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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: 31 gtts/min assumes 250 mL over 4 hours with 15 gtts/mL; this halves the rate, underdelivering vancomycin, risking subtherapeutic levels and ineffective bacterial killing over the prescribed 2-hour infusion time.

Choice B reason: 62 gtts/min is correct; 250 mL over 2 hours is 125 mL/hr, times 15 gtts/mL equals 1875 gtts total, divided by 120 minutes yields 62 gtts/min, ensuring proper antibiotic delivery.

Choice C reason: 125 gtts/min doubles the rate; 250 mL in 1 hour with 15 gtts/mL is too fast, risking vancomycin toxicity, including renal damage, and exceeding safe infusion guidelines for IVPB.

Choice D reason: 250 gtts/min assumes 250 mL in 30 minutes; this dangerously rapid rate could cause vancomycin-induced red man syndrome or cardiovascular overload, far beyond the ordered 2-hour infusion duration.

A. The symptoms the drug relieves. B. The dosage amounts. C. Patient tolerance. D. The nursing implications.

Correct Answer is A

Explanation

Choice A reason: Classifications like “analgesics” pair effects (pain relief) with symptoms (pain); this pharmacological basis groups drugs by therapeutic purpose and mechanism.

Choice B reason: Dosage varies within classes; it’s not a defining trait, as classifications focus on action (e.g., beta-blockers), not specific amounts administered.

Choice C reason: Tolerance is patient-specific, not a classification criterion; drugs are grouped by effect and symptom relief, not individual response variations.

Choice D reason: Nursing implications guide administration, not classification; categories stem from pharmacology (e.g., antihypertensives), not care protocols or implications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.

Correct Answer is B

Explanation

When categorizing medications, drug classifications may be defined by the effects of the drug and:

Correct Answer is A

Explanation

A primary health-care provider prescribes a medication that must be administered transdermal. Which information about the route of administration does the nurse understand is related to a drug prescribed to be administered transdermal?

The patient's insurance company refuses to pay for the brand name formulation of a prescribed drug. Which formulation of the drug will the patient receive instead?

A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

The physician gives orders to infuse 1 unit (250 mL) of packed red blood cells over 4 hours. Calculate the flow rate in milliliters per hour.

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

Which statement is correct about patient tolerance to medications?

In addition to the dorsogluteal and ventrogluteal muscles, which of these sites can safely be used for intramuscular injections?

A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.