Deck 10: Reconstituting Parenteral Medications From a Powder

Question 1

Use the following label to answer questions 14-18.

A provider orders oxacillin, 25 mg/kg/day, IV, every 8 hours for a child who weighs 4 kg. What volume (mL) of reconstituted oxacillin should be administered per dose? Round to the nearest tenth mL. ___________

Answer 1

1.3 mL

Question 2

A bacteriostatic medication:
1) Kills bacteria
2) Keeps bacteria from being distributed throughout the body
3) Inhibits bacterial reproduction
4) Prevents bacterial infections

Answer 2

3

Question 3

Use the following label to answer questions 14-18.

How long is reconstituted oxacillin stable? _____________________

Answer 3

3 days at room temperature

Question 4

Use the following label to answer questions 9-13.

What is the usual dosage of cefotaxime for a child weighing less than 50 kg? _________

Question 5

Which of the following does not need to be written on the label when a vial is reconstituted?
1) The initials of the person reconstituting the medication
2) The time of reconstitution
3) The time the reconstituted medication was administered to the patient
4) The expiration date and time of the reconstituted medication

Question 6

Use the following label to answer questions 9-13.

What is the final concentration of cefotaxime after reconstitution? __________

Question 7

The nurse just finished preparing a multiple-strength medication and is about to take it to a client's room. What is the most appropriate action before transporting the medication?
1) Label the syringe with the name and dose of the medication.
2) Label the syringe with the client's room number and medication name.
3) Label the syringe with the drug name, amount of diluent added, and medication's final concentration.
4) Label the syringe with the six rights of medication administration.

Question 8

Use the following label to answer questions 9-13.

How long is reconstituted cefotaxime stable? _____________________

Question 9

Use the following label to answer questions 14-18.

What is the usual dosage of oxacillin? ______________________

Question 10

The nurse is preparing to administer a multiple-strength drug to a client on renal dialysis with a fluid restriction. The directions on the label state that each 2.5-mL vial should be reconstituted with 7.5 mL of normal saline and can optionally be added to 50 mL or 100 mL of normal saline for administration. What is the final concentration that the nurse should select to administer this drug to this client?
1) 10 mL
2) 50 mL
3) 60 mL
4) 110 mL

Question 11

A new graduate nurse is reconstituting parenteral medications for administration. Which of the following actions requires intervention from the experienced nurse? Select all that apply.
1) Discarding the remainder of a single-dose vial after drawing up the needed dosage
2) Adding a diluent volume different than one recommended by the manufacturer for a multiple-strength medication
3) Using a previously reconstituted medication from a multiple-dose vial that is past expiration
4) Labeling a multiple-strength medication with the amount of diluent added and final concentration
5) Drawing up a dose from a single-dose vial reconstituted earlier that morning

Question 12

Use the following label to answer questions 9-13.

A provider orders cefotaxime, 100 mg/kg/day, IV, every 6 hours for a child who weighs 5 kg. What volume (mL) of reconstituted cefotaxime should be administered per dose? Round to the nearest tenth mL. ______________

Question 13

Use the following label to answer questions 14-18.

What is the final concentration of oxacillin after reconstitution? __________

Question 14

Why should some powdered medications not be reconstituted until just before administration to the patient?
1) These medications may become inactive or act unpredictably if reconstituted too early.
2) These medications must be semidissolved to be active.
3) It wastes time to prepare a medication too far in advance.
4) The patient must verify the correct reconstitution method.

Question 15

A nurse is preparing to administer an IV medication that has been reconstituted. To prevent undissolved particles of medication from entering the patient's bloodstream, the nurse should:
1) Vigorously shake the vial after reconstituting the medication.
2) Wait at least 2 hours before administering the medication so the particles settle to the bottom of the vial.
3) Send the vial to the pharmacy to be filtered.
4) Use IV tubing that has an inline filter in place.

Question 16

Use the following label to answer questions 14-18.

How much diluent should be added to reconstitute the oxacillin? __________?

Question 17

Use the following label to answer questions 9-13.

How much diluent should be added to reconstitute the cefotaxime? __________

Question 18

A nurse is preparing to reconstitute a medication. Which of these diluents should the nurse use?
1) 0.9% sodium chloride solution
2) The diluent recommended by the manufacturer of the drug
3) Sterile water for injection
4) 5% dextrose solution (D₅W)