A ten month old infant with acquired immunodeficiency syndrome (AIDS) is admitted with pneumonia in order to receive intravenous antibiotic therapy. In addition to the antibiotics, Dr. Suarez orders all of the following for the infant. Which of these orders should the nurse question?
a. Vital signs with rectal temperature every four hours
b. Flush the intravenous saline lock after meds and p.r.n.
c. Check oxygen saturation (oximetry) every shift and p.r.n.
d. Obtain a CBC (complete blood cell count) with differential
Answer A. This question asks you to identify a physician’s order that would be inappropriate for this client.
Rectal temperatures should never be done on any client who is immuno-compromised.
This order would require clarification.
a. Vital signs with rectal temperature every four hours
b. Flush the intravenous saline lock after meds and p.r.n.
c. Check oxygen saturation (oximetry) every shift and p.r.n.
d. Obtain a CBC (complete blood cell count) with differential
Answer A. This question asks you to identify a physician’s order that would be inappropriate for this client.
Rectal temperatures should never be done on any client who is immuno-compromised.
This order would require clarification.
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Physiological Integrity