Page 2163 - Saunders Comprehensive Review For NCLEX-RN

Rationale: Colchicine is used with caution in older clients, debilitated clients, and
clients with cardiac, kidney, or gastrointestinal disease. The disorders in options 1, 3,
and 4 are not concerns with administration of this medication.
Test-Taking Strategy: Focus on the subject, the cautions associated with
colchicine. Note that options 1, 3, and 4 are comparable or alike and are endocrine-
related disorders. The correct option is different from the others.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Musculoskeletal Medications: Antigout
Health Problem: Adult Health: Musculoskeletal: Gout
Priority Concepts: Clinical Judgment; Safety
Reference: Lilley et al. (2017), pp. 701, 703.

757. Answer: 4

Rationale: Precautions need to be taken with the administration of alendronate to
prevent gastrointestinal adverse effects (especially esophageal irritation) and to
increase absorption of the medication. The medication needs to be taken with a full
glass of water after rising in the morning. The client should not eat or drink anything
for 30 minutes following administration and should not lie down after taking the
medication.
Test-Taking Strategy: Focus on the subject, the administration of alendronate.
Recalling that this medication can cause esophageal irritation will direct you to the
correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Musculoskeletal Medications: Osteoporosis
Medications
Health Problem: Adult Health: Musculoskeletal: Osteoporosis
Priority Concepts: Client Education; Tissue Integrity
Reference: Lilley et al. (2017), p. 542.

758. Answer: 2

Rationale: Baclofen is a skeletal muscle relaxant. The client should be cautioned
against the use of alcohol and other central nervous system depressants, because
baclofen potentiates the depressant activity of these agents. Constipation, rather than
diarrhea, is a side effect. Restriction of fluids is not necessary, but the client should
be warned that urinary retention can occur. Fatigue is related to a central nervous
system effect that is most intense during the early phase of therapy and diminishes
with continued medication use. The client does not need to notify the PHCP about
fatigue.
Test-Taking Strategy: Focus on the subject, teaching points for baclofen. Recalling
that baclofen is a skeletal muscle relaxant will direct you easily to the correct option.
If you were unsure of the correct option, use general principles related to medication

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