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    HESI RN pharmacology proctored exam

    The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

    Explanation & Rationale

    A. Consult with a pharmacist about scheduling the dose one hour after the client eats: Risedronate must be taken on an empty stomach with water for proper absorption. Taking it after eating would severely reduce its effectiveness, making pharmacist consultation unnecessary at this point.B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk: Milk contains calcium, which can bind to risedronate and interfere with its absorption. Providing milk at the time of administration would make the medication much less effective in treating osteoporosis.C. Withhold the medication until the client's breakfast tray is available on the unit: Administering risedronate with or immediately after food would impair absorption. Delaying the dose until after breakfast would not meet the medication's requirements for maximum efficacy.D. Instruct the client that it is necessary to take nothing but water with the medication: Risedronate should be taken with a full glass of plain water while fasting to ensure proper absorption. After administration, the client should also remain upright for at least 30 minutes to reduce gastrointestinal irritation.

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