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

A) Dissolve the tablet in 118 mL (4 oz) liquid: Fentanyl buccal tablets should not be dissolved in liquid before administration. These tablets are designed to be absorbed through the mucosal lining of the cheek and gums, not the gastrointestinal tract. Dissolving the tablet in liquid would impair the effectiveness and intended absorption method of the medication. B) Have the client chew the medication before swallowing: Chewing a buccal tablet is contraindicated because it interferes with the absorption of the medication. Buccal tablets are intended to dissolve slowly when placed between the cheek and gums, allowing the medication to be absorbed through the mucosa. Chewing it would cause the medication to be absorbed improperly and reduce its efficacy. C) Mix the medication in 5 mL (1 tsp) soft food: Buccal tablets should not be mixed with food. The medication needs to dissolve in the mouth to be absorbed directly through the mucous membranes of the cheek and gums. Mixing the tablet with food could disrupt the intended absorption process and make the medication less effective. D) Place the tablet between the client's cheek and gums: This is the correct method for administering a buccal tablet. The tablet should be placed between the cheek and gums, where it will dissolve slowly and the medication will be absorbed directly through the mucosal lining. This ensures proper absorption of the medication and effectiveness.