The nurse is caring for a patient admitted to the emergency department in status epilepticus.Vital signs assessed by the nurse include blood pressure 160/100 mm Hg,heart rate 145 beats/min,respiratory rate 36 breaths/min,oxygen saturation (SpO2) 96% on 100% supplemental oxygen by non-rebreather mask.After establishing an intravenous (IV) line,which order by the physician should the nurse implement first?
A) Obtain stat serum electrolytes.
B) Administer lorazepam (Ativan) .
C) Obtain stat portable chest x-ray.
D) Administer phenytoin (Dilantin) .
Correct Answer:
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