Bone and joint questions
6 questions. Choose an answer to see the rationale.
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A patient taking allopurinol develops a rash. What is the correct action?
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Answer D: Stop the drug and notify the provider A rash can be the first sign of a severe hypersensitivity reaction such as Stevens-Johnson syndrome.
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Which drug treats an acute gout attack?
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Answer C: Colchicine Colchicine (or an NSAID or corticosteroid) treats acute flares; the others prevent future attacks.
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Which teaching helps prevent kidney stones during allopurinol therapy?
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Answer A: Drink plenty of fluids Good hydration helps flush uric acid and prevents stone formation.
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Which statement shows the patient understands alendronate teaching?
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Answer D: I take it in the morning with plain water and stay upright for 30 minutes Alendronate must be taken with plain water on an empty stomach, upright, to avoid esophageal injury and ensure absorption.
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Which suffix identifies a bisphosphonate?
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Answer C: -dronate Bisphosphonates end in -dronate (alendronate, risedronate, ibandronate); zoledronic acid is an exception.
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A patient on alendronate reports new jaw pain and a loose tooth. What should the nurse suspect?
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Answer A: Osteonecrosis of the jaw Osteonecrosis of the jaw is a rare but serious adverse effect of bisphosphonates.