Difficulty: Medium
Average Score: 62%
Simulated
A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?
Correct answer
B
Rationale
The correct answer is B. Immobility restricting the client to a supine position is a safety risk when taking alendronate because it can increase the risk of esophageal irritation and ulceration due to difficulty swallowing pills and maintaining an upright position after taking the medication. This can lead to serious complications such as esophagitis or esophageal ulcers.
Choice A (first-degree relative with Paget's disease) is incorrect as it is not directly related to the safety of taking alendronate. Choice C (history of anaphylaxis following a bee sting) is also incorrect as it does not pose a direct risk when taking alendronate. Choice D (postmenopausal) is a common indication for alendronate use and not a safety risk in itself.
Choice A (first-degree relative with Paget's disease) is incorrect as it is not directly related to the safety of taking alendronate. Choice C (history of anaphylaxis following a bee sting) is also incorrect as it does not pose a direct risk when taking alendronate. Choice D (postmenopausal) is a common indication for alendronate use and not a safety risk in itself.