A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take?
Place the tablet between the client's cheek and gum.
Have the client chew the medication before swallowing it.
Mix the medication in 5 mL (1 teaspoon) of soft food.
Dissolve the tablet in 15 mL (1 tablespoon) of liquid.
The Correct Answer is A
Choice A reason: The buccal route involves placing the medication directly in the mouth against the mucous membranes of the cheek, allowing for absorption through the oral tissues. This method is used for fentanyl administration to ensure rapid onset of pain relief without gastrointestinal involvement.
Choice B reason: Chewing the medication is not recommended for buccal administration as it can lead to unpredictable absorption and potential destruction of the medication's integrity, which can alter its effectiveness.
Choice C reason: Mixing fentanyl with food is not appropriate for buccal administration. This method is generally used for oral medications that are swallowed, not for those intended for mucosal absorption.
Choice D reason: Dissolving the tablet in liquid is also not suitable for buccal administration. The buccal route is designed for direct absorption through the cheek's mucous membranes, and dissolving the tablet would be more akin to oral administration, which is not the intended method for this medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: The total daily dose to be administered is300 mg of trazodone.
Step 2: The total daily dose is divided equally every 8 hours, so each dose is one third of the total daily dose. So, 300 mg ÷ 3 =100 mg per dose.
Step 3: The available trazodone tablets have a concentration of50 mg/tablet. This means that for every 1 tablet, there are 50 mg of trazodone.
Step 4: To find out how many tablets should be administered per dose, we divide the dose by the concentration. So, 100 mg ÷ 50 mg/tablet =2 tablets.
The nurse should administer 2 tablets of trazodone in each dose.
Correct Answer is ["12.5"]
Explanation
Step 1: The dose to be administered is75 mg of valproic acid.
Step 2: The available valproic acid syrup has a concentration of30 mg/5 mL. This means that for every 5 mL of the solution, there are 30 mg of valproic acid.
Step 3: To find out how many mL should be administered, we divide the dose by the concentration. So, 75 mg ÷ (30 mg/5 mL) = 12.5 mL.
The nurse should administer 12.5 mL of valproic acid syrup.
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