Question 1

Why should some powdered medications not be reconstituted until just before administration to the patient?

Accepted Answer

A)  These medications may become inactive or act unpredictably if reconstituted too early. 
B)  These medications must be semidissolved to be active. 
C)  It wastes time to prepare a medication too far in advance. 
D)  The patient must verify the correct reconstitution method. A

Question 2

Use the following label to answer questions
 
-What is the usual dosage of cefotaxime for a child weighing less than 50 kg? _________

Accepted Answer

100 to 200 mg/kg/day in divided doses every 6 to 8 hours

Question 3

Which of the following does not need to be written on the label when a vial is reconstituted?

Accepted Answer

A)  The initials of the person reconstituting the medication 
B)  The time of reconstitution 
C)  The time the reconstituted medication was administered to the patient 
D)  The expiration date and time of the reconstituted medication C

Question 4

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:

Accepted Answer

A)  Vigorously shake the vial after reconstituting the medication. 
B)  Wait at least 2 hours before administering the medication so the particles settle to the bottom of the vial. 
C)  Send the vial to the pharmacy to be filtered. 
D)  Use IV tubing that has an inline filter in place.

Question 5

Use the following label to answer questions
 
-How long is reconstituted cefotaxime stable? _____________________

Accepted Answer

The answer of Use the following label to answer questions
...

Question 6

Use the following label to answer questions
 
-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. ______________

Accepted Answer

The answer of Use the following label to answer questions
...

Question 7

A bacteriostatic medication:

Accepted Answer

A)  Kills bacteria 
B)  Keeps bacteria from being distributed throughout the body 
C)  Inhibits bacterial reproduction 
D)  Prevents bacterial infections

Question 8

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?

Accepted Answer

A)  Label the syringe with the name and dose of the medication. 
B)  Label the syringe with the client's room number and medication name. 
C)  Label the syringe with the drug name, amount of diluent added, and medication's final concentration. 
D)  Label the syringe with the six rights of medication administration.

Question 9

Use the following label to answer questions
 
-What is the final concentration of cefotaxime after reconstitution? __________

Accepted Answer

The answer of Use the following label to answer questions
...

Question 10

Use the following label to answer questions 
 
-How much diluent should be added to reconstitute the oxacillin? __________?

Accepted Answer

The answer of Use the following label to answer questions...

Question 11

Use the following label to answer questions 
 
-What is the final concentration of oxacillin after reconstitution? __________

Accepted Answer

The answer of Use the following label to answer questions...

Question 12

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?

Accepted Answer

A)  10 mL 
B)  50 mL 
C)  60 mL 
D)  110 mL

Question 13

Use the following label to answer questions 
 
-How long is reconstituted oxacillin stable? _____________________

Accepted Answer

The answer of Use the following label to answer questions...

Question 14

Use the following label to answer questions 
 
-What is the usual dosage of oxacillin? ______________________

Accepted Answer

The answer of Use the following label to answer questions...

Question 15

Use the following label to answer questions 
 
-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. ___________

Accepted Answer

The answer of Use the following label to answer questions...

Question 16

A nurse is preparing to reconstitute a medication. Which of these diluents should the nurse use?

Accepted Answer

A)  0.9% sodium chloride solution 
B)  The diluent recommended by the manufacturer of the drug 
C)  Sterile water for injection 
D)  5% dextrose solution (D5W)

Question 17

Use the following label to answer questions
 
-How much diluent should be added to reconstitute the cefotaxime? __________

Accepted Answer

The answer of Use the following label to answer questions
...

Question 18

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.

Accepted Answer

A)  Discarding the remainder of a single-dose vial after drawing up the needed dosage 
B)  Adding a diluent volume different than one recommended by the manufacturer for a multiple-strength medication 
C)  Using a previously reconstituted medication from a multiple-dose vial that is past expiration 
D)  Labeling a multiple-strength medication with the amount of diluent added and final concentration 
E)  Drawing up a dose from a single-dose vial reconstituted earlier that morning

Exam 10: Reconstituting Parenteral Medications From a Powder

Why should some powdered medications not be reconstituted until just before administration to the patient?

Use the following label to answer questions -What is the usual dosage of cefotaxime for a child weighing less than 50 kg? _________

Which of the following does not need to be written on the label when a vial is reconstituted?

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:

Use the following label to answer questions -How long is reconstituted cefotaxime stable? _____________________

Use the following label to answer questions -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. ______________

A bacteriostatic medication:

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?

Use the following label to answer questions -What is the final concentration of cefotaxime after reconstitution? __________

Use the following label to answer questions -How much diluent should be added to reconstitute the oxacillin? __________?

Use the following label to answer questions -What is the final concentration of oxacillin after reconstitution? __________

Use the following label to answer questions -How long is reconstituted oxacillin stable? _____________________

Use the following label to answer questions -What is the usual dosage of oxacillin? ______________________

Use the following label to answer questions -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. ___________

A nurse is preparing to reconstitute a medication. Which of these diluents should the nurse use?

Use the following label to answer questions -How much diluent should be added to reconstitute the cefotaxime? __________

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.