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?

"Administer the medication into one nostril once per week."

"Lie down for 1 hour after administering the medication."

Plan to self-administer this medication for the next 6 months."

"Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose."

Answer and Explanation

The Correct Answer is A

Choice A rationale: Nasal cyanocobalamin for pernicious anemia is commonly administered once a week. The instruction to administer the medication into one nostril aligns with the correct technique.
Choice B rationale: Post-administration lying down isn't necessary for this medication.
Choice C rationale: The duration of treatment can vary; a fixed duration isn't universally applicable.
Choice D rationale: Using a nasal decongestant isn't a routine part of administering nasal cyanocobalamin for pernicious anemia.

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Correct Answer is D

Explanation

Choice A rationale: Montelukast is a leukotriene receptor antagonist and doesn't directly interact with albuterol.
Choice B rationale: Pantoprazole is a proton pump inhibitor and does not directly interact with albuterol.
Choice C rationale: Isosorbide mononitrate is a nitrate used for heart conditions and does not directly interact with albuterol.
Choice D rationale: Albuterol, used for asthma, is a beta-agonist, while propranolol is a beta-blocker. Administering these medications together can counteract the effects of both drugs due to their opposing actions on beta receptors. It's crucial to withhold propranolol and inform the provider to avoid potential adverse effects.

A. Hypotension B. Chest pain C. Extravasation D. Headache

Correct Answer is A

Explanation

Choice A rationale: Dopamine is administered in septic shock to increase blood pressure. If the client continues to exhibit hypotension, increasing the rate of infusion may be necessary to achieve the desired therapeutic effect.
Choice B rationale: Chest pain might indicate other issues but might not directly relate to the need for increasing the dopamine infusion rate.
Choice C: Extravasation is a complication of IV therapy but doesn’t necessarily warrant an increase in the dopamine infusion rate.
Choice D rationale: Headache might occur due to various reasons but might not solely indicate the need to increase the dopamine infusion rate.

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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 interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is D

Explanation

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is A

Explanation

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