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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.1"]
Explanation
Given:
- Total perphenazine to be administered: 200 mg
- The medication is to be divided into four equal doses
- Available perphenazine oral solution: 16 mg/mL
Step 1: Calculate the amount of perphenazine per dose
200 mg ÷ 4 = 50 mg/dose
Step 2: Calculate the volume of the oral solution per dose
(50 mg/dose) ÷ (16 mg/mL) = 3.125 mL/dose
Rounding to the nearest tenth, the nurse should administer 3.1 mL
Correct Answer is A
Explanation
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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