19-year-old pregnant woman, Cheif complaint of labor pains. No past…
Question Answered step-by-step 19-year-old pregnant woman, Cheif complaint of labor pains. No past… 19-year-old pregnant woman, Cheif complaint of labor pains. No past medical problems or hospitalizations. As a licensed nurse, you will read through and carry out many physician orders. It is important to understand the reason behind each order. Below are the admission orders for Bellows, Haley. Go through each order and write the rationale. Admission Orders:1. Register a patient in accordance with the protocol and notify provider.2. Vital signs: Temperature every 4 hours; BP and pulse every 30 to 60 minutes.3. Vaginal exam PRN unless the patient is in preterm labor or exhibiting vaginal bleeding.4. Fetal monitoring: May check-in window every hour.5. Scalp electrodes PRN.6. Oxygen at 10 L/min per face mask PRN.7. Activity: May ambulate after reactive strip. Bathroom privileges only.8. Diet: General liquids.9. Labs: Urinalysis, blood typing, and complete blood count10. IV: lactated Ringer’s 500 mL bolus for deceleration of fetal heart tones unless there is Gestational Hypertension.11. IV: lactated Ringer’s 500 mL bolus before the spinal epidural.12. Epidural per anesthesia.13. IV lactated Ringer’s at 125 mL/hr. Give 500 mL bolus now.14. Continuous monitoring.12. Nalbuphine 5 mg IV push every 3 hours PRN for severe labor pain. May repeat in 30 minutes once.13. Straight catheterization for inability to void or distended bladder. Indwelling Foley catheter for cesarean section. Health Science Science Nursing PNVN 1150 Share QuestionEmailCopy link Comments (0)
