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 C

Explanation

a. Identify the client using two identifiers - While this is an important step for medication safety, it should occur immediately before administering the medication, not necessarily before removing it from the dispensing cabinet.

b. Document the administration of the medication - Documentation is crucial but should occur after the medication has been administered to ensure accurate recording.

c. Remove the medication from the medication dispensing cabinet - This is the first step in the medication administration process as it ensures the correct medication is retrieved from the cabinet and ready for administration.

d. Compare the amount of medication available to the inventory record - While this is an important step for medication reconciliation and ensuring accurate inventory management, it should occur after the medication has been removed from the cabinet and administered to the patient.

A. Increased pain relief B. Decreased blood pressure C. Increased respiratory rate D. Decreased nausea

Correct Answer is C

Explanation

Choice A rationale: Naloxone reverses opioid effects and may lead to decreased pain relief.
Choice B rationale: Naloxone might cause an increase in blood pressure rather than a decrease.
Choice C rationale: Naloxone is an opioid antagonist used to reverse the effects of opioids like morphine. Increased respiratory rate is a therapeutic effect of naloxone, countering the respiratory depression caused by opioids.
Choice D rationale: Naloxone's primary action is to counter opioid-induced respiratory depression, not directly address nausea.

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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

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Correct Answer is C

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