A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many ml should the nurse administer with each dose?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A. Cleaning around the stoma with a moisturizing soap is not recommended. Moisturizing soaps can leave a residue that may interfere with the adhesion of the skin barrier. The client should use warm water or a mild, non-moisturizing soap to clean the area.

B. Pressing on the skin barrier for 30 seconds to ensure that it adheres is correct. This technique helps secure the barrier to the skin, creating a good seal and reducing the risk of leaks.

C. Cutting an opening in the skin barrier that is 1/2 inch larger than the stoma is incorrect. The opening should be about 1/8 inch larger than the stoma to ensure a snug fit, which helps protect the surrounding skin from exposure to effluent.

D. Applying a thin layer of talc powder around the stoma before placing the appliance is not appropriate. Powders are typically used to manage irritated skin but should be avoided unless specifically recommended by a healthcare provider. Overuse can interfere with the appliance’s adhesion.

Rationale:

A. Clamping the tube when going for a walk is not recommended because it can cause urine to back up into the bladder.

B. Keeping the drainage bag below the level of the waist is recommended to prevent reflux of urine and reduce the risk of infection.

C. Emptying the drainage bag once a day may not be frequent enough to prevent urinary stasis and infection.

D. Applying antiseptic ointment to the tip of the penis is not recommended because it can cause irritation and discomfort.