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?
“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."
"Administer the medication into one nostril once per week."
The Correct Answer is D
A. “Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This statement is not necessary for the administration of nasal cyanocobalamin. Nasal decongestants are not routinely recommended before administering nasal medications.
B. "Plan to self-administer this medication for the next 6 months": While the duration of treatment for pernicious anemia may vary, specifying a timeframe of 6 months for self- administration is not appropriate without considering individualized treatment plans.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down after administering nasal cyanocobalamin. This instruction is not necessary and may not be practical.
D. "Administer the medication into one nostril once per week": This is the correct instruction for administering nasal cyanocobalamin. It is typically given once weekly into one nostril. This
method provides a convenient and effective route for vitamin B12 supplementation in clients with pernicious anemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “I should stay upright for at least 15 minutes after taking this medication.": This statement is correct as remianing upright reduces the risk of reflux that is common after taking the medication.
B. “I should take an antacid with this medication to prevent stomach upset.": Antacids can decrease the absorption of iron, so taking them with ferrous gluconate is not recommended.
C. "I should take this medication with 8 ounces of milk.": Milk can inhibit the absorption of iron, so taking ferrous gluconate with milk is not advised. It's better to take it with water or juice.
D. “I should notify my provider if my stools turn black.": This statement is incorrect as black stools are an expected side effect of the medication.
Correct Answer is D
Explanation
A. “Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This statement is not necessary for the administration of nasal cyanocobalamin. Nasal decongestants are not routinely recommended before administering nasal medications.
B. "Plan to self-administer this medication for the next 6 months": While the duration of treatment for pernicious anemia may vary, specifying a timeframe of 6 months for self- administration is not appropriate without considering individualized treatment plans.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down after administering nasal cyanocobalamin. This instruction is not necessary and may not be practical.
D. "Administer the medication into one nostril once per week": This is the correct instruction for administering nasal cyanocobalamin. It is typically given once weekly into one nostril. This
method provides a convenient and effective route for vitamin B12 supplementation in clients with pernicious anemia.
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