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CASE SCENARIO: CHIEF COMPLAINT Cherry, 37 years old, 9 weeks pregnant was admitted due to abdominal pain. She mentioned to her OB-Gyne that she has brownish discharges 2 days ago and she has a vaginal bleeding recently. Upon assessment, the doctor diagnosed her with anembryonic pregnancy. PHYSICAL EXAMINATION Vital signs: PR- 89 bpm, RR- 22 cpm, BP- 100/60 mmHg, Temperature- 38 °C Pain Rating Scale: 7 Ultrasound via transvaginal: empty gestational sac without an embryo DOCTOR’S ORDER Start D5LR 1L at 40 gtts/min Paracetamol 500mg q4h with fever For Dilation & Curettage tomorrow morning NPO before midnight Cytotec 400mg per vaginal 3 hours before operation Monitor vital signs every hour INSTRUCTIONS: Identify one nursing problem and formulate a nursing care plan. Identify three doctor’s order and provide the rationale of each.

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