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Hurst NCLEX-RN review, NCLEX-RN questions and answers, Hurst nursing exam, RN licensure prep, clinical judgment test, Hurst review 2025, NCLEX study material
What information should a nurse include when educating a client regarding buccal administration of a medication?
- This route allows the medication to get into the bloodstream
- Stinging may occur after placing the medication in the cheek.
- If swallowed, the medication may be inactivated by gastric
- The buccal dose of medication will need to be increased from
- Remove the tablet from buccal area after 15 seconds. -
faster than the oral route.
secretions.
the oral dose.
ANSWER-1., 2., & 3. Correct: These are correct statements
about buccal administration of medication. Buccal administration involves the medication being placed between the gums and cheek, where it dissolves and becomes absorbed into the bloodstream. The cheek area has many capillaries that allow the medication to be absorbed quickly without having to pass through the digestive system. The degree of stinging experienced depends on the medication being administered. 1 / 4
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Some effects of certain medications can be lessened by digestive processes.
4. Incorrect: When given by the buccal route, the medication
does not go through the digestive system. This means that the medication is not metabolized through the liver, and thus a lower dose can be used.
5. Incorrect: Placement should be maintained until the tablet is
dissolved in order to get the dosage and effects desired.
Which signs and symptoms would the nurse expect to see in a client who has taken prednisone for two months?
- Weight loss
- Decreased wound healing
- Hypertension
- Decreased facial hair
5. Moon face - ANSWER-2., 3. & 5. Correct: Decreased wound
healing is a side effect with prolonged steroid use due to the immunosuppressive effects. All steroid medications, such as prednisone, can lead to sodium retention which then leads to dose related fluid retention. Hypertension is seen due to this fluid and sodium retention. Cushingoid appearance (moon face) 2 / 4
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is a side effect that is created from the abnormal redistribution of fat from prolonged steroid use.
1. Incorrect: Within one month after corticosteroid
administration, weight gain is seen rather than weight loss.
4. Incorrect: Facial and body hair increase with prolonged
steroid use. This excessive growth of body hair, known as hirsutism, is one of the numerous potential side effects of prednisone.
A nurse is at highest risk for blood-borne exposure during which situation?
- When removing a needle from the syringe.
- While placing a suture needle into the self-locking forceps.
- Prior to inserting the intravenous (IV) line, the client moves
- A clean needle sticks the nurse through blood-soiled gloves. -
causing a needle stick to the nurse.
ANSWER-4. Correct: A clean needle that moves through blood-
soiled gloves to stick the nurse is considered to be potentially contaminated and results in a blood-borne exposure. All other answers are considered a clean stick.
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1. Incorrect: This is considered a clean stick. The needle is
sterile initially and has not been contaminated prior to removal of the needle from the syringe.
2. Incorrect: This is considered a clean stick since the suture
needle has not been inserted into the client prior to the needle stick.
3. Incorrect: This is considered a clean stick. The IV insertion
device is sterile and has not been contaminated since it was not inserted into the client.
A new nurse is preparing to give a medication to a nine month old client. After checking a drug reference book, the nurse crushes the tablet and mixes it into 3 ounces of applesauce. The new nurse proceeds to the client's room. What priority action should the supervising nurse take?
- Tell the new nurse to recheck the drug reference book before
- Suggest that the new nurse reconsider the client's
- Check the prescription order and the client dose.
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administering the medication.
developmental needs.