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 ["0.71"]
Explanation
To calculate how many milliliters (mL) of the reconstituted medication to administer, you need to determine the desired dose and then divide it by the concentration of the reconstituted solution.
The label indicates that each vial, when reconstituted, contains ceftriaxone 350 mg/mL.
The desired dose is 250 mg.
So, you can use the following formula:
Volume to administer (mL) = Desired dose (mg) / Concentration of the reconstituted solution (mg/mL)
Volume to administer (mL) = 250 mg / 350 mg/mL
Volume to administer (mL) = 0.7143 mL (rounded to the nearest hundredth)
Therefore, the nurse should administer approximately 0.71 mL of the reconstituted ceftriaxone solution.
Correct Answer is ["0.5"]
Explanation
To calculate the volume (mL) needed to administer 25 mg of promethazine using a concentration of 50 mg/mL, you can use the following formula:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
In this case, the dose is 25 mg, and the concentration is 50 mg/mL:
Volume (mL) = 25 mg / 50 mg/mL = 0.5 mL
So, the nurse should administer 0.5 mL of promethazine.
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