PHYSICIAN ORDERS IV LR 1000 mL @ 125mL/hr Insert/leave Foley…

PHYSICIAN ORDERS IV LR 1000 mL @ 125mL/hr Insert/leave Foley NPO CT abdomen LLE xray & Consult Ortho T&C 2 units PRBC Cefoxatime 1Gm IVPB now Torodol 30mg IM Q 6 hours   LABS WBC 11,00 Hgb 8.5 Urine SG 1.035 K+ 4.5 Na+149 ABG’s      pH  7.3      Co2  37      HCO3  20   Nurse’s Notes BP 80/38 P 108 R 28   32 y.o. male received status post motor vehicle accident. Non-responsive to verbal or tactile stimuli, PERRLA, Abdomen rigid and distended. Multiple lacerations to bilateral lower extremities, compound fracture of LEFT tibia covered with saline gauze and splinted. The nurse is caring for the above client received in the ED. The type and cross match is completed, and the blood bank is preparing the 2 units of packed cells for transfusion. In preparation for the transfusion, the nurse understands the following nursing intervention must be performed first:

PHYSICIAN ORDERS IV LR 1000 mL @ 125mL/hr Insert/leave Foley…

PHYSICIAN ORDERS IV LR 1000 mL @ 125mL/hr Insert/leave Foley NPO CT abdomen LLE xray & Consult Ortho T&C 2 units PRBC Cefoxatime 1Gm IVPB now Torodol 30mg IM Q 6 hours   LABS WBC 11,00 Hgb 8.5 Urine SG 1.035 K+ 4.5 Na+149 ABG’s      pH  7.3      Co2  37      HCO3  20   Nurse’s Notes BP 80/38 P 108 R 28   32 y.o. male received status post motor vehicle accident. Non-responsive to verbal or tactile stimuli, PERRLA, Abdomen rigid and distended. Multiple lacerations to bilateral lower extremities, compound fracture of LEFT tibia covered with saline gauze and splinted. The nurse is caring for the above client received in the ED. The type and cross match is completed, and the blood bank is preparing the 2 units of packed cells for transfusion. In preparation for the transfusion, the nurse understands the following nursing intervention must be performed first:

Utilizing the following information, what order(s) would the…

Utilizing the following information, what order(s) would the nurse expect? select all that apply Patient History and Physical / Labs Medications Vitals Signs  85 year old patient with a mental status change over the past 8 hours. Family states patient is normally alert and oriented. Patient is now aloof and oriented to person only. Patient complains of nausea.   Hgb 9.2 Hct 32 WBC 7,000 Platelets 144,000 K+ 4.1 Na+ 140 INR 5.1 RBC 3.3 Metoprolol 100mg po daily Warfarin Sodium 2.5mg po hs Vitamin C 500mg po daily EC ASA 81mg po daily Lisinopril 20mg po daily BP 166/86 HR 88 bpm RR 16 per minute O2 sat 96% on room air Temp 99.1 F (oral)

 The nurse is caring for a client who has a severe, chronic,…

 The nurse is caring for a client who has a severe, chronic, incurable condition that occurs in people homozygous for Hb-S.  The nurse understands that the client with this condition is typically asymptomatic except during painful episodes. The nurse understands the factors that can precipitate a crisis include: Select all that apply.