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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)

A.

Store the medication at room temperature following reconstitution

B.

Use 0.9% sodium chloride solution as a diluent

C.

Discard any remaining medication after 10 days

D.

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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Related Questions

Correct Answer is ["83"]

Explanation

To calculate the manual IV flow rate in drops per minute (gtt/min), you can use the following formula:

Flow rate (gtt/min) = (Volume to be infused in mL / Time in minutes) * Drop factor (gtt/mL)

Given:

  • Volume to be infused = 250 mL
  • Time in minutes = 30 minutes
  • Drop factor = 10 gtt/mL

Now, plug these values into the formula:

Flow rate (gtt/min) = (250 mL / 30 min) * 10 gtt/mL

Flow rate (gtt/min) = (8.33) * 10

Flow rate (gtt/min) ≈ 83.3

Rounded to the nearest whole number, the nurse should set the manual IV flow rate to deliver approximately 83 gtt/min.

Correct Answer is ["300"]

Explanation

  1. Convert tablespoons to milliliters:

    • 1 tablespoon (Tbsp) = 15 mL

  2. Determine the concentration of guaifenesin:

    • The concentration is 100 mg per 5 mL

  3. Calculate the amount of guaifenesin per 1 tablespoon (15 mL):

    • First, find out how many milligrams are in 1 mL:
      • 100 mg / 5 mL = 20 mg/mL
    • Then, multiply by 15 mL:
      • 20 mg/mL × 15 mL = 300 mg

So, the client is taking 300 mg of guaifenesin with each dose.

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