The medication order is to give 0.5 mg of a drug sublingually. The nurse demonstrates proper administration of the drug when the drug is:
Injected into the subcutaneous tissue
Placed between the gum and lining of the cheek
Placed under the tongue
Inhaled through the nasal mucosa
The Correct Answer is C
A. Injected into the subcutaneous tissue: Subcutaneous injections deliver medication into the fatty tissue under the skin. This route is not appropriate for a sublingual order and would prevent rapid absorption through the oral mucosa.
B. Placed between the gum and lining of the cheek: This describes the buccal route, which allows absorption through the cheek lining. While similar to sublingual, it is not the intended route for a sublingual medication, which must be placed under the tongue for rapid systemic absorption.
C. Placed under the tongue: Sublingual administration involves placing the medication beneath the tongue, allowing it to dissolve and absorb directly into the bloodstream. This route bypasses the gastrointestinal tract and first-pass metabolism, providing rapid onset of action.
D. Inhaled through the nasal mucosa: Nasal administration delivers medication through the respiratory mucosa and is not appropriate for sublingual drugs. Using this route would result in improper absorption and therapeutic effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ondansetron 4 mg IVP stat: This is a standard antiemetic order with a clear dose, route, and timing. There is no ambiguity, so clarification is not required before administration.
B. Benadryl 50 mg PO PRN every 6 hr for itching: The dose, route, and frequency are clearly specified, and PRN parameters are provided. The order is safe to administer as written.
C. Enoxaparin 80 mg SUBQ every 12 hours: This is a typical prophylactic or therapeutic anticoagulant dose with a clear route and schedule. No immediate clarification is needed unless there are patient-specific concerns.
D. Regular insulin 5 u SUBQ now: Insulin orders, especially when written with “u” for units, carry a high risk of dosing errors. The nurse should clarify with the prescriber or pharmacy to confirm the dose and prevent potential hypoglycemia.
Correct Answer is A
Explanation
A. I will cut one tablet in half, then take one and one-half tablets morning and evening: Each tablet is 25 mg, so one and a half tablets equals 37.5 mg. Taking this dose twice daily matches the provider’s order for safe and accurate dosing.
B. I need to get a different dose of medication from the pharmacy: A different strength is not necessary because the prescribed dose can be achieved by splitting the 25 mg tablet appropriately.
C. I will take two tablets in the morning: Two tablets equal 50 mg, which exceeds the ordered 37.5 mg and could result in an overdose.
D. I will cut one tablet in half, then take one and one-half tablets daily: Taking one and a half tablets only once a day provides half the prescribed total daily dose, which is insufficient for therapeutic effect.
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