A nurse l monitoring an IV for a client who is to receive 120 mL of lactated Ringer's over 1 hr. The drip factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the drip rate is set for how many gtt/min? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

A) "I should position the car seat's retainer clip at the level of my baby's belly button.": This statement is incorrect. The retainer clip of the car seat should be positioned at the level of the baby's armpits, not the belly button. Proper placement of the retainer clip ensures the safety harness fits securely across the baby's chest, reducing the risk of injury during a crash.

B) "I should keep my baby rear-facing in the car seat until she is 2 years old.": This statement is correct and aligns with current guidelines from organizations such as the American Academy of Pediatrics (AAP). Infants and toddlers should remain in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer for rear-facing use. Rear-facing is the safest position for infants and provides the best protection for their developing head, neck, and spine.

C) "I should enable the airbag when my baby is in the front seat of the car.": This statement is incorrect. Infants and young children should never ride in the front seat of a car with an active airbag, as airbags can cause serious injury or death in the event of a collision. Children should always be placed in the back seat, ideally in a rear-facing car seat, to minimize risk.

D) "I should place my baby in the car seat at a 90-degree angle.": This statement is incorrect. A car seat should be installed at a slight recline to ensure that the baby's airway remains open and to prevent their head from falling forward. A 45-degree angle is typically recommended for newborns, although this can vary based on the specific car seat model and the baby's size.

A) Position the client on their left side.
This is the most appropriate action. The client's symptoms (dizziness, racing heart, and paleness) are consistent with supine hypotensive syndrome, which occurs when the pregnant uterus compresses the inferior vena cava while lying on the back, reducing venous return to the heart. Positioning the client on their left side relieves the pressure on the vena cava, restores normal blood flow, and alleviates these symptoms. This is a common intervention during pregnancy to prevent such complications.

B) Check the client's temperature.
While checking the client’s temperature may be necessary if an infection is suspected, the symptoms described are more indicative of supine hypotensive syndrome rather than an infection. Therefore, checking the temperature is not the priority action in this scenario.

C) Instruct the client to take a brisk walk.
Encouraging the client to take a brisk walk is not an appropriate response to the symptoms described. In fact, moving or exerting oneself might worsen dizziness or lead to further complications. The priority is to relieve the pressure on the vena cava by changing the client's position, not by physical activity.

D) Provide the client with a glass of orange juice.
Although providing orange juice might help if the client is experiencing hypoglycemia, there is no indication from the symptoms described that the client has low blood sugar. The client's symptoms are more likely due to positional changes that affect circulation during pregnancy, and the best immediate action is to change the client's position rather than offering food or drink.