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    Hesi pharmacology proctored exam

    The client is requesting juice to take with a buccal medication dose. Which action should the nurse implement?

    Explanation & Rationale

    A. Instill the medication drops directly onto the conjunctiva: This describes the administration of ophthalmic drops, which is unrelated to buccal medication delivery. Administering medication in this manner would be inappropriate for a drug intended for absorption in the oral mucosa. B. Tell the client to place the medication under the tongue: This refers to the sublingual route, which differs from buccal administration. Sublingual placement allows for rapid absorption but does not match the prescribed buccal route, which requires placement between the cheek and gum. C. Cleanse the skin area and apply the medication: This action pertains to transdermal medication administration and is unrelated to buccal dosing. Buccal medications require mucosal placement, not skin application, for proper absorption. D. Instruct client to place the tablet between the cheek and gum: This is the correct method for administering buccal medications, ensuring absorption through the oral mucosa while bypassing first-pass hepatic metabolism. This placement allows the medication to dissolve slowly for optimal therapeutic effect.

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