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 ["2.8"]
Explanation
Step 1: The dose to be administered is9 mg of aripiprazole.
Step 2: The available aripiprazole injection has a concentration of9.75 mg/3 mL. This means that for every 3 mL of the solution, there are 9.75 mg of aripiprazole.
Step 3: To find out how many mL should be administered, we divide the dose by the concentration. So, 9 mg ÷ (9.75 mg/3 mL) = 2.769230769230769 mL.
Step 4: Round the answer to the nearest tenth. So, 2.769230769230769 mL rounds to2.8 mL.
The nurse should administer 2.8 mL of aripiprazole injection.
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