Difficulty: Medium
Average Score: 94%
Simulated
A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)
Correct answer
A,C,D
Rationale
Alendronate should be taken in the morning on an empty stomach to ensure proper absorption. Tingling around the mouth and nose is not a typical or expected side effect of alendronate. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes. Drinking water helps with swallowing and ensures the medication reaches the stomach. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.