A patient is taking acetaminophen (Tylenol) 325 mg, 2 tablets PO every 6 hours. How many grams is the patient receiving in 24 hours?

(Number Only, do not type in gram or g with your answer)

The correct answer is Choice C: Hepatitis B vaccine.

Choice A rationale:

The Hepatitis C vaccine is not currently recommended for routine immunization of newborns. Hepatitis C is primarily transmitted through blood-to-blood contact, and the risk of transmission from mother to newborn is relatively low compared to Hepatitis B.

Choice B rationale:

While Hepatitis A and B vaccines are important for certain populations, including those at higher risk of infection or complications, they are not routinely recommended for all newborns. Hepatitis B vaccination, however, is recommended to be given to all newborns to prevent vertical transmission from mother to child.

Choice C rationale:

Hepatitis B vaccine is now recommended for the immunization of all newborns. This is because vertical transmission of the Hepatitis B virus from mother to child is a significant route of infection. By vaccinating newborns with the Hepatitis B vaccine, the risk of transmission and subsequent development of chronic Hepatitis B infection can be greatly reduced.

Choice D rationale:

Hepatitis A vaccine is not routinely recommended for all newborns. Hepatitis A is typically spread through ingestion of contaminated food or water, and the risk of vertical transmission from mother to newborn is low compared to Hepatitis B.

The correct answer is choice B. Administer supplemental oxygen before and after suctioning.

Choice A rationale:

Expect symptoms of respiratory distress when suctioning. While respiratory distress can occur during and after suctioning, it is not the main nursing consideration. The primary goal is to minimize any potential complications and ensure the child's safety during the procedure, which can be achieved by following appropriate guidelines.

Choice B rationale:

Administer supplemental oxygen before and after suctioning. Correct Answer. Administering supplemental oxygen before and after suctioning is crucial to maintain adequate oxygenation during and after the procedure. Suctioning can temporarily decrease oxygen levels and cause desaturation, especially in a child who has undergone heart surgery. Providing supplemental oxygen helps prevent hypoxia and supports respiratory function.

Choice C rationale:

Perform suctioning at least every hour. Frequent suctioning at least every hour is not a standard nursing practice, especially for a child who has had heart surgery. Suctioning should only be performed as needed based on the child's clinical condition, and excessive suctioning can irritate the airway and lead to complications.

Choice D rationale:

Suction for no longer than 30 seconds at a time. While limiting the duration of suctioning is important to prevent hypoxia and trauma to the airway, the specific duration of 30 seconds is not a universal rule. Suctioning should be performed for the shortest effective duration to minimize the risk of complications, but the optimal time can vary based on the child's condition and the type of suctioning being used.