A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film.
Which of the following methods should the nurse use to administer this medication?
Place the medication on the client's tongue for dissolution.
Dissolve the medication in water before administering it.
Insert the medication against the mucous membrane of the cheek.
Instruct the client to swallow the medication with a sip of water.
The Correct Answer is C
Fentanyl buccal film is a small film that sticks to the inside of the cheek and eventually dissolves within 15 to 30 minutes after it is applied.
It is used to manage breakthrough pain in patients with cancer who are already using another opioid pain medicine around-the-clock.
Choice A is wrong because the medication should not be placed on the client’s tongue for dissolution.
Choice B is wrong because the medication should not be dissolved in water before administering it.
Choice D is wrong because the client should not be instructed to swallow the medication with a sip of water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.
Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.
Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.
Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.
Correct Answer is A
Explanation
Dopamine is a medication used to treat hypotension, low cardiac output, and poor perfusion of vital organs.
It is used to increase mean arterial pressure in septic shock patients who remain hypotensive after adequate volume expansion 1.
If the client is still experiencing hypotension while receiving dopamine by continuous IV infusion, the nurse should increase the rate of infusion to improve the client’s blood pressure.
Choice B is wrong because Extravasation, is not the correct answer because it refers to the leakage of IV fluid or medication into the surrounding tissue and is not an indication to increase the rate of dopamine infusion.
Choice C is wrong because Headache, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.
Choice D is wrong because Chest pain, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.
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