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 B
Explanation

Opioids such as morphine are used to relieve moderate to severe pain in cancer patients.
Choice A is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used to relieve mild pain, not moderate pain.
Choice C is wrong because acetaminophen may be used to relieve mild pain, not moderate pain.
Choice D is wrong because aspirin is an NSAID that may be used to relieve mild pain, not moderate pain.
Correct Answer is A
Explanation
Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood.
A potassium level of 4.6 mEq/L is within the normal range, indicating that the medication has been effective in reducing high levels of potassium in the blood.
Choice B is wrong because Calcium 8 mg/dL, is not the correct answer because it measures the level of calcium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
Choice C is wrong because Magnesium.1 mEq/L, is not the correct answer because it measures the level of magnesium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
Choice D is wrong because Sodium 150 mEq/L, is not the correct answer because it measures the level of sodium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.
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