Which of the following should the nurse include when instructing a patient regarding the medication alendronate (Fosamax)? Select all that apply.

Question

Which of the following should the nurse include when instructing a patient regarding the medication alendronate (Fosamax)?  Select all that apply.

Quizplus · Accepted Answer

Alendronate (Fosamax) is a bisphosphonate used to treat and prevent osteoporosis. Patients should be instructed to report any new or worsening heartburn or difficulty swallowing (A) as these can be signs of esophageal irritation or damage, a known side effect of alendronate. It is important to not lie down for at least 30 minutes after taking the medication (C) to prevent esophageal irritation and ensure the drug reaches the stomach quickly. Alendronate has a long-term effect on bone density, and its benefits can continue for months after stopping the medication (E), reflecting its mechanism of slowing bone breakdown. Taking the medication with a full glass of water upon waking and before any food or other medications to ensure proper absorption is recommended, not with orange juice or after food (B). Vitamin C supplementation is not specifically recommended for bone mineralization in the context of alendronate therapy (D); instead, calcium and vitamin D are commonly recommended.

Which of the Following Should the Nurse Include When Instructing