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?
"Plan to self-administer this medication for the next 6 months."
"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."
The Correct Answer is B
A. "Plan to self-administer this medication for the next 6 months": The duration of treatment may vary based on individual circumstances and medical evaluation. It's not appropriate to make a blanket statement about the treatment duration.
B. "Administer the medication into one nostril once per week."
Cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia. It can be administered via nasal spray in some cases. The appropriate dosing for nasal cyanocobalamin usually involves administration once a week. The client should be instructed to administer the medication into one nostril as directed by their healthcare provider.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down for an extended period after administering nasal cyanocobalamin.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This is not a standard recommendation for administering nasal cyanocobalamin. The client should follow the specific instructions provided by their healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Orthostatic hypotension: Orthostatic hypotension refers to a drop in blood pressure when changing from a lying to a standing position. This is not a common adverse effect of pioglitazone.
B. Tinnitus: Tinnitus is the perception of ringing or noise in the ears. There is no established link between pioglitazone and tinnitus.
C. Insomnia: Insomnia refers to difficulty falling asleep or staying asleep. Pioglitazone is not typically associated with causing insomnia as an adverse effect.
D. Fluid retention
Pioglitazone is a medication used to treat type 2 diabetes mellitus by improving insulin sensitivity and reducing insulin resistance. One of the potential adverse effects of pioglitazone is fluid retention, which can lead to edema (swelling) in the body. This is because pioglitazone has an impact on sodium and water balance in the body, which can cause fluid accumulation in tissues.
Therefore, the most appropriate adverse effect to monitor for in a client taking pioglitazone is fluid retention.
Correct Answer is B
Explanation
A. "Plan to self-administer this medication for the next 6 months": The duration of treatment may vary based on individual circumstances and medical evaluation. It's not appropriate to make a blanket statement about the treatment duration.
B. "Administer the medication into one nostril once per week."
Cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia. It can be administered via nasal spray in some cases. The appropriate dosing for nasal cyanocobalamin usually involves administration once a week. The client should be instructed to administer the medication into one nostril as directed by their healthcare provider.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down for an extended period after administering nasal cyanocobalamin.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This is not a standard recommendation for administering nasal cyanocobalamin. The client should follow the specific instructions provided by their healthcare provider.
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