A nurse is caring for a preschooler who has heart failure and a new prescription for furosemide 4 mg/kg every 8 hr. The child weighs 16 kg (35 lb). Available is furosemide oral solution 40 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A. Induce fatigue with vigorous activities close to bedtime: Engaging in vigorous activities close to bedtime can overstimulate the toddler, making it harder for them to wind down and fall asleep. It’s best to avoid stimulating activities in the hour or so before bedtime.
B. Provide the toddler with a light snack before bedtime: A light snack before bedtime can be helpful, as it may prevent hunger from interfering with sleep. The snack should be something that won't cause discomfort or disrupt digestion, like a small piece of fruit or crackers.
C. Allow the toddler to choose their bedtime: While some level of flexibility can be beneficial, allowing a toddler to choose their bedtime may lead to inconsistency and difficulty establishing a healthy sleep routine. A set bedtime helps toddlers establish good sleep habits.
D. Permit the toddler to watch television in bed to promote sleep: Watching television in bed can be overstimulating and interfere with the toddler’s ability to fall asleep. It’s best to have a calm, quiet environment before bedtime to help the child relax and prepare for sleep.

A. Gently cleanse the surgical site with sterile gauze: direct vigorous cleansing of the palate surgical site with gauze is generally avoided to prevent disruption of sutures. Oral rinses or specific gentle cleaning methods may be prescribed, but direct gauze wiping is usually not recommended.
B. Offer a pacifier with glucose syrup: acifiers and any sucking on objects (including straws, spoons, or toys) are typically contraindicated after cleft palate repair because the sucking motion puts stress on the suture line and can disrupt healing.
C. Apply elbow immobilizers to both arms: Elbow immobilizers prevent the infant from bending their elbows and bringing their hands to their mouth or face, which could disrupt the surgical sutures, cause trauma, or introduce infection to the delicate palate repair.
D. Place the infant in a supine position: A semi-upright position is usually preferred to reduce pressure on the surgical site and prevent aspiration, rather than placing the infant flat on their back.