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?
“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."
"Administer the medication into one nostril once per week."
The Correct Answer is D
A. “Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This statement is not necessary for the administration of nasal cyanocobalamin. Nasal decongestants are not routinely recommended before administering nasal medications.
B. "Plan to self-administer this medication for the next 6 months": While the duration of treatment for pernicious anemia may vary, specifying a timeframe of 6 months for self- administration is not appropriate without considering individualized treatment plans.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down after administering nasal cyanocobalamin. This instruction is not necessary and may not be practical.
D. "Administer the medication into one nostril once per week": This is the correct instruction for administering nasal cyanocobalamin. It is typically given once weekly into one nostril. This
method provides a convenient and effective route for vitamin B12 supplementation in clients with pernicious anemia.
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Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
Taking the medication with orange juice (a) is advisable as vitamin C can enhance iron absorption
Notifying the provider about black stools is appropriate because it can indicate gastrointestinal bleeding, a potential side effect of ferrous sulfate.
Avoiding antacids while on ferrous sulfate is important because they can decrease the absorption of iron, so this statement demonstrates understanding.
Rinsing the mouth after taking ferrous sulfate can help prevent staining of the teeth, indicating understanding.
Taking the medication on an empty stomach enhances its absorption, so not understanding this instruction suggests a lack of comprehension.
Correct Answer is C
Explanation
A. An increased heart rate can be a sign of dehydration and would not indicate that IV fluid replacement has been effective.
B. Excessive thirst is a symptom of dehydration and would not indicate that IV fluid replacement has been effective.
C. Moist oral mucous membranes indicate improved hydration status and are a positive response to IV fluid replacement.
D. Decreased blood pressure is a sign of dehydration and would not indicate that IV fluid replacement has been effective.
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