The provider prescribes the following: Ceftriaxone 1.5g IVPB every 12 hours.

The pharmacy sends up a vial (4g) that needs to be reconstituted with 12mL of sterile water for a final concentration of 2g per 2.5mL.

How many milliliters will be drawn up to add to a 100mL bag of D5W to administer to the client? (Do not use a leading zero, Round to the nearest tenth, Do not use a trailing zero). mL

Choice A rationale

Allowing a new mother to hold her stillborn infant demonstrates the ethical principle of beneficence and respect for autonomy. Beneficence involves acting in the best interest of the client, providing comfort and emotional support during a profound loss. Respect for autonomy allows the mother to make choices regarding her grief process and bonding, acknowledging her inherent right to self-determination even in tragedy.

Choice B rationale

Confirming a signed consent form aligns with the ethical principle of autonomy and fidelity. Autonomy ensures the client's right to self-determination and informed decision-making regarding their healthcare. Fidelity involves upholding professional promises and commitments, which includes ensuring all legal and ethical prerequisites for procedures, like informed consent, are meticulously fulfilled prior to intervention.

Choice C rationale

Refusing to disclose client information to the media exemplifies the ethical principle of confidentiality, which is a facet of fidelity. Confidentiality protects sensitive client data, safeguarding their privacy and fostering trust within the therapeutic relationship. Fidelity mandates honoring commitments to privacy and acting as a trustworthy steward of patient information, even under external pressure.

Choice D rationale

Keeping an appointment with a client directly demonstrates the ethical principle of fidelity. Fidelity refers to the commitment to honor promises and maintain loyalty. By consistently attending scheduled appointments, the nurse upholds their professional obligations and builds trust with the client, demonstrating reliability and dedication to the therapeutic relationship. This action directly reflects trustworthiness.

Step 1 is: Heart rate 120 BPM = 2 points (HR > 100 BPM).

Step 2 is: Strong cry = 2 points (Strong cry/cough).

Step 3 is: Well-flexed = 2 points (Well flexed).

Step 4 is: Reflex-crying = 2 points (Cry/sneeze).

Step 5 is: Body pink; acrocyanosis present in hands and feet = 1 point (Body pink, extremities blue).

Step 6 is: Add up all the points: 2 + 2 + 2 + 2 + 1 = 9.

Answer: 9.