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.”
"Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.”
"Plan to self-administer this medication for the next 6 months.”
The Correct Answer is A
Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.
It is typically administered once per week into one nostril.
Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.
Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.
Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Ranitidine is a histamine H2-receptor antagonist that blocks histamine-mediated gastric acid secretion.
Antacids can interfere with the absorption of ranitidine, so it is important to separate their administration by at least 1 hour.
Choice A is wrong because aspirin is a type of nonsteroidal anti-inflammatory drug (NSAID) which can increase the risk of peptic ulcers.
Choice C is wrong because fine hand tremors are not a known side effect of ranitidine.
Choice D is wrong because there is no need to avoid dairy products when taking ranitidine.
Correct Answer is B
Explanation
Compare the current and newly prescribed medications and note any discrepancies.
During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.
Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.
Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.
Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.
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