A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3 days. The patient has dry oral mucous membranes, a blood pressure of 90/56 mm Hg, a pulse of 96 beats per minute, and a temperature of 38.8° C
The primary care NP notes a capillary refill of greater than 3 seconds. The NP should: a. obtain a complete blood count and serum electrolytes.
b. prescribe a rectal antiemetic medication.
c. admit to the hospital for intravenous (IV) rehydration.
d. encourage the patient to take small, frequent sips of Gatorade.
C
If vomiting is not controlled, dehydration may occur. Patients who are dehydrated, as this patient is, must be treated with IV fluids in a hospital or emergency department setting.
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