NCLEX-RN Exam with Latest Questions and Answers

NCLEX-RN Exam with Latest Questions and Answers 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 ANSWER 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 ANSWER 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 An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for cardiac catheterization. Which instruction should be given to client? A. take med as ordered prior to exam B. limit amount of protein in diet prior to exam C. d/c med prior to exam D. take med with only water prior to exam ANSWER C - Glucophage may cause renal problems and the dye used in cardiac cath is also detrimental to kidneys. Client may be placed on sliding scale for 48hr after dye procedure or until renal function returns