A toddler is admitted to the surgical unit for a planned closure of a temporary colostomy. Which medical prescription should the nurse question?
1. Clear liquids today. NPO tomorrow
2. Type and cross-match for 1 unit of packed red blood cells.
3. Rectal temperatures every 4 hours
4. Start an intravenous line with D5NS at 20 mL per hour.
3
Explanation:
1. This is appropriate in anticipation of surgery.
2. Although not always required during surgery, this would not be inappropriate planning for the surgical procedure.
3. Rectal temperatures are avoided due to the fragile state of the rectum.
4. An IV is appropriate for surgical access.
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