Question

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching?

1) I will drink a glass of milk when I take the medication
2) I will take the medication 15 minutes after my evening meal
3) I should take an antacid with the medication to avoid nausea
4) I should sit up for 30 minutes after taking the medication

Answer 1

The client demonstrates an understanding of risedronate use for osteoporosis by stating they should sit up for 30 minutes after taking the medication, as this helps prevent esophageal irritation and ensures better absorption of the drug.

Step-by-step explanation:

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. Among the options provided, the correct statement that indicates the client understands the teaching is: "I should sit up for 30 minutes after taking the medication." This instruction is important because bisphosphonates, such as risedronate, can cause irritation of the esophagus, and remaining upright helps minimize this risk. It is also advised to take these medications with a full glass of water to aid in proper dissolution and esophageal transit, and they should be taken on an empty stomach to improve absorption.

Common guidelines for taking bisphosphonates include avoiding food, beverages (other than water), and other medications for at least 30 minutes after taking the medication, and not lying down to prevent possible esophageal irritation or reflux. Calcium-rich foods, antacids, and supplements should be avoided close to the time of taking bisphosphonates as they can interfere with medication absorption.