediate relief from bone pain after taking the medication.
D) Consume the medication on an empty stomach.

Answer 1

The nurse should instruct the client to b) remain upright for 30 minutes after taking the medication (alendronate) and to d) consume the medication on an empty stomach, as these practices help in the proper absorption and effectiveness of the drug.

Step-by-step explanation:

When teaching a client who has osteoporosis and a new prescription for alendronate, a nurse should include several key points to ensure proper use and effectiveness of the medication. Among these, the most accurate instructions are:

• B) Remain upright for 30 minutes after taking the medication. This is to prevent esophageal irritation, as lying down too soon can cause the medicine to come back up into the esophagus.
• D) Consume the medication on an empty stomach. Alendronate is better absorbed when the stomach is empty, and calcium-rich foods can interfere with its absorption.

Expecting immediate relief from bone pain or taking the medication with calcium-rich foods is not advisable. Instead, alendronate should be taken strictly according to the guidelines provided to maximize its bones strengthening properties and to reduce the risk of fractures.

Hence, the correct answer is Option B and D.