Question: Four Days Later, Celia Lighfooot Is Taken To The Emergency Room By Her Roommate. The Roommate States That Celia Was ‘fine’ Until This Morning When Celia Seemed Very Drowsy And Seemed To Be Breathing Heavily So She Brought Her To The Hospital. Ms. Lightfoot’s Blood Glucose 595mg/dL. VS: BP 102/56, Heart Rate 118, Resp 31 & Deep. She Was Admitted To The …

Four days later, Celia Lighfooot is taken to the Emergency Room by her roommate. The roommate states that Celia was ‘fine’ until this morning when Celia seemed very drowsy and seemed to be breathing heavily so she brought her to the hospital. Ms. Lightfoot’s blood glucose 595mg/dL. VS: BP 102/56, Heart Rate 118, Resp 31 & Deep. She was admitted to the hospital with the following physician’s orders: MD Orders Indicate the reason for the orders and describe the nursing response 0² via Nasal cannula @ 2 liters 1 2 20 gauge Saline Lock, 1 liter D5W q8 hrs. 3 1800 Calorie CHO controlled diet 4 10 units NPH & 10 units Regular insulin, subq, now 5 Lab: Chem panel, CBC with diff, blood cultures x 2 sites, clean catch urine for UA & C&S, ketones & osmolality; ABGs on room air Acetaminophen 650mg PO prn Temp > 101° F VS 9 2 hours 6 8 9 Ambulate QID 10 Urinary output q hr 11 Lasix 10mg IVP for UO of less than 30ml/hr. Prioritize the MD Orders What nursing actions are important to include in the plan of care? List at least 4 with rationales. 1 2 3 4