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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Shaking could introduce air bubbles and damage the medication.
Choice B rationale: Epoetin alfa doesn't typically require thawing.
Choice C rationale: Altering the concentration without proper guidance could compromise the dose.
Choice D rationale: Cloudiness in the solution can indicate contamination or degradation of epoetin alfa, making it unsafe for administration.
Correct Answer is D
Explanation
Choice A rationale: Cardiac arrhythmias are a concern with severe hyponatremia but might not directly indicate treatment effectiveness.
Choice B rationale: While vomiting might improve with treatment, it's not a definitive indicator of correcting hyponatremia.
Choice C rationale: Chvostek's sign is more associated with calcium imbalances, not sodium levels.
Choice D rationale: Hyponatremia can cause neurological symptoms due to brain swelling. Improving cognition indicates that the hypertonic solution is likely correcting the low sodium levels and reducing brain swelling.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today