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 A
Explanation
The nurse should administer the medication over 2 hr because amphotericin B lipid complex should be infused slowly intravenously.
Choice B is wrong because priming the tubing with 0.9% sodium chloride is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Choice C is wrong because discarding the medication if it is yellow is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Choice D is wrong because a gravity flow set is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Correct Answer is B
Explanation
Levothyroxine is a thyroid hormone medicine used to treat hypothyroidism (low thyroid hormone)1.
It works by replacing thyroid hormone that is normally produced by the body.
Cold intolerance is a common symptom of hypothyroidism2, so if the client reports that they are not as cold as they used to be, it indicates that the medication is working and their hormone levels are returning to a healthy range.
Choice A is wrong because constipation is a common symptom of hypothyroidism2, so taking a laxative for constipation does not indicate a therapeutic response to the medication.
Choice C is wrong because weight loss without dieting can be a side effect of taking too much levothyroxine.
Choice D is wrong because sleeping more than usual can be a symptom of hypothyroidism2, so it does not indicate a therapeutic response to the medication.
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