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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Zestril at 5 mg per tablet is common; strength is the dose per unit, and this matches typical labeling for hypertension management effectively.

Choice B reason: 10 mg is a Zestril strength but not assumed here; without label confirmation, 5 mg is the base unit from prior context, not this option.

Choice C reason: 15 mg isn’t standard for Zestril tablets; it’s a total dose possibility, not a per-tablet strength, mismatching typical medication packaging norms.

Choice D reason: 20 mg exists for Zestril but isn’t the default; 5 mg aligns with the supplied strength in earlier questions, making it the likely label.

A. Fentanyl transdermal 25 mcg/hour B. Morphine 30 mg C. Acetaminophen with oxycodone 10 mg/325 mg D. Hydromorphone 1 mg IV

Correct Answer is D

Explanation

Choice A reason: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management.

Choice B reason: Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes.

Choice C reason: Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain.

Choice D reason: Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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