The physician orders Kefzol 2 g in 100 mL of NS IVPB to infuse over 30 minutes.

Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.

(ROUND TO WHOLE NUMBER: LABEL CORRECTLY TO RECEIVE CREDIT)

Choice A rationale

A normocephalic skull indicates a normal head size and shape, not increased intracranial pressure. Increased intracranial pressure typically manifests with symptoms like headache, altered mental status, and papilledema, and may or may not involve changes in head circumference depending on the patient's age and the chronicity of the pressure increase.

Choice B rationale

"Normocephalic" is a clinical term indicating that the patient's head is of a normal size and shape, appearing symmetrical and proportionally related to the rest of the body. This finding suggests the absence of conditions like microcephaly (abnormally small head) or macrocephaly (abnormally large head), reflecting healthy cranial development and morphology.

Choice C rationale

An abnormally large head is termed macrocephaly, which is distinctly different from normocephalic. Macrocephaly can be indicative of various underlying conditions, including hydrocephalus, genetic disorders, or brain tumors, leading to an enlarged skull circumference that deviates significantly from age and gender norms.

Choice D rationale

An abnormally small head is known as microcephaly, which is the opposite of normocephalic. Microcephaly is often associated with impaired brain development and can result from genetic factors, infections during pregnancy, or other congenital conditions, leading to a head circumference significantly below the expected range. .

Choice A rationale

The posterior tibial pulse is located in the groove between the medial malleolus (inner ankle bone) and the Achilles tendon. Palpating this pulse requires a gentle but firm touch to identify the arterial pulsations. It is a common site for assessing peripheral circulation and is essential for evaluating lower extremity perfusion.

Choice B rationale

The inguinal area is the anatomical region of the groin, where the femoral pulse is located. The femoral pulse is palpable just below the inguinal ligament, midway between the anterior superior iliac spine and the pubic symphysis. This is a central pulse site, distinct from the posterior tibial pulse.

Choice C rationale

The top of the foot is where the dorsalis pedis pulse is located. This pulse is found lateral to the extensor hallucis longus tendon, over the metatarsal bones. It is another important site for assessing lower extremity perfusion but is different from the posterior tibial pulse.

Choice D rationale

Behind the knee is the location for palpating the popliteal pulse. This pulse is more difficult to assess due to its deep location within the popliteal fossa. It requires the patient's knee to be slightly flexed to relax the muscles and facilitate palpation.