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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. "I should stay upright for at least 15 minutes after taking this medication.": This advice is usually given with medications like bisphosphonates to prevent esophageal irritation. It is not necessary for ferrous gluconate.
B. "I should take this medication with 8 ounces of milk.": Iron supplements should not be taken with milk or other dairy products because they can interfere with iron absorption.
C. "I should take an antacid with this medication to prevent stomach upset.": Antacids can also interfere with iron absorption and should be taken separately from iron supplements.
D. "I should notify my provider if my stools turn black."
Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. One common side effect of iron supplementation is the darkening of stools, often to a black color. This is not harmful but is important for the client to be aware of. It is due to the reaction of iron with the acids and enzymes in the gastrointestinal tract.

A. Warmer skin B. Increased sleeping C. Increase in pulse rate D. Weight loss

Correct Answer is B

Explanation

A. Warmer skin:
Correct Answer: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism, including Graves' disease, can lead to an overactive metabolism, which can cause the person to feel unusually warm. Methimazole helps reduce the production of thyroid hormones, which can lead to a decrease in the metabolic rate and result in the client feeling less warm.
B. Increased sleeping:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can cause insomnia or difficulty sleeping due to the increased metabolic rate and heightened levels of thyroid hormones. As methimazole helps normalize thyroid hormone levels, improved sleep patterns can be observed in clients with Graves' disease.
C. Increase in pulse rate:
Incorrect Explanation: An increase in pulse rate is not the expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can lead to an elevated resting heart rate due to increased thyroid hormone levels stimulating the cardiovascular system. Methimazole is used to help bring thyroid hormone levels back to normal, which should lead to a reduction in the pulse rate over time.
D. Weight loss:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Weight loss is a common symptom of hyperthyroidism due to the increased metabolic rate. Methimazole helps lower thyroid hormone levels, which can result in a decreased metabolic rate and gradual weight stabilization.

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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 teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is B

Explanation

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