{"id":136150,"date":"2024-09-10T07:39:38","date_gmt":"2024-09-10T07:39:38","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136150"},"modified":"2024-09-10T07:39:41","modified_gmt":"2024-09-10T07:39:41","slug":"a-nurse-is-teaching-a-client-who-has-pernicious-anemia-to-self-administer-nasal-cyanocobalamin","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/a-nurse-is-teaching-a-client-who-has-pernicious-anemia-to-self-administer-nasal-cyanocobalamin\/","title":{"rendered":"A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin"},"content":{"rendered":"\n<p>A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin.<br>Which of the following information should the nurse include in the teaching?<\/p>\n\n\n\n<p>A.<br>Plan to self-administer this medication for the next 6 months.<\/p>\n\n\n\n<p>B.<br>Administer the medication into one nostril once per week.<\/p>\n\n\n\n<p>C.<br>Lie down for 1 hour after administering the medication.<\/p>\n\n\n\n<p>D.<br>Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>D. Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Pernicious anemia is a type of anemia caused by the inability to absorb vitamin B12 due to a lack of intrinsic factor, a protein necessary for vitamin B12 absorption in the intestines. Cyanocobalamin, a synthetic form of vitamin B12, is used to treat this condition. While cyanocobalamin can be administered via various routes (oral, intramuscular, or nasal), nasal administration requires specific instructions to ensure efficacy.<\/p>\n\n\n\n<p>Here\u2019s why option D is the correct choice and why the other options are not:<\/p>\n\n\n\n<p><strong>Option D: Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reasoning<\/strong>: Nasal congestion can hinder the absorption of nasal medications by blocking the nasal passages and reducing the surface area available for absorption. Using a nasal decongestant before administering nasal cyanocobalamin can clear the nasal passages, ensuring that the medication is properly absorbed. This step enhances the effectiveness of the treatment by ensuring that the medication reaches the mucous membranes where it can be absorbed into the bloodstream.<\/li>\n<\/ul>\n\n\n\n<p><strong>Option A: Plan to self-administer this medication for the next 6 months.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reasoning<\/strong>: Pernicious anemia is typically a chronic condition requiring lifelong treatment. However, the frequency of nasal cyanocobalamin administration does not usually involve a fixed duration of 6 months without reassessment. Treatment plans are personalized based on the patient\u2019s response to therapy and ongoing needs.<\/li>\n<\/ul>\n\n\n\n<p><strong>Option B: Administer the medication into one nostril once per week.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reasoning<\/strong>: The standard dosing for nasal cyanocobalamin is usually one spray in each nostril, not just one nostril, and it is typically administered more frequently than once per week. This may vary based on specific medical recommendations and the brand of the nasal spray used.<\/li>\n<\/ul>\n\n\n\n<p><strong>Option C: Lie down for 1 hour after administering the medication.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reasoning<\/strong>: There is no requirement to lie down after administering nasal cyanocobalamin. It is generally recommended to avoid swallowing immediately after administration and to refrain from sniffing forcefully, but lying down is not necessary.<\/li>\n<\/ul>\n\n\n\n<p>In summary, proper administration of nasal cyanocobalamin involves using a decongestant if needed to ensure the nasal passages are clear, which supports effective medication absorption.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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? A.Plan to self-administer this medication for the next 6 months. B.Administer the medication into one nostril once per week. C.Lie down for 1 hour after administering the medication. D.Use a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136150","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136150","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136150"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136150\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136150"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136150"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}