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Questions and Answers
A client taking teriparatide reports experiencing persistent nausea and vomiting. Which of the following actions should the nurse take first?
A client taking teriparatide reports experiencing persistent nausea and vomiting. Which of the following actions should the nurse take first?
- Question the client about adherence to the prescribed diet.
- Instruct the client to take the medication at night.
- Assess for manifestations of hypercalcemia. (correct)
- Administer an antiemetic medication as prescribed.
Which of the following instructions should a nurse provide to a client who is starting teriparatide therapy for osteoporosis?
Which of the following instructions should a nurse provide to a client who is starting teriparatide therapy for osteoporosis?
- Expect a temporary decrease in bone density at the start of therapy.
- Take the medication with an antacid to prevent stomach upset.
- Self-inject the medication subcutaneously into the thigh or abdomen daily. (correct)
- Administer the medication intravenously once a week.
What is the primary mechanism of action of teriparatide in treating osteoporosis?
What is the primary mechanism of action of teriparatide in treating osteoporosis?
- Binding to estrogen receptors to mimic the effects of estrogen on bone.
- Inhibiting osteoclast activity to reduce bone resorption.
- Increasing calcium absorption in the small intestine.
- Stimulating new bone formation by increasing osteoblast activity. (correct)
A client with a history of renal calculi is prescribed teriparatide. Which of the following interventions is most important for the nurse to implement?
A client with a history of renal calculi is prescribed teriparatide. Which of the following interventions is most important for the nurse to implement?
A client taking digoxin also starts teriparatide therapy. The nurse should monitor for which of the following potential interactions?
A client taking digoxin also starts teriparatide therapy. The nurse should monitor for which of the following potential interactions?
Which of the following conditions is a contraindication for the use of teriparatide?
Which of the following conditions is a contraindication for the use of teriparatide?
A client reports experiencing orthostatic hypotension after starting teriparatide. Which of the following instructions is appropriate for the nurse to provide?
A client reports experiencing orthostatic hypotension after starting teriparatide. Which of the following instructions is appropriate for the nurse to provide?
After teaching a client about teriparatide injections, which statement by the client indicates a need for further instruction?
After teaching a client about teriparatide injections, which statement by the client indicates a need for further instruction?
Flashcards
Teriparatide: Use
Teriparatide: Use
Stimulates new bone formation to treat osteoporosis.
Teriparatide: Mechanism
Teriparatide: Mechanism
A synthetic form of parathyroid hormone that regulates calcium homeostasis.
Teriparatide: Result
Teriparatide: Result
Rate of bone formation exceeds rate of bone resorption.
Teriparatide: Adverse Reactions
Teriparatide: Adverse Reactions
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Teriparatide: Nursing Actions
Teriparatide: Nursing Actions
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Teriparatide: Administration
Teriparatide: Administration
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Teriparatide: Teaching
Teriparatide: Teaching
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Teriparatide: Contraindications
Teriparatide: Contraindications
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Study Notes
Anabolic Agents - Teriparatide
- Treats osteoporosis by stimulating new bone formation.
- Is a synthetic form of parathyroid hormone.
- Regulates calcium homeostasis.
- Mediates pathways that increase the quantity and lifespan of osteoblasts.
- Bone formation exceeds bone resorption.
- Adverse reactions include hypertension, orthostatic hypotension, arthralgia, leg cramps, upper respiratory infections, angina, and hypercalcemia.
- Check serum calcium level before starting treatment, again one month later, and then regularly based on individual calcium levels.
- Watch for signs of Teriparatide toxicity, like nausea, vomiting, and orthostatic hypotension.
- Decrease the dosage or stop treatment by prescriber if hypercalcemia continues.
- Administration is 20 mcg subcutaneously daily.
- Teach patients how to self-inject subcutaneously.
- Inject into the abdomen or thigh.
- Discard the injection pen after 28 days.
- Do not use with clients who have a history of osteosarcomas or are pregnant.
- Use with caution if patients have renal calculi or conditions that raise the risk of hypercalcemia.
- Digoxin: Hypercalcemia increases the risk of digoxin toxicity.
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