The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?
5 mL
7 mL
10 mL
14 mL
The Correct Answer is B
Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.
Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.
Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.
Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Therapeutic effects define expected outcomes; knowing these (e.g., pain relief) lets the nurse assess if the drug meets its clinical goal effectively.
Choice B reason: Chemical composition informs structure, not outcome; it’s irrelevant to evaluating if the drug achieves its intended physiological effect directly.
Choice C reason: Mechanism explains how drugs work; it’s useful but secondary to knowing the actual therapeutic result needed for outcome assessment.
Choice D reason: Side effects monitor safety, not efficacy; they don’t directly measure if the drug achieves its primary therapeutic purpose as intended.
Correct Answer is A
Explanation
Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.
Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.
Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.
Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.
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