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

Question

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."

Answer 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.