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."
"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.
"Lie down for 1 hour after administering the medication."
The Correct Answer is A
A) "Administer the medication into one nostril once per week." - Nasal cyanocobalamin is typically administered into one nostril once per week to treat pernicious anemia.
B) "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose." - Nasal decongestants are not typically recommended before administering nasal medications.
C) "Plan to self-administer this medication for the next 6 months." - The duration of treatment for pernicious anemia with nasal cyanocobalamin may vary and should be determined by the healthcare provider.
D) "Lie down for 1 hour after administering the medication." - There is no need to lie down after administering nasal cyanocobalamin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Place the client on a cardiac monitor. - Hyperkalemia can lead to cardiac dysrhythmias, so placing the client on a cardiac monitor allows for continuous cardiac monitoring.
B) Warm formula to room temperature. - Warming formula to room temperature is not directly related to the management of hyperkalemia.
C) Administer IV dextrose. - IV dextrose administration is not typically used as a primary intervention for hyperkalemia.
D) Request a lactose-free formula. - The presence of lactose in the formula is not directly related to hyperkalemia management.
Correct Answer is A
Explanation
A) "You will have a central line placed to receive TPN." - TPN is typically administered via a central line to ensure rapid and efficient delivery into the bloodstream.
B) "Your blood sugar will be checked once a day." - Blood sugar monitoring may be necessary, but the frequency of monitoring can vary based on the client's condition and TPN content.
C) "You will be weighed twice a week while receiving TPN." - Weighing frequency may vary based on the healthcare provider's orders and the client's condition but is not directly related to TPN administration.
D) "Your intake and output will be measured every 2 days." - Intake and output monitoring is important but may need to be more frequent depending on the client's condition and TPN therapy.
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