The physician orders pantoprazole 40mg PO daily for reflux.

The drug is supplied as 20mg tablets.

How many tablets will the nurse administer?

Choice A rationale

Dried beans, including varieties like black beans, pinto beans, and navy beans, are a rich source of plant-based protein. They provide essential amino acids necessary for growth and development in toddlers following a vegetarian diet. Incorporating beans into meals helps meet their protein requirements.

Choice B rationale

Apple slices are primarily a source of carbohydrates, fiber, and some vitamins. They contain very little protein and would not be a significant contributor to increasing the protein intake of a vegetarian toddler.

Choice C rationale

Green peas are a good source of plant-based protein in addition to fiber and vitamins. They offer a higher protein content compared to many other vegetables and can be easily incorporated into a toddler's diet to help meet their protein needs on a vegetarian regimen.

Choice D rationale

Mashed potatoes are mainly a source of carbohydrates in the form of starch. While they provide energy and some nutrients, they are low in protein and not an ideal food choice for increasing dietary protein intake in a vegetarian toddler. .

Choice A rationale

Normoactive bowel sounds are the typical, intermittent gurgling sounds heard during a bowel assessment, indicating normal peristalsis and intestinal activity. The absence of any sounds for 30 seconds suggests a significant reduction or cessation of this activity, which is not consistent with normoactive findings.

Choice B rationale

Hypoactive bowel sounds are characterized by infrequent and faint gurgling sounds, indicating a decrease in intestinal motility. While a pause of 30 seconds without any sounds might precede hypoactive sounds, the complete absence of sounds for this duration is more indicative of a further reduction in bowel activity than simply hypoactivity.

Choice C rationale

Absent bowel sounds are documented when no bowel sounds are heard after listening in each of the four abdominal quadrants for a specified period, typically ranging from 2 to 5 minutes per quadrant. A 30-second period without any sounds in one area is a significant finding that should be documented as absent in that specific quadrant, warranting further assessment.

Choice D rationale

Hyperactive bowel sounds are loud, high-pitched, and frequent gurgling sounds, often described as "borborygmi" or stomach rumbling. These sounds indicate increased intestinal motility, which is the opposite of the finding of no bowel sounds for 30 seconds.