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Box 61-3

               Medications to Prevent or Treat Osteoporosis


                  ▪ Calcium and vitamin D
                  ▪ Alendronate
                  ▪ Calcitonin-salmon

                  ▪ Denosumab
                  ▪ Ibandronate
                  ▪ Pamidronate
                  ▪ Raloxifene
                  ▪ Risedronate
                  ▪ Teriparatide
                  ▪ Zoledronic acid



               Practice Questions



                   754. A client has been on treatment for rheumatoid arthritis for 3 weeks. During
                        the administration of etanercept, which is most important for the nurse to
                        assess?
                                 1. The injection site for itching and edema
                                 2. The white blood cell counts and platelet counts
                                 3. Whether the client is experiencing fatigue and joint pain
                                 4. Whether the client is experiencing a metallic taste in the mouth
                                   and a loss of appetite
                   755. Allopurinol is prescribed for a client and the nurse provides medication
                        instructions to the client. Which instruction should the nurse provide?
                                 1. Drink 3000 mL of fluid a day.
                                 2. Take the medication on an empty stomach.
                                 3. The effect of the medication will occur immediately.
                                 4. Any swelling of the lips is a normal expected response.
                   756. Colchicine is prescribed for a client with a diagnosis of gout. The nurse
                        reviews the client’s record, knowing that this medication would be used with
                        caution in which disorder?
                                 1. Myxedema
                                 2. Kidney disease
                                 3. Hypothyroidism
                                 4. Diabetes mellitus
                   757. Alendronate is prescribed for a client with osteoporosis, and the nurse is
                        providing instructions on administration of the medication. Which
                        instruction should the nurse provide?
                                 1. Take the medication at bedtime.
                                 2. Take the medication in the morning with breakfast.
                                 3. Lie down for 30 minutes after taking the medication.



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