The nurse and the healthcare provider are discussing the use of fentanyl to manage a client's pain. Which route will achieve the longest duration of pain relief for the client?
Sublingual
Intravenous
Transdermal
Intramuscular
The Correct Answer is C
A. Sublingual: This route provides rapid mucosal absorption for breakthrough pain but has a relatively short duration of action. It bypasses the gastrointestinal tract for quick systemic entry. However, it does not provide the sustained-release mechanism required for long-term, continuous analgesia.
B. Intravenous: IV administration offers the fastest onset of action but also the shortest duration due to rapid redistribution and clearance. It is ideal for acute, severe pain or titration in controlled settings. It lacks the slow-release properties necessary for extended pain management over several days.
C. Transdermal: Fentanyl patches utilize a rate-controlling membrane to deliver medication continuously through the dermis into the systemic circulation. This route typically provides a steady therapeutic plasma concentration for 48 to 72 hours. It is the preferred method for chronic, stable pain requiring long-acting relief.
D. Intramuscular: The intramuscular route has a slower onset than IV but still offers a limited duration of 2 to 4 hours. Repeated injections are painful and do not provide the consistent basal rate achieved by a patch. It is rarely used for fentanyl due to better alternatives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Wound debridement: Debriding dry, stable eschar on a distal extremity with poor vascularity can expose underlying tissue to infection without sufficient blood flow to heal. In patients with diabetes and peripheral arterial disease, aggressive debridement of stable eschar is often contraindicated.
B. Maintenance and protection of the intact eschar: For stable, dry, and intact eschar on ischemic limbs or digits, the clinical goal is to keep the area dry and protected. This "natural cover" prevents the entry of pathogens into deeper tissues while avoiding the risks of surgical or chemical intervention.
C. Use of a topical antimicrobial agent to prevent infection: Topical agents often introduce moisture, which can soften the eschar and promote bacterial proliferation. If the eschar is dry and intact without signs of infection, the priority is maintaining that dryness rather than applying creams or ointments.
D. Removal of eschar to create a moist environment for healing: Creating a moist environment is beneficial for many wounds but dangerous for ischemic, stable eschar. Softening this tissue can lead to "wet gangrene," which spreads rapidly and significantly increases the risk of limb amputation in diabetic patients.
Correct Answer is ["3"]
Explanation
Dose prescribed /Dose available=Number of capsules
900mg300mg=3
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