Rank the following interventions in the correct sequence for the client diagnosed with gestational trophoblastic disease:
a. IV oxytocin
b. Vacuum aspiration and curettage
c. Evaluation of hCG level every week
d. Lab studies for type, crossmatch, and coagulation
ANS:
D, B, A, C
Diagnostic studies to determine client status are completed first, followed by evacuation of the uterus by vacuum aspiration and curettage. Once the uterus is empty, IV oxytocin is given to contract the uterus and control bleeding. Evaluation of hCG levels will be done weekly until no longer detected.
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