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, what 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 (total = 67 mL)
Shake vigorously to wet powder. Add remaining water, again shake vigorously. Dosage: See accompanying prescribing information
Tear along perforation
Keep tightly closed.
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
Shake well before using.
Must be refrigerated
Discard after 10 days.
Use 0.9% sodium chloride solution as a diluent.
Store the medication at room temperature following reconstitution.
Roll the vial gently in hands to mix the medication.
Discard any remaining medication after 10 days.
The Correct Answer is D
A. Use 0.9% sodium chloride solution as a diluent:
The label does not mention the use of 0.9% sodium chloride solution. It specifically provides directions for adding water for reconstitution. Therefore, using sodium chloride solution is not consistent with the instructions.
B. Store the medication at room temperature following reconstitution:
The label clearly states that the reconstituted suspension "Must be refrigerated." Storing it at room temperature contradicts the provided instructions.
C. Roll the vial gently in hands to mix the medication:
The label instructs to "Shake vigorously" to wet the powder, not to roll it gently. Shaking is the recommended method for mixing the medication according to the label.
D. Discard any remaining medication after 10 days:
This is the correct action according to the label. The label specifies that the reconstituted suspension should be discarded after 10 days, emphasizing the importance of not using the medication beyond that period for safety reasons.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.9"]
Explanation
To calculate the dose of fentanyl for a client who weighs 187 lb, the nurse needs to convert the weight to kilograms and multiply it by the prescribed dose of 0.5 mcg/kg.
One kilogram is equal to 2.2 lb, so the client's weight in kilograms is 187 / 2.2 = 85 kg.
The dose of fentanyl in micrograms is 85 x 0.5 = 42.5 mcg.
The nurse then needs to divide the dose in micrograms by the concentration of fentanyl in the available solution, which is 50 mcg/mL.
The volume of fentanyl in milliliters is 42.5 / 50 = 0.85 mL.
The nurse should round the answer to the nearest tenth, so the final answer is 0.9 mL.
The nurse should administer 0.9 mL of fentanyl via IV bolus to the client.
Correct Answer is ["150"]
Explanation
To find the answer, we need to divide the total volume of the solution by the total time of infusion. In this case, we have 1,200 mL of solution and 8 hr of infusion time. So, we can use this formula:
Infusion rate (mL/hr) = Volume (mL) / Time (hr)
Plugging in the numbers, we get:
Infusion rate (mL/hr) = 1,200 mL / 8 hr
Simplifying, we get:
Infusion rate (mL/hr) = 150 mL/hr
The nurse should set the IV pump to deliver 150 mL/hr of normal saline.
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