ATI Powdered Medication

A nurse is preparing to administer ampicillin 1.5 g IV bolus. The nurse reconstitutes a vial of ampicillin to yield a final concentration of 30 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50mL

A nurse is preparing to administer clindamycin 450 mg PO. The nurse reconstitutes a container of clindamycin powder to yield a final concentration of 75 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

30mL

Intravenous Administration

delivery of fluids, medications, blood and other substances within or into a vein

Sterile Water

water that is processed to eliminate any organisms

Trade Name

the proprietary name given to a product including medications, by the manufacturing company, used for marketing and name recognition

reconstitute

to restore a dried substance to a fluid form

diluent

a substance, such as water, glycerin or starch, added to another to reduce its potency or thin its consistency

The label on a vial must include:

-dosage strength of the reconstituted medication -date and time of preparation -date and time of expiration -storge method -your initials

A nurse is preparing to administer ceftriaxone 0.5 g IM. The nurse reconstitutes a vial of ceftriaxone to yield a final concentration of 350 mg/mL. 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.)

1.4mL

A nurse is preparing to administer nafcillin 375 mg IM to a school-age child. Available is nafcillin powder for injection 2 g vial. The nurse reconstitutes the powder to yield a final concentration of nafcillin 250 mg/mL. 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.)

1.5mL

A nurse is preparing to administer ziprasidone 12.5 mg IM to an adolescent. The nurse reconstitutes a vial of ziprasidone to yield a final concentration of 20 mg/mL. 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.)

0.6mL

A nurse is preparing to administer ceftriaxone 250 mg IM. The nurse reconstitutes a vial of ceftriaxone to yield a final concentration of 350 mg/mL. 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.)

0.7mL

Common additives used as diluents to reconstitute medications for injections

0.9% sodium chloride 5% dextrose sterile water bacteriostatic water

A nurse is preparing to reconstitute a powdered medication. After gathering supplies, identifying the appropriate diluent, and performing hand hygiene, what steps should the nurse take?

1. cleanse tops of vials with an antiseptic wipe. 2. withdraw diluent 3. inject diluent 4. roll vial 5. aspirate medication dose

A nurse is preparing to administer clindamycin 0.2 g PO. The nurse reconstitutes a container of clindamycin powder to yield a final concentration of 75 mg/5 mL. 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.)

13.3 mL

A nurse is preparing to administer pentamidine 175 mg IM. The nurse reconstitutes a vial of pentamidine to yield a final concentration of 100 mg/mL. 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.)

1.8mL

A nurse is preparing to administer cefaclor 400 mg PO. The nurse reconstitutes a container of cefaclor powder to yield a final concentration of 187 mg/5 mL. 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.)

10.7mL

A nurse is preparing to administer cefazolin 1.5 g IV bolus to a client who has fluid restrictions. The nurse reconstitutes a vial of cefazolin to yield a final concentration of 138 mg/mL. 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.)

10.9mL

Locate the type and amount of diluent to use for a medication on the ______________

Manufacturers Lable

For oral medication reconstitution, you can use __________

tap or bottled water

A nurse is preparing to administer daptomycin 360 mg IV bolus. The nurse reconstitutes a vial of daptomycin to yield a final concentration of 0.5 g/10 mL. 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).

7.2 mL

A nurse is preparing to administer 375 mg of cephalexin PO. The nurse reconstitutes a container of cephalexin powder to yield a final concentration of 0.25 g/5 mL. 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.

7.5mL

A nurse has reconstituted a powdered medication. Which of the following information should the nurse include on the written label? A. Diluent used B. Date of Preparation C. Medication Concentration D. Full name of Preparer E. Time Diluent was added F. Expiration date and Time

B. C. E F.

A nurse is preparing to reconstitute cephalexin for oral administration. Which of the following diluents should the nurse add to the medication? A. 5% dextrose in water B. Bottled Water C. Bacteriostatic Water D. 0.9% sodium chloride

B. Bottled Water

A nurse is preparing to administer oxacillin 375 mg IM. The nurse reconstitutes a vial of oxacillin to yield a final concentration of 250 mg/1.5 mL. 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.)

2.3mL

A nurse is preparing to administer levothyroxine 200 mcg IV bolus. The nurse reconstitutes a vial of levothyroxine to yield a final concentration of 100 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2mL

A nurse is preparing to administer nafcillin 0.5 g IM. The nurse reconstitutes a vial of nafcillin to yield a final concentration of 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2mL

A nurse is preparing to administer levothyroxine 0.3 mg IV bolus. The nurse reconstitutes a vial of levothyroxine to yield a final concentration of 100 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3mL

A nurse is preparing to administer ampicillin 0.75 g IM every 6 hr to a client. The nurse reconstitutes a vial of ampicillin to yield a final concentration of 250 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

3ml

A nurse is preparing to administer amoxicillin 325 mg PO. The nurse reconstitutes a container of amoxicillin powder to yield an oral suspension with a final concentration of 400 mg/5 mL. 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.)

4.1mL

A nurse is preparing to administer hydrocortisone 200 mg intermittent IV bolus. Available is hydrocortisone powder for injection 1 g vial. The nurse reconstitutes the powder to yield a concentration of 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4mL

A nurse is preparing to administer cefazolin 500 mg IV bolus. The nurse reconstitutes a vial of cefazolin to yield a final concentration of 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

5mL

A nurse is preparing to administer fluconazole 200 mg PO. The nurse reconstitutes a container of fluconazole powder for oral suspension to yield a final concentration of 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

5mL

A nurse is preparing to administer oxacillin 500 mg IV bolus. The nurse reconstitutes a vial of oxacillin to yield a final concentration of 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

5mL

A nurse is preparing to administer amoxicillin 775 mg PO. The nurse reconstitutes a container of amoxicillin powder to yield a final concentration of 400 mg/5 mL. 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.

9.7mL

A nurse is preparing to administer nystatin 400,000 units PO. Available is nystatin powder 500,000 units/0.125 tsp. The nurse reconstitutes a container of nystatin to yield a final concentration of 500,000 units/120 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

96mL

Powdered medications

a form of medication preparation used for medications that are unstable if stored in liquid form and must be reconstituted with a sterile diluent just prior to administration

Intramuscular Administration

method of medication administration in which medications are injected directly into a large muscle; deltoid, vastus lateralis, ventrogluteal

Subcutaneous Administration

method of medication administration in which medications are injected into the tissue directly under the dermis

generic name (official names)

the nonproprietary name of a product, including medications, given by the manufacturer

Bacteriostatic Water

water that has been treated to inhibit the growth of bacteria: often used as a diluent when reconstituting powdered medications