Question

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

A. Chew the lozenge for a faster onset of action.
B. Use a tongue scraper after taking the medication.
C. Store the medication in the refrigerator.
D. Avoid eating or drinking for 5 minutes before and after taking the medication.

Answer 1

The patient should avoid eating or drinking 5 minutes before and after taking the fentanyl lozenge to ensure proper absorption, should not chew the lozenge, and does not need to store it in the refrigerator or use a tongue scraper.

Step-by-step explanation:

When providing discharge teaching for a client who will continue taking oral transmucosal fentanyl lozenges, it is essential to include the correct usage instructions to ensure both the efficacy and safety of the medication. The correct answer to the student's question is D. Avoid eating or drinking for 5 minutes before and after taking the medication. This precaution is necessary because the presence of food or drink could affect the absorption of the medication through the oral mucosa, potentially altering its effectiveness. Patients should not chew the lozenge as it is meant to dissolve slowly in the mouth, providing a controlled release of fentanyl. Chewing could lead to a rapid release and absorption of a potentially dangerous dose of fentanyl.

Patients need to understand that storing fentanyl safely is crucial, but storing in the refrigerator is not commonly required unless specified by the pharmacy. Also, using a tongue scraper is not necessary for the effectiveness or safety of the medication. As with any prescription medication, adherence to proper handling and usage instructions is vital for optimal therapeutic outcomes and minimizing risks.