Question

The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client? A. Rest in bed after taking the medication for at least 30 minutes B. Avoid rapid movements after taking the medication C. Take the medication with water only D. Allow at least 1 hour between taking the medicine and taking other medications

Short answer

Answer: The correct instruction is to take the medication with water only.

Step-by-step solution

Analyzing Option A

Rest in bed after taking the medication for at least 30 minutes. This option is not correct because alendronate (Fosamax) should be taken in an upright position with a full glass of water, and the patient should not lie down for at least 30 minutes after taking the medication to avoid irritation of the esophagus.

Analyzing Option B

Avoid rapid movements after taking the medication. This option is not related to the administration of alendronate (Fosamax) specifically. While it may be useful advice in general for a person suffering from osteoporosis, it does not pertain directly to the correct administration of alendronate.

Analyzing Option C

Take the medication with water only. This option is correct. Alendronate (Fosamax) must be taken with a full glass of plain water (6-8 ounces or 180-240 milliliters) on an empty stomach and at least 30 minutes before the first food, drink, or other medication of the day. This ensures proper absorption of the medication and helps prevent damage to the esophagus.

Analyzing Option D

Allow at least 1 hour between taking the medicine and taking other medications. While it is true that some medications can interfere with the absorption of alendronate and should be taken at least 30 minutes after taking it, this option does not address the other important aspects of the administration of alendronate, such as taking it with water only.

Choosing the correct option

Based on the analysis of each option, we determine that the correct instruction to be given to the client is Option C: Take the medication with water only.

Key concepts

Osteoporosis Management

Osteoporosis is a condition characterized by the weakening of bones, which increases the risk of sudden and unexpected fractures. Effective management of osteoporosis typically encompasses a combination of lifestyle changes, dietary adjustments, and medications such as alendronate (Fosamax).

For individuals with osteoporosis, consuming adequate amounts of calcium and vitamin D is crucial for bone health. Engaging in regular weight-bearing exercises can help strengthen the bones and improve balance, reducing the likelihood of falls. Additionally, avoiding smoking and excessive alcohol intake can help minimize bone density loss.

In the context of medication, alendronate works by inhibiting bone resorption, helping to maintain or increase bone density. Its effectiveness, however, is reliant upon proper administration, which includes taking the medication on an empty stomach with a full glass of water, and avoiding lying down soon after to prevent esophageal irritation. Understanding and adhering to these guidelines is essential for the therapeutic success of alendronate and the overall management of osteoporosis.

NCLEX-PN Medication Administration

The National Council Licensure Examination for Practical Nurses (NCLEX-PN) tests the knowledge and skills required for safe and effective medication administration by nursing professionals. Familiarity with medication administration protocols, including those for drugs like alendronate, is essential for passing the exam and for safe nursing practice.

NCLEX-PN candidates must know the 'rights' of medication administration: the right patient, right medication, right dose, right route, right time, and right documentation. They should also understand specific medication instructions, such as those for alendronate, which involves taking the medication with water only and remaining upright for at least 30 minutes afterward. Such knowledge ensures that nurses can educate and guide patients appropriately, avoiding common medication errors and optimizing therapeutic outcomes.

Home Health Nursing

Home health nursing provides care to patients in the comfort of their own homes. This type of nursing practice is especially relevant for managing chronic conditions like osteoporosis, where continuity of care is critical. Home health nurses play a vital role in educating patients on the proper administration of medications, including alendronate.

As a home health nurse, ensuring that patients understand their medication regimen is paramount. This includes instructing patients to take alendronate with a full glass of water upon waking and before ingesting any food or other medications, to prevent gastrointestinal upset and ensure maximum absorption. Nurses must also emphasize the importance of remaining upright to avoid esophageal irritation. By providing clear and consistent guidance, home health nurses can empower patients with osteoporosis to manage their condition effectively and safely while maintaining their independence at home.