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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

First, we need to calculate the amount of cefazolin 500 mg in milligrams per milliliter (mg/mL) using the information provided:

Cefazolin concentration after reconstitution = 330 mg/mL Amount of cefazolin needed per dose = 500 mg

Now we can calculate the volume (mL) required for the dose:

Volume (mL) = Amount of cefazolin needed per dose / Cefazolin concentration after reconstitution

Volume (mL) = 500 mg / 330 mg/mL ≈ 1.52 mL

Rounded to the nearest tenth, the nurse should administer approximately 1.5 mL of cefazolin per dose.

Correct Answer is ["2.4"]

Explanation

To calculate the amount of calcitonin the nurse should administer, follow these steps:

Calculate the client's weight in kilograms: Weight in kilograms = Weight in pounds / 2.2 Weight in kilograms = 130 lb / 2.2 = 59.09 kg (rounded to two decimal places)

Calculate the total units of calcitonin needed: Total units = Weight in kilograms × Dose per kilogram Total units = 59.09 kg × 8 units/kg = 472.72 units

Determine the volume (ml) to administer using the concentration of the available calcitonin: Volume (ml) = Total units needed / Concentration (units/ml) Volume (ml) = 472.72 units / 200 units/ml = 2.36 ml

Rounded to the nearest tenth of a milliliter, the nurse should administer 2.4 ml of calcitonin.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

A nurse is preparing to administer calcitonin 8 units/kg IM to a client who weighs 130 lb. Available is calcitonin 200 units/ml. for injection. How many ml. should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.4"]

Explanation

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