Determine the flow rate in mL per hour for the following IV being administered by infusion pump: Ampicillin 1.5g in 100 mL 0.9% NS over 45 minutes: Round to the whole number.

Choice A reason: Jaundice is a common finding in cirrhosis due to impaired liver function, which leads to the accumulation of bilirubin in the blood. This causes the skin and the whites of the eyes to turn yellow.
Choice B reason: Spider angiomas are dilated blood vessels that appear on the skin and are often seen in patients with cirrhosis. They are caused by increased estrogen levels due to impaired liver function.
Choice C reason: Lethargy is a symptom of cirrhosis as the liver's ability to detoxify the blood is compromised, leading to fatigue and weakness.
Choice D reason: An apical pulse regular with S1, S2 is not specifically associated with cirrhosis. While it may be a normal finding, it does not indicate the presence of cirrhosis.
Choice E reason: Abdomen moderately distended is consistent with cirrhosis due to the accumulation of fluid in the abdominal cavity (ascites), which is a common complication of advanced liver disease.
Choice F reason: Dark amber urine is a sign of cirrhosis as the liver's ability to process bilirubin is impaired, leading to the excretion of conjugated bilirubin in the urine, which gives it a dark color.
Choice G reason: Peripheral pulses are palpable is not specifically associated with cirrhosis. While it may be a normal finding, it does not indicate the presence of cirrhosis.
Choice H reason: 3+ pitting edema is consistent with cirrhosis due to the retention of sodium and water, leading to swelling in the lower extremities.

Choice A reason: Taking a daily multivitamin with iron is important for overall health, but it is not specifically related to preventing sickle cell crises. While maintaining proper nutrition is essential, it does not directly address the triggers or management of sickle cell crises.
Choice B reason: Restricting fluids to 2 liters per day is not appropriate for patients with sickle cell disease. In fact, maintaining adequate hydration is crucial to prevent sickling of red blood cells and reduce the risk of a sickle cell crisis. Restricting fluids could lead to dehydration, which can exacerbate the condition.
Choice C reason: Limiting exposure to crowds is an important instruction for patients with sickle cell disease. Crowded environments can increase the risk of infections, which can trigger a sickle cell crisis. By avoiding crowded places, patients can reduce their exposure to potential infections and help prevent crises.
Choice D reason: While avoiding caffeinated beverages is generally good advice for overall health, it is not specifically related to preventing sickle cell crises. Caffeine can cause dehydration, but the primary focus for preventing crises is maintaining proper hydration and avoiding infections.