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?
"Plan to self-administer this medication for the next 6 months."
"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."
The Correct Answer is B
A. "Plan to self-administer this medication for the next 6 months": The duration of treatment may vary based on individual circumstances and medical evaluation. It's not appropriate to make a blanket statement about the treatment duration.
B. "Administer the medication into one nostril once per week."
Cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia. It can be administered via nasal spray in some cases. The appropriate dosing for nasal cyanocobalamin usually involves administration once a week. The client should be instructed to administer the medication into one nostril as directed by their healthcare provider.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down for an extended period after administering nasal cyanocobalamin.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This is not a standard recommendation for administering nasal cyanocobalamin. The client should follow the specific instructions provided by their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. "Rinse your child's mouth following administration." - This is important advice to prevent the development of oral thrush (a fungal infection) and to reduce the risk of irritation in the mouth and throat caused by the medication. After using a fluticasone inhaler, rinsing the mouth with water can help prevent these side effects.
C. "Shake the device prior to administration." - Shaking the inhaler before use ensures proper mixing of the medication and enhances its effectiveness.
D. "A spacer will make it easier to use the device." - A spacer is a device that attaches to the inhaler and helps the medication get into the lungs more effectively, especially for children who might have difficulty coordinating the timing of inhalation with activating the inhaler.
The other options:
B. "Have your child take one inhalation as needed for shortness of breath." - This instruction might not be accurate, as fluticasone is usually used as a maintenance medication to control chronic conditions like asthma. It's not typically used as a rescue inhaler for immediate shortness of breath.
E. "Soak the inhaler in water after use." - Soaking the inhaler in water after use is not a standard practice and is not necessary for proper administration or maintenance.
Correct Answer is ["0.4 mL"]
Explanation
To calculate the volume of heparin needed, you can use the formula:
Volume (mL) = Desired dose (units) / Concentration (units/mL)
In this case, the desired dose is 4,000 units and the concentration is 10,000 units/mL.
Volume = 4,000 units / 10,000 units/mL = 0.4 mL
So, the nurse should administer 0.4 mL of heparin.
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