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."
"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.
"Lie down for 1 hour after administering the medication."
The Correct Answer is A
A) "Administer the medication into one nostril once per week." - Nasal cyanocobalamin is typically administered into one nostril once per week to treat pernicious anemia.
B) "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose." - Nasal decongestants are not typically recommended before administering nasal medications.
C) "Plan to self-administer this medication for the next 6 months." - The duration of treatment for pernicious anemia with nasal cyanocobalamin may vary and should be determined by the healthcare provider.
D) "Lie down for 1 hour after administering the medication." - There is no need to lie down after administering nasal cyanocobalamin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Prior episode of kidney stones - A history of kidney stones is not a
contraindication to prednisone therapy.
B) Has a systemic fungal infection - Prednisone is contraindicated in clients with
systemic fungal infections due to its immunosuppressive effects.
C) History of asthma - Prednisone is commonly used to manage asthma
exacerbations, so a history of asthma would not be a contraindication.
D) Taking levothyroxine orally - Taking levothyroxine orally is not a contraindication
to prednisone therapy.
Correct Answer is B
Explanation
A) Temperature 39°C (102.2°F) - While fever may indicate infection, hypotension is a more immediate concern with epidural anesthesia.
B) Hypotension - Hypotension is a common side effect of epidural anesthesia and can lead to decreased placental perfusion and fetal distress, making it the priority finding.
C) Leg weakness - Leg weakness can occur with epidural anesthesia but is not typically considered a priority over hypotension.
D) Urinary retention - Urinary retention is a potential complication of epidural anesthesia but is not as immediately concerning as hypotension.
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