Get Answer: Alfonso Transferred Local Question Guide

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Original Question

Alfonso was transferred to the local emergency department (ED) for continuity of care. Assisted client to the restroom. After ambulating back to the room, the client stated feeling “dizzy” and needed to sit back on the bed. Blood pressure is 100/58, pulse is 110, respiration is 32, and SpO2 is 89% on room air. Fingerstick blood glucose 98. The client reports feeling heart palpitations. Notified nurse practitioner. For each potential order listed, specify if the action is indicated, nonessential, or contraindicated. Each order will have only one descriptor. Indicated Nonessential Contraindicated Intravenous (IV) 0.9% normal saline (NS) infusion at 200 mL/hour Oxygen 2L-4L NC, keep SpO2 above 95% CBC with differential lab test Blood cultures x 2 Chest radiograph Consult surgery for lung biopsy Ambulate to restroom every shift Continuous cardiac monitoring with pulse oximetry Consult respiratory therapy for incentive spirometer use

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