The nurse is caring for a newly admitted patient with uncontrolled nausea and vomiting. The patient has a history of alcoholism and diabetes
After receiving these orders from the health care provider, which order(s) should the nurse question? (Select all that apply.)
a. Administer 10 mg prochlorperazine ma-leate (Compazine), IM every 4 to 6 hours for nausea and vomiting.
b. Administer diphenoxylate atropine (Lo-motil), two tabs, by mouth after first oc-currence of nausea and vomiting.
c. Administer furosemide (Lasix) 40 mg by slow IV push.
d. Monitor the patient's intake and output every 4 hours.
e. Obtain patient's weight every morning and record.
A, B, C
A primary concern in a patient with uncontrolled vomiting includes monitoring hydration status. Intake and output and daily weights are indicators of hydration status and should be assessed. Prochlorperazine maleate (Compazine) should not be given with alcohol intake. Because the pa-tient has a history of alcoholism, it would be best to administer an antiemetic that is not con-traindicated with possible alcohol intake. Diphenoxylate atropine (Lomotil) is an antidiarrheal, not an antiemetic. Lasix is a powerful loop diuretic that would exacerbate the patient's volume depletion.
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