Order: Ampicillin (Principen) 150 mg PO every 6 hours

Available: Ampicillin (Principen) 125mg per 5 ml

How many mL of ampicillin are needed for one dose?

( Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. TYPE THE ANSWER ONLY, no label )

A. Place the client in semi-Fowler’s position:

While the semi-Fowler's position can be helpful in assessing respiratory function, it is not specifically required for measuring the respiratory rate. The key is to ensure the client is comfortable and able to breathe easily.

B. Have the client rest an arm across the abdomen:

Placing the arm across the abdomen is not a standard practice for measuring respiratory rate. The key is to allow the client to breathe naturally, and this position is not necessary for accurate measurement.

C. Observe one full respiratory cycle before counting the rate:

This ensures that the count is accurate and reflective of the client's typical breathing pattern.

D. Count the rate for 30 seconds if it is irregular:

When measuring the respiratory rate, it is generally recommended to count for a full minute to obtain an accurate representation of the client's breathing pattern. Counting for 30 seconds may underestimate or overestimate the rate, especially if the irregularity is not consistent.

E. Count and report any sighs the client demonstrates:

Sighs can be indicative of emotional or physiological stress, and noting them is important for a comprehensive respiratory assessment.

A. Skin fold:

This may not be the best choice in this situation because the skin fold might not provide an accurate reading, especially if the hands are edematous.

B. Toe:

While the toe is a common site for pulse oximetry, in a patient with bilateral lower leg amputations, it might not be the most practical option. The nurse might face challenges in securing the pulse oximeter probe on the toe, and the accuracy of the reading could be affected.

C. Earlobe:

This is often a suitable alternative site for pulse oximetry when peripheral perfusion is compromised in the extremities. In this case, with bilateral lower leg amputations and edematous hands, applying the pulse oximeter probe to the earlobe is a good choice.

D. Finger:

In a patient with edematous hands, the finger might not be the best choice as the edema could affect the accuracy of the measurement. Additionally, if the patient has lower leg amputations, using the earlobe or another alternative site may be more appropriate.