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Review the client’s chief complaint on Dr. Darbonne’s intake assessment, found on the Notes tab of the EHR. Identify the health care provider’s orders the nurse should anticipate in the care of the client. Include your rationale. Order Anticipated Not Anticipated Rationale Vital signs upon admission and every 4 hours Anticpated Vital signs are fundamental in any clinical assessment. They EHR Go Knowledge Activity: Bipolar Disorder N25.01 1 Archetype Innovations LLC ©2023 provide essential information about the body’s basic functions and are often the first indication of a medical problem. Monitoring vital signs upon admission gives a baseline for future comparisons. Checking them every 4 hours allows for close monitoring of the patient’s condition and early detection of any changes or complications. Activity: Bed rest Diet: Clear liquids Environmental safety checks at during rounds, shift change, and bedtime CBC with differential, UA, thyroid panel, CMP, drug and toxicity screen ECG CIWA protocol Admit to medical/surgical unit Multivitamin, 1 tab PO daily olanzapine 10 mg IM now. May repeat x1 in 2 hours, then 4 hours later.
SCIENCE
HEALTH SCIENCE
NURSING
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