A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take?

Place the tablet between the client's cheek and gum.

Have the client chew the medication before swallowing it.

Mix the medication in 5 mL (1 teaspoon) of soft food.

Dissolve the tablet in 15 mL (1 tablespoon) of liquid.

Answer and Explanation

The Correct Answer is A

Choice A reason: The buccal route involves placing the medication directly in the mouth against the mucous membranes of the cheek, allowing for absorption through the oral tissues. This method is used for fentanyl administration to ensure rapid onset of pain relief without gastrointestinal involvement.

Choice B reason: Chewing the medication is not recommended for buccal administration as it can lead to unpredictable absorption and potential destruction of the medication's integrity, which can alter its effectiveness.

Choice C reason: Mixing fentanyl with food is not appropriate for buccal administration. This method is generally used for oral medications that are swallowed, not for those intended for mucosal absorption.

Choice D reason: Dissolving the tablet in liquid is also not suitable for buccal administration. The buccal route is designed for direct absorption through the cheek's mucous membranes, and dissolving the tablet would be more akin to oral administration, which is not the intended method for this medication.

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Free Nursing Study Resources

Correct Answer is ["1"]

Explanation

Step 1: Convert the dose from grams to milligrams. We know that 1 gram = 1000 milligrams. So, 0.015 grams = 0.015 × 1000 = 15 milligrams.

Step 2: The available temazepam capsules have a concentration of 15 mg/capsule. This means that for every 1 capsule, there are 15 mg of temazepam.

Step 3: To find out how many capsules should be administered, we divide the dose by the concentration. So, 15 mg ÷ 15 mg/capsule = 1 capsule.

The nurse should administer1 capsule of temazepam.

Correct Answer is ["2"]

Explanation

Step 1: The dose to be administered is25 mg of risperidone.

Step 2: The available risperidone injection has a concentration of25 mg/2 mL. This means that for every 2 mL of the solution, there are 25 mg of risperidone.

Step 3: To find out how many mL should be administered, we divide the dose by the concentration. So, 25 mg ÷ (25 mg/2 mL) = 2 mL.

The nurse should administer 2 mL of risperidone injection.

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A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer temazepam 0.015 g PO to assist a client with sleep. Available are temazepam 15 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1"]

Explanation

Correct Answer is ["2"]

Explanation

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