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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["400"]

Explanation

Step 1: Determine the Total Volume Needed

Supplied concentration: 300 mg/100 mL
Prescribed dose: 300 mg
Total volume needed = 100 mL

Step 2: Convert Time to Hours

Prescribed infusion time = 15 minutes
15 minutes ÷ 60 minutes/hour = 0.25 hours

Step 3: Calculate the Infusion Rate (mL/hr)

Infusion rate = Total volume (mL) ÷ Time (hours)
Infusion rate = 100 mL ÷ 0.25 hours
Infusion rate = 400 mL/hr

The nurse should set the IV pump to deliver cimetidine at 400 mL/hr (rounded to the nearest whole number).

A. "I will have my partner tilt their head back while I am instilling the drops." B. "I will have my partner lie down on their back while I am instilling the drops. C. "I will pull the pinna upward and outward prior to instilling the drops, D. "I will make sure the solution is cool prior to instilling the drops

Correct Answer is C

Explanation

A. "I will have my partner tilt their head back while I am instilling the drops:"
Tilting the head back is not the recommended position for administering otic (ear) drops. This position can lead to the medication running out of the ear rather than staying in the ear canal.
B. "I will have my partner lie down on their back while I am instilling the drops:"
While lying down is a better position than tilting the head back, it is not as effective as the correct technique of pulling the pinna upward and outward. Lying down may still allow the drops to flow out of the ear.
C. "I will pull the pinna upward and outward prior to instilling the drops:"
This is the correct answer. The proper technique for administering otic drops involves pulling the pinna (outer ear) upward and outward. This straightens the ear canal, facilitating the correct placement of the medication.
D. "I will make sure the solution is cool prior to instilling the drops:"
The temperature of the solution is not typically a specific consideration for ear drops unless otherwise specified by the healthcare provider. Room temperature drops are generally acceptable.

View Question and Answer

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

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

Correct Answer is ["400"]

Explanation

A nurse is teaching a client's partner how to administer an otic medication to the client. Which of the following statements by the client's partner indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has pancreatic cancer and reports severe pain. Which of the following medications should the nurse expect in administer?

A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect

A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

A nurse is providing teaching to a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid which of the following medications for up to 4 weeks before the procedure?

A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. in which of the following locations should the nurse place the catheter?

A nurse is preparing to administer clindamycin to a client who states she forgot to report to the provider that she is allergic to penicillin, Which of the following actions should the nurse take?