A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

A. "HIPAA is a federal law, not a state law": This statement is correct. HIPAA, the Health Insurance Portability and Accountability Act, is a federal law enacted in 1996 to protect the privacy and security of individually identifiable health information. It applies nationwide and sets national standards for the protection of health information.
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form": This statement is accurate. HIPAA regulations govern the privacy and security of protected health information (PHI) in various forms, including verbal, electronic, and written formats. The regulations apply to covered entities such as healthcare providers, health plans, and healthcare clearinghouses.
C. "Information about a client can be disclosed to family members at any time": This statement is incorrect. HIPAA regulations restrict the disclosure of protected health information (PHI) to third parties, including family members, without the patient's authorization, except in certain circumstances outlined in the law. While there are provisions for sharing PHI with family members involved in the patient's care, such disclosures typically require the patient's consent or may be permitted under specific exceptions, such as in emergency situations or when the patient is incapacitated.
D. "A client's address would be an example of personally identifiable information": This statement is accurate. Personally identifiable information (PII) under HIPAA includes any information that can be used to identify an individual, directly or indirectly, including names, addresses, dates of birth, social security numbers, and other demographic data. Therefore, a client's address would indeed be considered personally identifiable information under HIPAA.

A. Stop the enema and document that the client did not tolerate the procedure:
This option may be appropriate if the client's discomfort is severe or if there are signs of distress. However, abdominal cramps are a common sensation during the administration of an enema, especially if the bowel is distended or constipated. Therefore, stopping the procedure may not be necessary at this point.
B. Encourage the client to bear down:
Bearing down might help the client expel the enema solution and relieve some discomfort. However, if the client is already experiencing abdominal cramps, bearing down could exacerbate the discomfort and is not likely to provide immediate relief.
C. Lower the height of the solution container:
This is the correct action to take. Lowering the height of the solution container reduces the flow rate of the enema solution, which can help alleviate abdominal cramps by slowing the rate of distension of the bowel. Slowing the infusion rate allows the client's colon to accommodate to the enema more comfortably.
D. Allow the client to expel some fluid before continuing:
Allowing the client to expel some fluid before continuing may provide some relief, but it does not directly address the cause of the discomfort. Lowering the height of the solution container is a more appropriate action to address the discomfort caused by abdominal cramps during the administration of the enema.