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.”
"Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.”
"Plan to self-administer this medication for the next 6 months.”
The Correct Answer is A
Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.
It is typically administered once per week into one nostril.
Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.
Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.
Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The first intervention for a client with diabetic ketoacidosis and a blood glucose level of 800 mg/dL should be to initiate fluid replacement therapy with 0.9% sodium chloride at a rate of 15 mL/kg/hr.
This will help to replace fluids lost through excessive urination and to dilute the excess sugar in the blood.
Choice A is wrong because subcutaneous insulin injections are not the first intervention for diabetic ketoacidosis.
Insulin therapy is generally given intravenously.
Choice B is wrong because bicarbonate by IV infusion is not the first intervention for diabetic ketoacidosis.
Choice D is wrong because potassium chloride at a rate of 10 mEq/hr is not the first intervention for diabetic ketoacidosis.
Electrolyte replacement may be necessary to replace minerals such as sodium, potassium, and chloride, but this is not the first intervention 2.
Correct Answer is B
Explanation
The nurse should monitor the client for fever as an indication that the client is experiencing an acute infusion reaction to IV amphotericin
Fever is a common symptom of an infusion reaction to amphotericin
Choice A is wrong because pedal edema is not a commonly reported symptom of an acute infusion reaction to amphotericin
Choice C is wrong because hyperglycemia is not a commonly reported symptom of an acute infusion reaction to amphotericin
Choice D is wrong because dry cough is not a commonly reported symptom of an acute infusion reaction to amphotericin
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