Question

The nurse is caring for a client who just been prescribed alendronate. Which conditions contraindicate this medication being given to the client? Select all that apply.

1.Liver failure
2.Hypocalcemia
3.Cardiac disease
4.Poor renal function 5.Irritable bowel syndrome (IBS)
6.Gastroesophageal reflux disease (GERD)

Answer 1

Alendronate is contraindicated in the presence of hypocalcemia, poor renal function, and gastroesophageal reflux disease (GERD).

Step-by-step explanation:

Alendronate is a medication used to treat and prevent osteoporosis. However, there are certain conditions that contraindicate its use. Among the conditions listed, hypocalcemia, poor renal function, and gastroesophageal reflux disease (GERD) are contraindications for alendronate.

Hypocalcemia is a condition characterized by low levels of calcium in the blood. Alendronate can further decrease calcium levels in the body, worsening the condition.

Poor renal function can impair the excretion of alendronate from the body, leading to its accumulation and potential side effects. Patients with GERD may experience irritation and damage to the esophagus when taking alendronate, as it needs to be taken with a full glass of water and requires the patient to remain upright for at least 30 minutes after taking the medication, which can exacerbate the symptoms of GERD.