A nurse is preparing to administer clindamycin by intermittent IV bolus over 30 minutes to a client who has a staphylococcal infection. Available is 300 mg clindamycin premixed in 50 mL 0.9% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason:

The statement “Provide bedtime rituals” is correct. Establishing a consistent bedtime routine can help toddlers feel more secure and relaxed, which can promote better sleep. Bedtime rituals might include reading a story, singing a lullaby, or having a warm bath before bed. These activities signal to the child that it is time to wind down and prepare for sleep.

Choice B reason:

The statement “Encourage play exercises in the evening” is incorrect. While physical activity is important for overall health, engaging in stimulating play exercises right before bedtime can make it harder for toddlers to settle down and fall asleep. It is better to encourage quiet, calming activities in the evening.

Choice C reason:

The statement “Explain the source of the toddler’s fears” is not the most effective approach for promoting sleep. While addressing fears is important, the explanation alone may not be sufficient to help the toddler feel secure enough to sleep. Providing comfort and reassurance through bedtime rituals is more effective in creating a sense of safety.

Choice D reason:

The statement “Turn off the room light” is partially correct but not the best standalone solution. While a dark environment can promote sleep, some toddlers may feel more secure with a nightlight. The focus should be on creating a calming and comfortable sleep environment, which includes but is not limited to adjusting the lighting.

Choice A reason: The procedure will be cancelled if the urinalysis indicates the presence of red blood cells

This statement is incorrect. The presence of red blood cells in the urine does not necessarily cancel an intravenous pyelogram (IVP). The test is often used to diagnose conditions that might cause blood in the urine, such as kidney stones or tumors. Therefore, this statement does not accurately reflect the procedure’s protocol.

Choice B reason: You will be able to resume your regular diet as soon as the test is complete

This statement is correct. After an IVP, clients can typically resume their regular diet unless otherwise instructed by their healthcare provider. However, this is not the most critical piece of information for the client to understand about the procedure.

Choice C reason: High-frequency sound waves will be used to identify renal system structures

This statement is incorrect. An IVP uses X-rays and a contrast dye to visualize the urinary tract, not high-frequency sound waves. High-frequency sound waves are used in ultrasound imaging, which is a different diagnostic procedure.

Choice D reason: After the procedure, you will be encouraged to drink plenty of fluids

This statement is correct and important. After an IVP, clients are encouraged to drink plenty of fluids to help flush the contrast dye out of their system and reduce the risk of kidney damage. This is a crucial part of post-procedure care and should be emphasized to the client.