Page 2158 - Saunders Comprehensive Review For NCLEX-RN

bisphosphonates must be administered in the
morning before eating or drinking with a full glass of
water; the client must then remain sitting or standing
and postpone ingesting anything for at least 30
minutes (60 minutes with ibandronate).
3. Raloxifene
a. Antiresorptive medication
(nonbisphosphonate)

b. Contraindicated in clients who

have a history of venous thrombotic
events
c. Needs to be discontinued 72 hours prior
to prolonged immobilization periods
(such as with periods of extended bed
rest)
d. Instruct the client to avoid extended
periods of restricted activity (such as
when traveling).
4. Denosumab: A monoclonal antibody that treats
osteoporosis and hypercalcemia; can also treat bone
cancer and bone problems in those who have cancer.
5. Teriparatide
a. Teriparatide stimulates new bone
formation, thus increasing bone mass.
b. Teriparatide is a portion of the human
parathyroid hormone and works by
increasing the action of osteoblasts.
c. Is usually reserved for clients at high
risk for fractures

d. Has been associated with the

development of bone cancer

NSAIDs such as ibuprofen, indomethacin,

and naproxen are commonly used to treat
musculoskeletal pain. Acetaminophen may also be
used to treat this type of pain as well and are often
considered first-line treatments.

Box 61-1

Skeletal Muscle Relaxants

▪ Baclofen
▪ Carisoprodol

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