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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: It's fine to massage the site after epinephrine administration to help absorption.
Choice B rationale: The thigh is the recommended injection site for an epinephrine auto- injector.
Choice C rationale: During an emergency, if the person is unable to expose the injection site, it's acceptable to administer epinephrine through clothing to ensure timely delivery.
Choice D rationale: Aspiration is not recommended for epinephrine administration as it can delay treatment.
Correct Answer is D
Explanation
Choice A rationale: Shaking could introduce air bubbles and damage the medication.
Choice B rationale: Epoetin alfa doesn't typically require thawing.
Choice C rationale: Altering the concentration without proper guidance could compromise the dose.
Choice D rationale: Cloudiness in the solution can indicate contamination or degradation of epoetin alfa, making it unsafe for administration.
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