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."

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale: Naloxone is primarily used to reverse opioid overdose.
Choice B rationale: Alprazolam is a benzodiazepine typically prescribed for anxiety disorders.
Choice C rationale: Bupropion is a medication used to aid smoking cessation by reducing nicotine cravings and withdrawal symptoms. It's among the commonly prescribed medications for individuals seeking to quit smoking.
Choice D rationale: Melatonin is a supplement used for regulating sleep cycles and isn't directly linked to smoking cessation.

A. Dissolve the medication in water before administering it. B. Instruct the client to swallow the medication with a sip of water. C. Insert the medication against the mucous membrane of the cheek. D. Place the medication on the client's tongue for dissolution.

Correct Answer is C

Explanation

Choice A rationale: Dissolving the fentanyl buccal film in water isn't the appropriate method of administration. It's specifically formulated for buccal (cheek) administration to facilitate absorption, and dissolving it in water may alter its efficacy.
Choice B rationale: Swallowing the fentanyl buccal film isn't the intended method of administration. It's designed for absorption through the mucous membrane, not for ingestion.
Choice C rationale: Fentanyl buccal film is designed for absorption through the mucous membrane of the cheek. This route allows for rapid absorption of the medication
directly into the bloodstream, offering quicker relief for the patient.
Choice D rationale: Placing the fentanyl buccal film on the tongue for dissolution is not the correct method. The medication is formulated for buccal administration, not oral dissolution.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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