Question

Which instruction should be given to the client taking alendronate sodium (Fosamax)? A. Take the medication before arising B. Force fluids while taking this medication C. Remain upright for 30 minutes after taking this medication D. Take the medication in conjunction with estrogen

Short answer

Answer: Remain upright for 30 minutes after taking this medication.

Step-by-step solution

Understand the medication and its purpose

Alendronate sodium (Fosamax) is a medication used to treat and prevent osteoporosis, particularly in postmenopausal women. It works by slowing down bone resorption, thereby maintaining bone density and strength. It is important to take this medication properly to ensure its effectiveness and minimize the risk of side effects.

Analyze the options

In this step, consider each option and use the knowledge of the medication and its administration guidelines to determine if the instruction is appropriate or not. A. Take the medication before arising: This option suggests taking the medication before getting out of bed. This is incorrect as alendronate sodium should be taken on an empty stomach, and waiting at least 30 minutes before eating, drinking, or taking other medications. B. Force fluids while taking this medication: This option suggests drinking a lot of fluids while on this medication. Although it is essential to stay hydrated while taking any medication, this instruction is not specific to alendronate sodium and thus does not directly apply. C. Remain upright for 30 minutes after taking this medication: This option is the correct instruction because remaining upright for at least 30 minutes after taking alendronate sodium helps prevent the medication from causing irritation to the esophagus, which can lead to serious side effects. D. Take the medication in conjunction with estrogen: This option suggests taking alendronate sodium along with estrogen. While estrogen may also be used to treat osteoporosis, it is not necessary to take it in conjunction with alendronate sodium. Therefore, this instruction is not correct.

Choose the correct answer

Based on the analysis, the correct instruction to be given to the client taking alendronate sodium (Fosamax) is: C. Remain upright for 30 minutes after taking this medication.