The nurse explains to a client that the drug administration of a medication is to be placed between the gum and jaw. By which route is the nurse administering this medication?
Topical
Oral
Buccal
Sublingual
The Correct Answer is C
Choice A reason: Topical applies to skin or mucous surfaces broadly; gum/jaw placement is specific to buccal, not the general external or mucosal topical category.
Choice B reason: Oral means swallowed; buccal drugs stay in the mouth for absorption, avoiding the digestive tract, making this an incorrect route classification.
Choice C reason: Buccal involves placement between gum and cheek; it allows direct mucosal absorption into the bloodstream, bypassing first-pass metabolism effectively.
Choice D reason: Sublingual is under the tongue; gum/jaw specifies buccal, as sublingual targets a different oral site with distinct absorption dynamics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.
Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.
Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.
Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.
Correct Answer is B
Explanation
Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.
Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.
Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.
Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.
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