A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?

Intranasal

Oral

Subcutaneous

Transdermal

Answer and Explanation

The Correct Answer is C

A. Epoetin alfa is not administered intranasally.

B.   Epoetin alfa is not administered orally because it would be destroyed by digestive enzymes and have poor absorption.
C.   Epoetin alfa is typically administered subcutaneously, as it is a recombinant human erythropoietin that stimulates red blood cell production.
D.   Epoetin alfa is not administered trans dermally.

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Correct Answer is D

Explanation

A. “Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This statement is not necessary for the administration of nasal cyanocobalamin. Nasal decongestants are not routinely recommended before administering nasal medications.
B. "Plan to self-administer this medication for the next 6 months": While the duration of treatment for pernicious anemia may vary, specifying a timeframe of 6 months for self- administration is not appropriate without considering individualized treatment plans.

C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down after administering nasal cyanocobalamin. This instruction is not necessary and may not be practical.
D. "Administer the medication into one nostril once per week": This is the correct instruction for administering nasal cyanocobalamin. It is typically given once weekly into one nostril. This
method provides a convenient and effective route for vitamin B12 supplementation in clients with pernicious anemia.

A. Warm formula to room temperature. B. Place the client on a cardiac monitor. C. Administer IV dextrose. D. Request a lactose-free formula.

Correct Answer is B

Explanation

A. Warming the formula to room temperature would not address hyperkalemia.

B. Hyperkalemia can lead to cardiac dysrhythmias, so placing the client on a cardiac monitor

allows for continuous cardiac monitoring to detect any changes or abnormalities in heart rhythm.

C. Administering IV dextrose is not typically indicated for hyperkalemia. Instead, insulin may be administered with dextrose to promote cellular uptake of potassium.
D. Requesting a lactose-free formula is not relevant to the management of hyperkalemia.

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A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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