A nurse is preparing to administer ciprofloxacin 400 mg by intermittent IV infusion to a client over 60 min. Available is ciprofloxacin 400 mg in dextrose 5% in water (DSW) 200 mL. The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Rationale:

A. Omeprazole: Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and prevent gastrointestinal irritation, especially in clients taking NSAIDs. It does not interfere with tissue regeneration, collagen formation, or immune responses involved in wound healing. It does not raise concern for impaired postoperative recovery.

B. Prednisone: Prednisone is a corticosteroid that suppresses inflammation and decreases immune system activity, which can impair the normal healing process. It slows collagen synthesis, reduces fibroblast activity, and decreases the inflammatory response needed for effective tissue repair. Clients taking prednisone are at increased risk for delayed wound healing.

C. Digesin: Digesin is an enzyme-based digestive aid used to support gastrointestinal function and has no impact on tissue repair or immune function. It does not influence collagen production, vascularization, or cellular regeneration. Therefore, it does not contribute to postoperative wound healing complications.

D. Morphine: Morphine is an opioid analgesic used for postoperative pain management and does not interfere with the physiologic processes involved in wound healing. Adequate pain control may actually improve recovery by reducing stress responses, enhancing mobility, and promoting better respiratory effort. It does not delay wound tissue repair.

Rationale:

A. Banana slices: Soft, manageable, and cut into small pieces, banana slices are safe for a toddler to pick up and self-feed. They promote fine motor skill development and independence while minimizing the risk of choking.

B. Popcorn: Popcorn is a choking hazard for toddlers because it is small, hard, and easily inhaled. It is unsafe for children under 4 years and should be avoided when promoting independent eating.

C. Grapes: Whole grapes are also a significant choking risk. If given, they must be cut into small, manageable pieces, so serving them whole does not support safe independent eating.

D. Hot dog: Whole hot dogs are cylindrical and firm, posing a high choking risk for toddlers. Even when sliced lengthwise or chopped, supervision is required, and they are less suitable for promoting safe self-feeding compared to soft fruits like banana slices.