Which of the following statements indicate a client understands how to safely take alendronate (Fosamax)? ( Select all that apply )
a. "I will always eat breakfast before taking it."
b. "I will notify the health care provider if I have any difficulty swallowing."
c. "I will quietly rest for 30 minutes after taking it."
d. "I will swallow it with 8 ounces of water."
e. "I will take the pill immediately preceding weight bearing exercise."
B, C, and D
Rationale: This medication can cause esophagitis or esophageal ulcers unless precautions are followed. The client must be able to sit upright or stand for at least 30 minutes after taking the tablet. The client should take the tablet first thing in the morning, with a full glass of water, at least 30 minutes before eating or drinking anything or taking any other medication.