Pharmacology Musculoskeletal Meds #5

Question

A client has been prescribed risedronate from the healthcare provider. Which client teaching is most appropropriate for this medication?

Answers

  1. Rotate the site of injection to promote absorption and prevent lipodystrophy
    • Rationale:

      This answer is not correct because this medication is an oral preparation, not an injection. Other anti-osteoporosis medications are available by injection, but not risedronate.

  2. Take risedronate at bedtime to synchronize with the circadian rhythm
    • Rationale:

      This answer is not correct because risedronate should be taken first thing in the morning, upon arising, not at bedtime. Other important instructions for the client is to not eat or drink anything for 30 minutes after taking the medication and sit upright for 30 mins after taking the medication.

  3. The medication should be taken first thing in the morning with plain water
    • Rationale:

      This answer is correct because there are very specific instructions for use that the nurse should educate the client taking risedronate. These instructions include:

  4. Follow up with the provider for blood work to monitor for risedronate toxicity
    • Rationale:

      This answer is not correct because risedronate does not have the need for follow up blood tests to monitor toxicity. The client should follow up with the healthcare provider for general followup bone density tests and any other tests prescribed to monitor effectiveness of treatment.

Overview

Risedronate is a medication given to treat osteoporosis. Important client teaching includes instruction to take the medication first thing in the morning with a full glass of water and not eat, drink, or take any other medication or lie down for 30 minutes after taking the medication.

Explanation

Learning Outcomes

Risedronate is in the class of medications called bisphosphonate. Common uses of this class of medication is to treat Paget’s disease and osteoporosis. The medication works to increase bone thickness, density, and keep bones from breaking down. The medication has very specific instructions for use that the nurse should educate the client. These instructions include:

Test Taking Tip

Make a mental note of certain medications that need to be taken or administered at certain times of the day, such as risedronate (first thing in the morning), levothyroxine (morning), and statin drugs (generally at night).

Video Rationale