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Dissolving the fentanyl buccal film in water isn't the appropriate method of administration. It's specifically formulated for buccal (cheek) administration to facilitate absorption, and dissolving it in water may alter its efficacy.

Swallowing the fentanyl buccal film isn't the intended method of administration. It's designed for absorption through the mucous membrane, not for ingestion.

Placing the fentanyl buccal film on the tongue for dissolution is not the correct method. The medication is formulated for buccal administration, not oral dissolution.

While medications received during surgery are essential to the client's history, they might not be pertinent to the current medication regimen and reconciliation process for transfer.

Sending a list of prescribed medications to the pharmacy isn't a direct action for medication reconciliation, which involves cross-checking current and new medications for discrepancies.

Discussing adverse effects with the client is important for their understanding but doesn't directly address the reconciliation process.

While monitoring sodium levels is important, a level of 139 mEq/L is within the normal range and might not directly correlate with cyclosporine
administration.

Though BUN levels can indicate kidney function, a level of 18 mg/dL falls within the normal range and might not immediately indicate adverse effects related to cyclosporine.

A potassium level of 4.2 mEq/L is within normal limits and might not directly relate to potential complications due to cyclosporine therapy.

The wrist might not be the optimal site for IV catheter placement following a mastectomy due to potential limitations in venous access and increased risk of complications.

The most proximal site is not a specific location and may vary depending on the client's condition and anatomy.

The nurse should also avoid placing a catheter in a cordlike vein because they are more prone to infiltration, phlebitis, and nerve damage.

While increased blood pressure can occur in various conditions, it might not specifically indicate anaphylaxis to penicillin.

Hypertonia might not directly correlate with anaphylaxis and could be caused by other factors.

Urinary retention is not a typical manifestation of anaphylaxis to penicillin and might not be directly linked to the allergic reaction.

While propranolol withdrawal can have various effects, hyperkalemia isn't typically associated with sudden discontinuation of this medication.

Rhinitis is not a typical manifestation of propranolol withdrawal.

Bradypnea, or slow breathing, is not commonly associated with the withdrawal effects of propranolol.

Insomnia can occur as an adverse effect of citalopram but might not be as immediately concerning as confusion.

Bruxism (teeth grinding) can be a side effect of citalopram but might not pose an immediate risk compared to confusion.

Weight loss, while a potential side effect, might not be as urgent or immediately concerning as confusion.

Furosemide isn't typically contraindicated with sildenafil use.

Indomethacin isn't generally contraindicated with sildenafil use.

Albuterol isn't typically contraindicated with sildenafil use.

Before administering controlled substances, ensuring the correct client through proper identification using two identifiers is crucial for patient safety and prevention of medication errors.

The fourth step is to document the administration of the medication, which includes recording the date, time, dose, route, site, and client response. This provides evidence of care and helps to monitor the client's pain level and possible side effects.

The third step is to compare the amount of medication available to the inventory record, which shows how much of the medication is in stock and how much has been used. This helps to prevent errors and discrepancies in the medication supply.

The infusion rate and duration depend on the specific guidelines and conditions but are not directly related to priming the tubing.

While the administration method might vary, priming the tubing with a compatible solution is more critical for the initial setup.

Color change might not be an accurate indicator of medication integrity or effectiveness in this case.