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?
"Administer the medication into one nostril once per week."
"Lie down for 1 hour after administering the medication."
Plan to self-administer this medication for the next 6 months."
"Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose."
The Correct Answer is A
Choice A rationale: Nasal cyanocobalamin for pernicious anemia is commonly administered once a week. The instruction to administer the medication into one nostril aligns with the correct technique.
Choice B rationale: Post-administration lying down isn't necessary for this medication.
Choice C rationale: The duration of treatment can vary; a fixed duration isn't universally applicable.
Choice D rationale: Using a nasal decongestant isn't a routine part of administering nasal cyanocobalamin for pernicious anemia.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale: The nurse should not titrate TPN solution to blood pressure, as this can cause hypotension or hypertension.
Choice B rationale: The nurse should use an infusion pump to regulate the flow rate of TPN solution, not hang it to gravity, as this can cause over-infusion or under-infusion.
Choice C rationale: TPN is a form of nutrition that is delivered intravenously and provides all the essential nutrients for the client. TPN can cause fluid and electrolyte imbalances, infection, and hyperglycemia. Therefore, the nurse should monitor the client's weight daily to assess for fluid retention or loss, which can indicate overhydration or dehydration.
Choice D rationale: The nurse should also monitor the client's blood glucose level every 4 to 6 hours, not weekly, to detect and prevent hyperglycemia.
Correct Answer is B
Explanation
Choice A rationale: Propranolol and raloxifene are not typically associated with causing hearing loss.
Choice B rationale: Furosemide (loop diuretic) and amikacin (aminoglycoside antibiotic) can cause hearing loss, especially when used together, due to their potential ototoxic effects, requiring close monitoring for signs of hearing impairment in clients receiving both medications.
Choice C rationale: Losartan and atorvastatin are not commonly linked to causing hearing loss.
Choice D rationale: While digoxin can cause hearing disturbances, levothyroxine is not typically associated with hearing loss.
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