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
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Lovastatin's primary concern is not related to cardiac function to necessitate an exercise ECG.
Choice B rationale: Lovastatin belongs to a class of drugs known as statins used to lower cholesterol levels. As statins can affect liver function, monitoring liver enzymes through liver function tests is recommended before starting therapy and periodically during
treatment.
Choice C rationale: Lovastatin does not directly affect pancreatic enzymes.
Choice D rationale: Western blot analysis is a technique used for protein analysis and is not relevant to starting lovastatin therapy.
Correct Answer is B
Explanation
Choice A rationale: The client's initial neutrophil count might be within an acceptable range for filgrastim administration.
Choice B rationale: Filgrastim, a medication used to increase white blood cell count, should ideally be stored and administered as per manufacturer recommendations.
Allowing it to sit at room temperature for an extended period could affect its potency or efficacy, necessitating an incident report.
Choice C rationale: Having chemotherapy before filgrastim administration might not necessitate an incident report.
Choice D rationale: Flushing the IV line with dextrose solution is a routine practice and might not relate to the need for an incident report.
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