The nurse is providing care for the client. A nurse

The nurse is providing care for the client. A nurse is reviewing the client’s electronic medical record (EMR) and the provider’s prescriptions. Which of the following actions should the nurse take? Exhibit 1 Exhibit 2 Exhibit 3 Ex Select the 3 actions that the nurse should take. History and Physical o o . Client admitted to the medical-surgical unit with severe, acute abdominal pain, abdominal Give detailed explanation of the operative procedure. distention, diarrhea, mucus and small amount Ensure that the client has provided informed consent. of blood in the stool, and a 12% weight loss Administer gentamicin 100 mg IV. over the past 2 months. Client’s weight 2 months ago was 100.3 kg Check for shellfish allergy. (221.1 1b). Client has a history of Crohn’s Administer client’s PO medication with a sip of water. disease and a seizure disorder that is managed Provide the client with high-flow supplemental oxygen. with diet and medication. Shave the client’s abdominal and pelvic area. Respirations are equal and unlabored. S,S2 heart tones auscultated. Abdominal assessment performed with muscle guarding and tenderness in the right lower quadrant noted on palpation. Abdomen is firm and rigid upon examination. Abdominal pain rated as an 8 on a scale of 0 to 10. Client states that pain is constant and localized in the lower right abdominal quadrant. Reports anorexia. Hypoactive bowel sounds noted upon auscultation.

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