A nurse is preparing to reconstitute amoxicillin/clavulanate potassium oral suspension for administration to a client who has a respiratory tract infection. According to the label, which of the following actions should the nurse take? (Refer to the medication label below.)
Directions for mixing
Tap bottle until all powder flows freely. Add approximately 2/3 of total water for reconstitution
Shake vigorously to wet powder. Add remaining water, again shake vigorously Dosage: See accompanying prescribing Information
Discard after 10 days.
125 mg/5 mL
AMOXICILLIN CLAVULANATE POTASSIUM FOR ORAL SUSPENSION
When reconstituted, each 5ml contains AMOXICILLIN 125 mg. as the trihydrate
CLAVULANIC
ACID, 31.25 mg.
as clavulanate potassium
75mL
(when reconstituted)
Store the medication at room temperature following reconstitution
Use 0.9% sodium chloride solution as a diluent
Discard any remaining medication after 10 days
Roll the vial gently in hands to mix the medication
The Correct Answer is C
a. Store the medication at room temperature following reconstitution: This option is incorrect. While it provides information about the storage of the medication after reconstitution, it doesn't pertain to the reconstitution process itself. Storage information is essential but not part of the reconstitution process.
b. Use 0.9% sodium chloride solution as a diluent: This option is incorrect. The label instructions mention adding water for reconstitution, not sodium chloride solution. Using the wrong diluent can result in incorrect drug concentrations and potential harm to the patient.
c. Discard any remaining medication after 10 days: This option is correct. The label clearly states that the reconstituted medication should be discarded after 10 days. This is important information for safe medication administration.
d. Roll the vial gently in hands to mix the medication: This option is incorrect. The label instructions specify shaking vigorously to wet the powder and then adding the remaining water, followed by vigorous shaking. Rolling the vial gently is not mentioned in the label instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5"]
Explanation
To calculate the volume of megestrol oral suspension (in milliliters, mL) that the nurse should administer, use the following formula:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
In this case, the dose is 200 mg of megestrol, and the concentration of the oral suspension is 40 mg/mL.
Volume (mL) = 200 mg / 40 mg/mL
Volume (mL) = 5 mL
The nurse should administer 5 mL of megestrol oral suspension to the client.
Correct Answer is ["68"]
Explanation
To calculate the mL of acetaminophen to administer, follow these steps:
Convert the client's weight from pounds (lb) to kilograms (kg):
Client's weight in kg = Client's weight in lb / 2.2 Client's weight in kg = 99 lb / 2.2 ≈ 45 kg
Determine the total dosage required based on the client's weight:
Total dosage = Client's weight in kg × Dosage (mg/kg) Total dosage = 45 kg × 15 mg/kg = 675 mg
Determine the mL to administer based on the available concentration:
Concentration (mg/mL) = 1,000 mg / 100 mL = 10 mg/mL
Calculate the mL to administer:
mL to administer = Total dosage (mg) / Concentration (mg/mL) mL to administer = 675 mg / 10 mg/mL = 67.5 mL
Round the answer to the nearest whole number:
The nurse should administer 68 mL of acetaminophen
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