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?
"Lie down for 1 hour after administering the medication."
"Administer the medication into one nostril once per week,
"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 B
A. "Lie down for 1 hour after administering the medication.": This statement is not necessary for nasal cyanocobalamin administration. There is no need for the client to lie down for an extended period after administering the medication.
B. "Administer the medication into one nostril once per week.": This is the correct information. Nasal cyanocobalamin is typically administered once a week for the treatment of pernicious anemia. It's important for the nurse to emphasize the correct frequency and route of administration to ensure the effectiveness of the treatment.
C. "Plan to self-administer this medication for the next 6 months.": The duration of treatment may vary based on the healthcare provider's prescription. The nurse should instruct the client based on the specific instructions provided by the healthcare provider rather than a predetermined time frame.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.": This statement is not a standard recommendation for nasal cyanocobalamin administration. If the client has concerns about a stuffy nose, they should consult with their healthcare provider rather than using a nasal decongestant without guidance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Visual disturbances:
Visual disturbances, such as blurred or yellow-tinted vision, are common signs of digoxin toxicity. Clients should report any changes in vision promptly.
B. Potassium 4.4 mEq/L:
While electrolyte imbalances, particularly low potassium levels, can increase the risk of digoxin toxicity, a potassium level of 4.4 mEq/L is within the normal range and, by itself, does not indicate digoxin toxicity.
C. Insomnia:
Insomnia is not a typical sign of digoxin toxicity. Symptoms of toxicity are more likely to involve the gastrointestinal and visual systems.
D. Sudden weight gain:
Sudden weight gain can be a symptom of heart failure exacerbation but is not a direct indication of digoxin toxicity. Other signs, such as visual disturbances, are more specific to digoxin toxicity.
Correct Answer is C
Explanation
A. Weight loss:
Weight lossis not typically associated with methimazole use. In fact, hyperthyroidism (such as in Graves’ disease) can lead to unintentional weight loss due to increased metabolism. Methimazole helps normalize thyroid function, but it doesn’t directly cause weight loss.
B. Increase in pulse rate:
While an increased pulse rate is a symptom of hyperthyroidism, the goal of methimazole treatment is to normalize thyroid function and, consequently, decrease the pulse rate over time.
C. Increased sleeping:
Increased sleeping:Methimazole works by inhibiting the production of thyroid hormones (T3 and T4) in the thyroid gland. It helps normalize thyroid function by reducing excessive hormone synthesis.As thyroid hormone levels decrease due to methimazole, the client’s metabolic rate may slow down. This can lead to feelings of fatigue and increased need for rest, resulting in more sleep.
D. Warmer skin:
Warmer skin is a symptom of hyperthyroidism. With effective treatment using methimazole, the normalization of thyroid function should lead to improved thermoregulation, potentially reducing the sensation of warmer skin.
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