A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film.
Which of the following methods should the nurse use to administer this medication?

Place the medication on the client's tongue for dissolution.

Dissolve the medication in water before administering it.

Insert the medication against the mucous membrane of the cheek.

Instruct the client to swallow the medication with a sip of water.

Answer and Explanation

The Correct Answer is C

Fentanyl buccal film is a small film that sticks to the inside of the cheek and eventually dissolves within 15 to 30 minutes after it is applied.

It is used to manage breakthrough pain in patients with cancer who are already using another opioid pain medicine around-the-clock.

Choice A is wrong because the medication should not be placed on the client’s tongue for dissolution.

Choice B is wrong because the medication should not be dissolved in water before administering it.

Choice D is wrong because the client should not be instructed to swallow the medication with a sip of water.

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Correct Answer is D

Explanation

Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.

Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.

Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.

Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.

A. "I can take two aspirin to treat headaches.” B. "I should not take an antacid within 1 hour of taking this medication.” C. "l can expect fine hand tremors when taking this medication.” D. "I should avoid dairy products when taking this medication.”

Correct Answer is B

Explanation

Ranitidine is a histamine H2-receptor antagonist that blocks histamine-mediated gastric acid secretion.

Antacids can interfere with the absorption of ranitidine, so it is important to separate their administration by at least 1 hour.
Choice A is wrong because aspirin is a type of nonsteroidal anti-inflammatory drug (NSAID) which can increase the risk of peptic ulcers.
Choice C is wrong because fine hand tremors are not a known side effect of ranitidine.
Choice D is wrong because there is no need to avoid dairy products when taking ranitidine.

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A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film.
Which of the following methods should the nurse use to administer this medication?