Question

A nurse is educating an osteoporotic patient taking alendronate (Fosamax). Which instruction should the nurse stress?

1) Take the drug after breakfast.
2) Avoid the use of supplemental vitamin D.
3) Decrease fluid intake.
4) Sit or stand for 30 minutes after administration.

Answer 1

The most important instruction for an osteoporotic patient taking alendronate (Fosamax) is to sit or stand for 30 minutes after taking the medication to ensure it reaches the stomach without causing esophageal irritation.

Step-by-step explanation:

Among the instructions a nurse should give to an osteoporotic patient taking alendronate (Fosamax), the most important is to sit or stand for 30 minutes after administration. This is crucial because it ensures the medication moves down to the stomach, preventing it from irritating the esophagus. Alendronate is a bisphosphonate, useful in both treating osteoporosis and preventing fractures.

Patients are encouraged to maintain a diet rich in calcium and vitamin D and engage in weight-bearing exercises as part of their osteoporosis management. Avoiding excessive alcohol consumption and smoking cessation are also key factors in preventing further bone loss. It is important to follow these guidelines to manage osteoporosis effectively.