NCLEX-RN Exam with Complete Solutions

NCLEX-RN Exam with Complete Solutions What instruction would be given to client taking alendronate sodium (Fosamax)? A. Take med before arising B. Force fluids while taking this med C. Remain upright for 30 min after taking D. Take med in conjunction w/ estrogen C - alendronate sodium used to Tx osteoporosis; remain upright because it causes gastric reflux The client is discharged from the unit with a prescription for Evista (raloxifene HCl). Which of the following is a SE of this med? A. leg cramps B. hot flashes C. urinary frequency D. cold extremities B - same class as tamoxifen chemo for breast cancer; but Evista used to treat osteoporosis. This med has an agonist effect, so it binds with estrogen and may cause hot flashes