92. A client, who is an 18-year-old primigravida with gestational diabetes, is admitted to a labor and delivery unit at 34 weeks' gestation in preterm labor. Which physician's order for this client should a nurse question?
92. A client, who is an 18-year-old primigravida with gestational diabetes, is admitted to a labor and delivery unit at 34 weeks' gestation in preterm labor. Which physician's order for this client should a nurse question?
. Magnesium sulfate 4 gm IV bolus over 30 minutes.
. Brethine 10 mcg IV.
. Stadol 1 mg IV push every 4 hours as needed for pain.
. Ancef 2 gm IVPB every 6 hours.
Test-Taking Tip
This question is asking for the order that is wrong or inappropriate for this client. Look for the order that is incorrect.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies
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Answer 1 is incorrect because magnesium sulfate 4 gm IV bolus over 30 minutes is an appropriate order for this client for preterm labor. Answer 2 is correct because the correct dosage and route for Brethine is 0.25 mg SQ. Both the dosage and route are wrong for this drug. Answer 3 is incorrect because Stadol 1 mg IV push every 4 hours as needed for pain is an appropriate order. Answer 4 is incorrect because Ancef 2 gm intravenous piggyback (IVPB) every 6 hours is an appropriate order.