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.

Answer and Explanation

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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Correct Answer is ["2"]

Explanation

Step 1: The dose to be administered is 18 mg of methylphenidate.

Step 2: The available methylphenidate oral solution has a concentration of10 mg/mL. This means that for every 1 mL of the solution, there are 10 mg of methylphenidate.

Step 3: To find out how many mL should be administered, we divide the dose by the concentration. So, 18 mg ÷ 10 mg/mL = 1.8 mL.

Step 4: Round the answer to the nearest whole number. So, 1.8 mL rounds to2 mL.

The nurse should administer 2 mL of methylphenidate oral solution.

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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A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is preparing to administer valproic acid 75 mg PO to a client who has acute mania. Available is valproic acid syrup 30 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["12.5"]

Explanation

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