A nurse is preparing to administer methylprednisolone. Which of the following information should the nurse identify as correct according to the medication label?
The medication can be used for IV administration.
The medication can be used for up to 14 days after reconstitution.
The vial contains a single dose.
The medication should be reconstituted with 0.9% sodium chloride solution.
The Correct Answer is A
Choice A rationale: The medication can be used for IV administration or IM administration as indicated in the label. Methylprednisolone is a corticosteroid that can be given intravenously to treat inflammatory conditions such as asthma, allergic reactions, rheumatoid arthritis, and multiple sclerosis. The medication label should indicate the route of administration, the concentration, the expiration date, and the storage conditions.
Choice B rationale: According to the label, the medication should not be used for more than 48 hours after reconstitution, and it should be stored in a refrigerator.
Choice C rationale: The vial contains multiple doses, and each dose should be withdrawn with a sterile syringe.
Choice D rationale: The medication should be reconstituted with bacteriostatic water for injection, not with 0.9% sodium chloride.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
To convert micrograms to milligrams, divide by 1000: 250 mcg / 1000 = 0.25 mg. Round to the nearest hundredth: 0.25 mg. Therefore, the nurse should administer 0.25 mg of filgrastim.
Correct Answer is B
Explanation
A. The medication is for IV administration: This cannot be assumed unless the label specifically states “for intravenous use.” Phenytoin comes in multiple formulations (oral suspension, tablets, IV), so route must be verified.
B. The total amount available per container is 4 mL: This is label-specific information. If the label indicates that each vial contains 4 mL, this is a factual and critical point to ensure accurate dosing.
C. The nurse should avoid shaking the medication: While some medications (e.g., suspensions) should not be shaken vigorously, phenytoin IV solution is not a suspension, and this instruction may not apply to all forms.
D. The medication should not be stored below 30°C (86°F): This is incorrect. Phenytoin should be stored at controlled room temperature, typically 20°C to 25°C (68°F to 77°F), and protected from excessive heat or cold.
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