Exhibits Based on the current focused assessment, what prescriptions should the practical nurse (PN) ask the health care provider to add? Select all that apply.
Explanation & Rationale
A. Give ibuprofen 400 mg PO every 6 hours PRN for fever The client has a fever of 101.5° F (38.6° C), so administering ibuprofen to manage the fever is appropriate. B. Give 1,000 mL sodium chloride now This prescription is already ordered and being administered, so it does not need to be requested again. C. Discontinue the peripheral IV The client needs IV access for fluid administration and potential medications, so discontinuing the peripheral IV is not appropriate. D. Insert an indwelling urinary catheter There is no indication of urinary retention or need for precise fluid measurement, making this intervention unnecessary at this time. E. Apply cardiac telemetry monitoring Given the client's elevated heart rate and respiratory rate, cardiac telemetry monitoring would help in continuously assessing the client's cardiac status. F. Collect blood to test electrolyte levels Due to the client's symptoms and history of decreased fluid intake, electrolyte imbalance is a concern, and testing electrolyte levels is necessary. G. Prepare to defibrillate the client There is no indication of a cardiac emergency that would require defibrillation. H. Collect blood for a type and screen There is no indication of the need for a blood transfusion, making this intervention unnecessary.