Question

question: 13 of 25
a nurse is teaching a client about calcitonin - salmon intranasal spray to treat osteoporosis. which of the following information should the nurse include? (select all that apply.)
□ report rash or itching
□ deliver 2 sprays to each nostril
□ prime the pump before the first dose
□ report nasal irritation
□ hold the pump horizontally

Explanation:

1. Report rash or itching: Rash or itching can indicate an allergic reaction to the calcitonin - salmon spray, so the client should report this.
2. Prime the pump before the first dose: Priming the pump (spraying it a few times until a fine mist appears) is a standard procedure for intranasal sprays before the first use to ensure proper dosing.
3. Report nasal irritation: Nasal irritation can be a side - effect of the intranasal spray, and it is important for the client to report this to the nurse for appropriate management.

Now let's analyze the incorrect options:

• Deliver 2 sprays to each nostril: The typical dosing for calcitonin - salmon intranasal spray for osteoporosis is 1 spray per nostril (not 2), so this is incorrect.
• Hold the pump horizontally: Intranasal sprays are usually held upright (not horizontally) to ensure the medication is delivered into the nasal cavity properly.

Answer:

A. Report rash or itching
C. Prime the pump before the first dose
D. Report nasal irritation