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."

Answer and Explanation

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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Correct Answer is A

Explanation

A. Hypotension can occur as part of an allergic reaction to ceftriaxone, indicating a severe systemic response.
B. Bradycardia is not typically associated with an allergic reaction to ceftriaxone.

C. Polyuria is excessive urination and is not a common manifestation of an allergic reaction to ceftriaxone.
D. Nausea can occur with ceftriaxone administration but is not specific to an allergic reaction.

A. Heart rate B. Oxygen saturation C. Level of consciousness D. Temperature E. None F. None

Correct Answer is C

Explanation

A. Monitoring heart rate is important, but it is not the priority after midazolam administration.
B. Oxygen saturation is essential, but respiratory depression typically follows changes in consciousness.
C. Level of consciousness is the priority assessment because midazolam is a benzodiazepine that causes sedation, and monitoring for excessive sedation or delayed awakening is crucial.
D. Temperature monitoring is not an immediate priority following moderate sedation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

Correct Answer is A

Explanation

A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation. Which of the following assessments is the nurse's priority?

Correct Answer is C

Explanation

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