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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: We know that 1 mg of benztropine mesylate is equivalent to 1 mL. So, 2 mg will be equivalent to 2 mL.
Therefore, the nurse should administer 2 mL of benztropine mesylate.
Since 2 is a whole number, there is no need for rounding.
The leading zero does not apply in this case as the number is not less than 1.
There is also no trailing zero after the decimal point. So, the final answer is 2 mL.
Correct Answer is B
Explanation
The correct answer is choice B: Dosage.
Choice A rationale: The medication name is an essential component of a medication prescription, identifying the specific medication to be administered. In this case, the medication name is already provided as "Zopiclone."
Choice B rationale: Dosage is a crucial element of a medication prescription, indicating the amount of the medication to be administered. Although the prescription mentions "1 tablet," the strength or dosage of the Zopiclone tablet (e.g., 5 mg, 7.5 mg) is missing. The nurse should ask the provider to specify the dosage to ensure accurate and safe medication administration.
Choice C rationale: Frequency refers to how often the medication should be taken. The given prescription states "at bedtime," which specifies when the medication should be administered.
Choice D rationale: Route describes the method used to administer the medication. This prescription mentions the route as "PO," which stands for "by mouth" (per os).
In conclusion, a nurse should ensure that a medication prescription includes all essential components, such as medication name, dosage, frequency, and route. In this case, the dosage of Zopiclone is missing, and the nurse should ask the provider to add this information to the prescription to ensure accurate and safe administration of the medication.
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