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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Constipation: Constipation is not a commonly reported adverse effect of clopidogrel.
Therefore, it is not necessary to instruct the client to monitor and report constipation as an adverse effect.
B. Weight loss: Weight loss is not a commonly reported adverse effect of clopidogrel. Therefore, it is not necessary to instruct the client to monitor and report weight loss as an adverse effect.
C. Bruising: Clopidogrel is an antiplatelet medication that inhibits platelet aggregation.
Therefore, one of the potential adverse effects is an increased risk of bleeding, which can
manifest as easy bruising or prolonged bleeding from minor injuries. Instructing the client to monitor and report bruising is important for early detection of bleeding complications.
D. Blurred vision: Blurred vision is not a commonly reported adverse effect of clopidogrel.
Therefore, it is not necessary to instruct the client to monitor and report blurred vision as an adverse effect.
Correct Answer is C
Explanation
A. Pedal edema is not typically associated with an acute infusion reaction to amphotericin B.
B. A dry cough is not typically associated with an acute infusion reaction to amphotericin B.
C. Fever is a common manifestation of an acute infusion reaction to amphotericin B, indicating a systemic inflammatory response.
D. Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.
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