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 C

Explanation

Choice A reason: Body fat levels influence subcutaneous absorption but are not the primary reason for choosing IM over SC injection in this scenario.

Choice B reason: Needle size varies by medication and patient factors, but this is not the defining reason for selecting IM over SC injection.

Choice C reason: IM injections deliver medication directly to muscle tissue with a rich vascular supply, ensuring faster absorption and onset compared to subcutaneous administration.

Choice D reason: IM injections are not inherently safer for patients at risk of bleeding; they carry similar risks and require proper assessment before administration.

A. Call the client's name. B. Ask the client to fully state name, and check the client's identification armband with the medication administration record (MAR). C. Ask the family or visitors the client's name. D. Check the client's name on the door or bed.

Correct Answer is B

Explanation

Choice A reason: Calling the name relies on response accuracy; confused or hearing-impaired patients may not answer correctly, risking misidentification and medication errors.

Choice B reason: Verbal confirmation plus armband verification against the MAR ensures identity via two identifiers, aligning with safety protocols to prevent administration errors scientifically.

Choice C reason: Family or visitors may misidentify due to stress or error; this lacks direct patient verification, increasing risk of giving medication to the wrong individual.

Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.

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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?

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Naxlex Comprehensive Predictor Exams

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