Author Question: Rank the following interventions in the correct sequence for the client diagnosed with gestational ... (Read 27 times)

fagboi · **on:** Jun 28, 2018

Rank the following interventions in the correct sequence for the client diagnosed with gestational trophoblastic disease:

a. IV oxytocin
b. Vacuum aspiration and curettage
c. Evaluation of hCG level every week
d. Lab studies for type, crossmatch, and coagulation

Question 2

What is the value of the main line fluid rate for your client, whose total fluid intake is ordered at 150 mL/hr and who is also being given magnesium sulfate at 1 g/hr (1 g = 25 mL/hr) IV piggyback and pitocin

at 15 mU/min (l mU/min = 1 mL/hr) IV piggyback.
What will be an ideal response?

tandmlomax84 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS:
D, B, A, C
Diagnostic studies to determine client status are completed first, followed by evacuation of the uterus by vacuum aspiration and curettage. Once the uterus is empty, IV oxytocin is given to contract the uterus and control bleeding. Evaluation of hCG levels will be done weekly until no longer detected.

Answer to Question 2

ANS:
110
The rate of infusion of magnesium sulfate (25 mL/hr) and pitocin (15 mL/hr) equals 40 mL/hr. Subtracting the 40 mL from the total ordered of 150 mL leaves 110 mL of main line fluid to be infused per hour.