Author Question: A client who is a strict vegetarian is prescribed cyanocobalamin (Nascobal) for vitamin B12 ... (Read 18 times)

tiara099 · **on:** Jul 23, 2018

A client who is a strict vegetarian is prescribed cyanocobalamin (Nascobal) for vitamin B12 deficiency. Which information should the nurse provide for this client?

Standard Text: Select all that apply.
1. Your medication is in the form of a nasal spray.
2. Nutrient-fortified breakfast cereals will help support your vitamin B12 levels.
3. Your health care provider may want to do an intradermal test dose of the medication before you start taking it.
4. Adverse effects of this drug are rare.
5. Constipation is a concern with this drug.

Question 2

The nurse is evaluating the laboratory results of a client who is receiving filgrastim (Neupogen). The nurse would be concerned if this client's leukocyte count exceeds _______ cells/mm3.

Standard Text: Record answer as a whole number.
Fill in the blank with the appropriate word.

anyusername12131 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Nascobal is a nasal spray preparation.
Rationale 2: Because strict vegetarians do not eat meat or meat products, other sources of vitamin B12 must be eaten. One source is nutrient-fortified breakfast cereal.
Rationale 3: Intradermal test doses of the medication are indicated for those who are suspected of sensitivity to any of its components.
Rationale 4: Adverse effects of cyanocobalamin are rare.
Rationale 5: There is no indication that the client taking cyanocobalamin is at risk for constipation.
Global Rationale: Nascobal is a nasal spray preparation. Because strict vegetarians do not eat meat or meat products, other sources of vitamin B12 must be eaten. One source is nutrient-fortified breakfast cereal. Intradermal test doses of the medication are indicated for those who are suspected of sensitivity to any of its components. Adverse effects of cyanocobalamin are rare. There is no indication that the client taking cyanocobalamin is at risk for constipation.

Answer to Question 2

Correct Answer: 100,000
Rationale: If the leukocyte count exceeds 100,000 cells/mm3, the risk of serious adverse effects such as respiratory failure, intracranial hemorrhage or infarction, retinal hemorrhage, and myocardial infarction increases.
Global Rationale: If the leukocyte count exceeds 100,000 cells/mm3, the risk of serious adverse effects such as respiratory failure, intracranial hemorrhage or infarction, retinal hemorrhage, and myocardial infarction increases.