Author Question: A nurse has admitted a patient with hyperemesis gravidarum and is reviewing the physician's orders. ... (Read 104 times)

FButt · **on:** Jun 28, 2018

A nurse has admitted a patient with hyperemesis gravidarum and is reviewing the physician's orders. Which order should the nurse question?

A.
Betamethasone (Celestone) 100 mg IV every 8 hours
B.
Dimenhydrinate (Dramamine) 75 mg rectally every 4-6 hours
C.
Metoclopramide (Reglan) 10 mg IV every 8 hours
D.
Promethazine (Phenergan) 25 mg IV every 4 hours

Question 2

A woman is hospitalized with hyperemesis gravidarum. Which other member of the health-care team should the nurse ensure is involved in this patient's care as a priority?

A.
Chaplain
B.
Diabetic educator
C.
Mental health nurse practitioner
D.
Registered dietician

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

Answer to Question 1

ANS: A
Dimenhydrinate, metoclopramide, promethazine, and pyridoxine are all used to treat nausea and vomiting of pregnancy. Betamethasone is used to decrease the chance of respiratory distress syndrome in premature infants. It is given in 2 doses, 12 hours apart, at a dose of 12 mg.

Answer to Question 2

ANS: D
Although all members of the health-care team have important roles to play and may be needed in the care of this patient, the dietician is the priority. Patients with hyperemesis gravidarum have extreme nausea and vomiting unrelated to other causes. They demonstrate weight loss and measures of starvation such as ketosis. Serious complications arise if the woman cannot maintain her weight despite antiemetics. The dietician will be helpful in assisting the woman to plan appropriate meals and snacks or, if the woman needs enteral or parenteral feedings, in providing nutritional information to guide therapy.