Reference no: EM133694803

Question 

The nurse is caring for an 77-year-old client transferred from the intensive care unit (ICU) to the step down unit. History and Physical Physician's Orders · Remove central venous catheter (CVC). · Insert peripheral IV. . Increase rate of 0.9% NaCl infusion to 200 mL/hr. · Ceftriaxone 1 gram IV every 12 hours. · Obtain 2 sets of blood cultures. · Transfer to intensive care unit (ICU). · Start norepinephrine IV drip at 2 mcg/kg/min. . Vital signs every 5 mins x 1 hour then every 15 mins. · Obtain lactate level every 4 hours until lactate level normalizes. · Initiate oxygen therapy to maintain SpO2 90% or greater. Vital Signs Laboratory Values Orders The nurse notifies the physician of abnormal findings and is provided multiple orders. Which 4 orders does the nurse implement immediately?

1. Obtains 2 sets of blood cultures. 2. Removes the CVC. 3. Starts norepinephrine drip at 2 mcg/kg/min. 4. Inserts peripheral IV. 5. Obtains repeat lactate level. 6. Increases rate of 0.9% NaCl infusion to 200 mL/hr. 7. Applies oxygen at 2L/min per nasal cannula.