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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A rationale: While increased blood pressure can occur in various conditions, it might not specifically indicate anaphylaxis to penicillin.
Choice B rationale: Hypertonia might not directly correlate with anaphylaxis and could be caused by other factors.
Choice C rationale: Wheezing is a critical sign of anaphylaxis, a severe allergic reaction to penicillin. Reporting wheezing to the provider is crucial for immediate intervention to prevent further complications associated with anaphylaxis.
Choice D rationale: Urinary retention is not a typical manifestation of anaphylaxis to penicillin and might not be directly linked to the allergic reaction.
Correct Answer is C
Explanation
Choice A rationale: Myoclonic seizures are not typically associated with neostigmine administration.
Choice B rationale: Fever is not a common adverse effect of neostigmine.
Choice C rationale: Neostigmine, a cholinesterase inhibitor, can lead to excessive muscarinic responses like increased salivation due to its effects on cholinergic receptors.
Choice D rationale: Occipital headaches are not typically reported as a response to neostigmine.
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