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

A lithium level of.6 mEq/L is considered toxic and can cause serious side effects.

Hemodialysis is a treatment that can quickly remove excess lithium from the body and may be necessary in cases of severe toxicity.

Choice A is wrong because assisting the client to a left lateral position will not help reduce the lithium level.

Choice B is wrong because implementing fluid restrictions can worsen lithium toxicity.

Choice C is wrong because requesting a dosage increase from the provider would further increase the lithium level and worsen toxicity.

A. Tetracycline 1 g orally every 6 hr. B. Warfarin 100 units subcutaneously daily. C. Penicillin G 5,000,000 units intramuscularly every 4 hr. D. Zoledronate 5 mg intravenously x 1 dose.

Correct Answer is B

Explanation

Warfarin is an oral anticoagulant medication and is not administered subcutaneously.

The nurse should clarify this prescription with the provider before administering it.

Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.

Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.

Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.

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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

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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?