A client receives a prescription for cefaclor suspension 325 mg by mouth every 8 hours. The bottle is labeled, "Cefaclor for Oral Suspension, USP 375 mg per 5 mL." How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

A. Address the client to determine his needs: The most appropriate intervention is to calmly approach the resident, assess his orientation, and determine what he needs. Older adults may wander due to confusion, discomfort, or unmet needs such as hunger, toileting, or pain.

B. Administer a nighttime sedative: Sedatives should not be given without a clear medical indication or provider order, as they increase the risk of falls, confusion, and dependency in older adults. Medication is not the first-line approach for managing nighttime wandering.

C. Bring the client to sit in the nursing station: Bringing the resident to the nursing station may offer temporary supervision but does not address the underlying reason for wandering. It may also cause disorientation or agitation if the environment is bright or noisy.

D. Direct the client to go back to bed: Simply instructing the resident to return to bed may be ineffective and distressing if he is confused or restless. A calm, needs-based approach that prioritizes understanding the cause of the behavior is safer and more therapeutic.

A. Document strict intake and output: Monitoring fluid balance is essential after ventriculoperitoneal shunt surgery, as changes in intracranial pressure and fluid status can impact recovery. Accurate recording helps detect complications such as over- or under-drainage.

B. Place in Trendelenburg position: The Trendelenburg position is not recommended post-shunt surgery because it can increase intracranial pressure. Infants are generally positioned flat or with the head slightly elevated to promote optimal CSF drainage and reduce pressure on the surgical site.

C. Monitor body temperature every 4-hours: Regular temperature checks are important for early detection of infection, a common complication after shunt placement. Prompt identification allows timely intervention and prevents sepsis or shunt malfunction.

D. Measure head circumference daily: Daily head measurements help assess for increases in intracranial pressure or shunt malfunction. Tracking changes in head circumference is a critical component of postoperative neurological monitoring in infants.

E. Irrigate shunt and pump valve every 12-hours: Shunt irrigation is not performed by nursing staff; it is a sterile procedure performed only by specialized providers if indicated. Routine pumping or irrigation by the PN is not appropriate and can cause harm.