Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is providing patient teaching about the oral bisphosphonate
alendronate (Fosamax). Which stat ement by the patient indicates a good
understanding of when this drug should be taken?
a. “I will take it in the evening just before bedtime. ”
b. “I will take it in the morning with an 8 -ounce glass of water. ”
c. “I will take it with the first bite of the morning m eal.”
d. “I will take it between meals on an empt y stomach. ”
ANS: B
Bisphosphonates must be taken in the morning, with 6 to 8 ounces of
plain water, to prevent esophageal erosion. In addition, the patient
must sit upright for 30 minutes after taking them.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
2. A woman is preparing for a 10 hour trans -Pacific flight. She has been
taking the SERM raloxifene for 6 months. The nurse will provide which
instructions to this patient?
a. She needs to stop taking the drug at least 72 hours before the trip.
b. She must remember to take this drug with a full glass of water each
morning.
, c. She will not take the drug while traveling on the plane.
d. No change in how the drug is taken will be needed.
ANS: A
A patient taking a SERM must be informed to discontinue the drug 72
hours before and during prolonged immobilit y so as to prevent the
development of a thrombosis.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. The nurse recognizes that the risk of osteoporosis is higher in an
individual with which risk factor?
a. Whites or Asians
b. Blacks
c. History of participation in active sports
d. Obesit y
ANS: A
Risk factors for postmenopausal osteoporosis include white or Asian
descent, slender body build, earl y estrogen deficiency, smoking,
alcohol consumption, low -calcium diet, sedentary lifest yle, and famil y
history of osteoporosis.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential