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?

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

"Administer the medication into one nostril once per week,

"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 B

A. "Lie down for 1 hour after administering the medication.": This statement is not necessary for nasal cyanocobalamin administration. There is no need for the client to lie down for an extended period after administering the medication.
B. "Administer the medication into one nostril once per week.": This is the correct information. Nasal cyanocobalamin is typically administered once a week for the treatment of pernicious anemia. It's important for the nurse to emphasize the correct frequency and route of administration to ensure the effectiveness of the treatment.
C. "Plan to self-administer this medication for the next 6 months.": The duration of treatment may vary based on the healthcare provider's prescription. The nurse should instruct the client based on the specific instructions provided by the healthcare provider rather than a predetermined time frame.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.": This statement is not a standard recommendation for nasal cyanocobalamin administration. If the client has concerns about a stuffy nose, they should consult with their healthcare provider rather than using a nasal decongestant without guidance.

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Correct Answer is A

Explanation

A. Identify the client using two identifiers:
This is the correct answer. Before administering any medication, especially controlled substances, it is crucial to positively identify the client using two identifiers (e.g., name, date of birth, or medical record number). This helps prevent medication errors.
B. Remove the medication from the medication dispensing cabinet:
While removing the medication from the dispensing cabinet is part of the administration process, it should occur after confirming the client's identity to ensure the right medication is being given to the right person.
C. Compare the amount of medication available to the inventory record:
Checking the medication inventory is an important step in overall medication management, but it is not the first action when planning to administer a controlled substance.
D. Document the administration of the medication:
Documentation is an essential part of the medication administration process, but it should occur after the medication has been given, not as the first action.

A. Withdraw the NPH insulin from the vial. B. inject air into the NPH vial C. Withdraw the regular insulin from the vial D. Inject air into the regular insulin vial.

Correct Answer is B, D, C, A

Explanation

A. Inject air into the NPH insulin vial: Start by injecting air into the NPH insulin vial. This step prevents creating a vacuum in the vial, making it easier to withdraw the correct dose of insulin.

B. Inject air into the regular insulin vial: After injecting air into the NPH insulin vial, inject air into the regular insulin vial. This step equalizes the pressure within the vial and makes it easier to withdraw the insulin.

C. Withdraw the regular insulin from the vial: Once the air has been injected into the regular insulin vial, withdraw the required dose of regular insulin from the vial.

D. Withdraw the NPH insulin from the vial: After withdrawing the regular insulin, withdraw the required dose of NPH insulin from its vial.

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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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Explanation

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