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Discussion

HELP! Please i need help with these orders

Hello everyone I'm in my last week of nursing school and my teacher gave us a take home test that's worth 30% of our grade and we have to pass it to graduate so here it is:

Mr.miller is received on your floor from the recovery room. Refer to the physicians order sheet for the following questions. Show your work where applicable.

Physicians orders:

06/15/11 time: 1600

Diagnosis: s/p total hip replacement

Weight: 197lb height: 6'2"

1. Diet npo till fully awake, then clear liquids

2. Activity: bedrest, log roll side-back-side q2h

3. Vital signs q4h

4. Overhead frame trapeze

5. Abductor pillow while in bed

6. Incentive spirometer q1h while awak

7. I&o q8h

8. Hemovacs to own reservoirs, record output q1h x 6, then q6h

9. I+o catheterization q.shift prn inability to void

10. Heparin 5000 units sub-q bid

11. Torecan 10mg Im q.4h prn pain

12. Mylanta 30 ml po prn indigestion

13. Restoril 15mg po at bedtime prn insomnia

14. Tylenol codeine po 2 tabs q.4h prn pain

15. Morphine pca 10mg Iv q10min to maximum 250mg/q4h

16. Dulcolax supp. 1 per rectum q.shift prn constipation

17. Labs: CBC q.day x 3

18. Call orders: hemovac output >500ml/shift

Urinary output

Temp > 38.5 c

Hgb

Sbp>160

Dbp>90

19. Ivf: d5 NS 50ml/h

Cefuroxime 1g IVPB q.8h

That's all I have on the sheet I was given and I'm supposed to transfer this to a mar

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    • Featured Replies

    Just so you are aware -- the image you posted is not showing up. Your post has no content.

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    • Author

    thanks I know I just had to type it in by hand

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    • Expert

    I am curious is your take home test allowed to be a collaborative effort? Many schools and instructors visit this site...while AN is anonymous it is open to the public to view.

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    Not sure I understand the question. Do you know what a MAR is? Who uses it? For what purpose? What would those people need to know? Is all that information in the order sheet you copied here? What is unclear/confusing to you?

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    What are you asking us to do here?

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    MAR is medication administration report. That's simply what meds to give and when. Is that really all that is being asked? Asking for some help is okay but I agree with other posters that this should be really done on your own :whistling:

    Good luck!

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    What are you asking us to do here?

    Her test for her so she can graduate and hand off her work to all her co-workers.

    Posting from my phone, ease forgive my fat thumbs! :)

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    16. Dulcolax supp. 1 per rectum q.shift prn constipation

    He has more than one rectum?!?

    Posting from my phone, ease forgive my fat thumbs! :)

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    I've seen it written that way (per rectum) on my MAR at work. Although it does read like one for each rectum hahha.

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    I think the OP has left the building.

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    I think the OP has left the building.

    Probably. I have a hard time thinking they would not know how to make a simple MAR at the end of the nursing program :blink:

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    I would be embarrassed to even post something like that. Not trying to be disrespectful of the OP, but needing someone to show her how to do this a week before graduation? I sincerely hope she figured it out on her own.

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