Author Question: The nurse is planning to administer an ertapenem IV to a patient in the intensive care unit. When ... (Read 23 times)

bucstennis@aim.com · **on:** Jul 24, 2018

The nurse is planning to administer an ertapenem IV to a patient in the intensive care unit. When preparing this medication, the nurse will consider reconstituting it with (Select all that apply.)

a. water.
b. bacteriostatic water.
c. 0.9 sodium chloride.
d. 0.45 dextrose.
e. 1 lidocaine.

Question 2

A patient has been receiving home health care and IV antimicrobial therapy for osteomyelitis (infection of the bone) of the lower right leg for the past 4 weeks.

What will the nurse assess to evaluate the effectiveness of the antimicrobial agent? (Select all that apply.)
a. Pain of the right leg
b. Patient temperature
c. Presence of edema, redness, or swelling in the right lower leg
d. Culture and sensitivity parameters at the drug completion
e. Complete blood count (CBC) and sedimentation rate laboratory values

pangili4 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, B, C
Ertapenem for IV use should be reconstituted with water for injection, bacteriostatic water for injection, or 0.9 sodium chloride (normal saline) for injection. Ertapenem should not be reconstituted with dextrose solutions or 1 lidocaine injection.

Answer to Question 2

ANS: A, B, C, E
Ongoing evaluation of treatment effectiveness includes assessing for pain of the affected leg, monitoring the patient's temperature, observing the affected extremity for decreased signs of infection (including reduced swelling, wound discharge, and redness), and monitoring the CBC and sedimentation rate through regular laboratory data. Culture and sensitivity testing should be completed before therapy to determine the most effective drug for therapy.