The healthcare provider prescribes magnesium sulfate 6 grams IV to be infused over 20 minutes for a client with preterm labor.

The IV bag contains "Magnesium sulfate 20 grams in dextrose 5% in water 500 mL.”. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only.)

Choice A rationale

Benzocaine otic drops are used for pain relief and do not address the root cause of infections. Regular use without medical advice can lead to masking of symptoms and possibly delay appropriate treatment. The focus should be on preventing infections through other methods like vaccinations and avoiding irritants.

Choice B rationale

Scheduling a visit for the pneumococcal vaccine is appropriate as it can help protect against Streptococcus pneumoniae, a common cause of otitis media. Vaccinations are a preventive measure to reduce the frequency and severity of infections in infants and children.

Choice C rationale

Giving the infant the full course of antibiotics is crucial in treating and preventing recurrent infections. Incomplete antibiotic courses can lead to bacterial resistance and recurrence of infections. Caregivers must be educated on the importance of adhering to the prescribed treatment plan.

Choice D rationale

Avoiding smoking inside the house is essential as secondhand smoke is a significant risk factor for otitis media. Smoke can irritate the respiratory system and Eustachian tubes, making infants more susceptible to infections. Caregivers should be advised to maintain a smoke-free environment to protect the child's health.

Choice A rationale

Reporting the findings immediately to the healthcare provider is crucial in this scenario. Intense testicular pain with erythema and swelling can indicate testicular torsion, which is a medical emergency requiring prompt surgical intervention to preserve testicular function. Delays in treatment can result in loss of the affected testicle.

Choice B rationale

Obtaining a swab of secretions from the penis and urethra is not the immediate priority in this situation. While it can be important for diagnosing infections, the acute nature of the symptoms suggests a more urgent condition, such as testicular torsion, which needs immediate attention from a healthcare provider.

Choice C rationale

Providing the adolescent with a urinal for urinary hesitancy does not address the immediate concern of intense pain and significant swelling. The symptoms suggest a possible emergency, and addressing urinary hesitancy can wait until after more urgent conditions are ruled out or treated.

Choice D rationale

Collecting a sterile urine sample for culture and sensitivity is not the immediate priority. While it might be useful for diagnosing infections, the symptoms of intense pain, erythema, and swelling in the testicular area suggest an urgent condition like testicular torsion, which requires immediate evaluation and treatment.