The nurse is caring for a patient who was just admitted to rule out ectopic pregnancy. Which orders are the most important for the nurse to perform? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Assess the patient's temperature.
2. Document the time of the patient's last meal.
3. Obtain urine for urinalysis and culture.
4. Report complaints of dizziness or weakness.
5. Have lab draw blood for B-hCG level every 48 hours.
4,5
Rationale 1: This is important, but not the most important to perform first.
Rationale 2: This is not an important action.
Rationale 3: This is not an important action.
Rationale 4: This is important, as it can indicate hypovolemia from internal bleeding.
Rationale 5: This is important, as the level rises much more slowly in ectopic pregnancy than normal pregnancy.
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