The order is Ampicillin 1.5 grams added to 100mL of Normal Saline, infuse over 120 minutes. Drop Factor is 60gtt/mL. Available from pharmacy is Ampicillin 500mg in 10mL vial. Calculate the flow rate in gtt/min in which the IV fluid is to flow.

Choice A rationale:
Secondary prevention focuses on early detection and treatment of diseases or conditions to prevent complications or progression. It does not involve education about health promotion activities like exercise.
Examples of secondary prevention include:
Screening for cancer (e.g., mammograms, colonoscopies)
Regular blood pressure checks
Immunizations
Taking medications to manage chronic conditions (e.g., diabetes, hypertension)
Choice B rationale:
Restorative care aims to restore function and quality of life after an illness or injury. It does not encompass health education strategies like the nurse's action in this scenario.
Examples of restorative care include:
Physical therapy
Occupational therapy
Speech therapy
Rehabilitation programs
Choice C rationale:

Tertiary prevention focuses on managing existing diseases or conditions to prevent further complications and improve quality of life. It's not applicable to this scenario as no disease or condition is being managed.
Examples of tertiary prevention include:
Cardiac rehabilitation after a heart attack
Diabetes management education
Pulmonary rehabilitation for chronic lung disease
Choice D rationale:
Primary prevention targets preventing diseases or conditions from occurring in the first place. It often involves education and lifestyle changes to promote health and wellness.
The nurse's action of educating adolescents about physical exercise aligns with primary prevention. Exercise has proven benefits in:
Reducing the risk of chronic diseases like obesity, heart disease, stroke, type 2 diabetes, and some types of cancer Improving mental health and well-being
Promoting bone and muscle health
Enhancing sleep quality
Reducing stress levels
Therefore, the nurse's activity of educating adolescents about exercise represents primary prevention.

Choice A rationale:

Brown or black urine is not a typical observation associated with Levodopa use. It can indicate other potential causes, such as: Dehydration

Liver disease

Rhabdomyolysis (muscle breakdown)

Certain medications like metronidazole or iron supplements

Hematuria (blood in the urine)

It's essential to rule out these conditions if brown or black urine is observed.

Choice C rationale:

Green or blue-green urine is also not common with Levodopa. It can be caused by:

Medications like amitriptyline, indomethacin, propofol, or methylene blue

Certain food dyes

Urinary tract infections caused by Pseudomonas bacteria

Familial benign hypercalcemia (a rare genetic condition)

Choice D rationale:

Blood-tinged urine (hematuria) is not a direct effect of Levodopa. It can signal underlying urinary tract issues, such as: Infections

Kidney stones

Bladder or kidney tumors

Trauma to the urinary tract

Strenuous exercise

Choice B rationale:

Orange or orange-red urine is the most common observation in patients taking Levodopa. This discoloration is due to: Breakdown of Levodopa into dopamine and other metabolites

These metabolites can impart an orange or reddish hue to the urine

The color intensity may vary depending on dosage and individual metabolism

It's generally harmless and doesn't require medical intervention

However, it's essential to inform healthcare providers about any urine color changes to ensure proper monitoring and rule out other potential causes.