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: While monitoring sodium levels is important, a level of 139 mEq/L is within the normal range and might not directly correlate with cyclosporine
administration.
Choice B rationale: Though BUN levels can indicate kidney function, a level of 18 mg/dL falls within the normal range and might not immediately indicate adverse effects related to cyclosporine.
Choice C rationale: Cyclosporine, often prescribed for rheumatoid arthritis, can impact kidney function. An elevated creatinine level (2.5 mg/dL) might signify potential kidney impairment, necessitating immediate attention from the provider to assess and manage any adverse effects of the medication on renal function.
Choice D rationale: A potassium level of 4.2 mEq/L is within normal limits and might not directly relate to potential complications due to cyclosporine therapy.

A. Prepare the client for hemodialysis. B. Assist the client to a left lateral position. C. Implement fluid restrictions. D. Request a dosage increase from the provider.

Correct Answer is A

Explanation

Choice A rationale: A lithium level of 2.6 mEq/L is significantly elevated and poses a risk of lithium toxicity. Hemodialysis is the most effective intervention to rapidly lower the lithium level in severe cases of toxicity.
Choice B rationale: Left lateral positioning is not the priority in this situation; immediate intervention to lower the lithium level is necessary.
Choice C rationale: Fluid restrictions alone might not rapidly lower the elevated lithium level in severe toxicity.
Choice D rationale: Given the elevated level, increasing the dosage would exacerbate toxicity and is inappropriate.

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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

A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory values to the provider?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 mEq/L. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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