The nurse is reviewing the information from a patient who is 22 weeks pregnant. For which physician order should the nurse request clarification before implementing it? $$\begin{array} { | l | l | }
\hline \text { Diagnostic tests } & \text { Results } \
\hline \text { Temperature } & 100.2 ^ { \circ } \mathrm { F } \
\hline \text { Apical heart rate } & 112 \mathrm { bpm } \
\hline \text { Respiratory rate } & 28 \text { breaths per minute } \
\hline \text { Pulmonary angiography } & \text { Emboli detected in pulmonary vasculature } \
\hline \text { Chest x-ray } & \text { Pleural effusion } \
\hline \text { Plasma D-dimer level } & \text { Elevated }\
\hline
\end{array}$$

Question

The nurse is reviewing the information from a patient who is 22 weeks pregnant. For which physician order should the nurse request clarification before implementing it? $$\begin{array} { | l | l | } 
\hline \text { Diagnostic tests } & \text { Results } \
\hline \text { Temperature } & 100.2 ^ { \circ } \mathrm { F } \
\hline \text { Apical heart rate } & 112 \mathrm { bpm } \
\hline \text { Respiratory rate } & 28 \text { breaths per minute } \
\hline \text { Pulmonary angiography } & \text { Emboli detected in pulmonary vasculature } \
\hline \text { Chest x-ray } & \text { Pleural effusion } \
\hline \text { Plasma D-dimer level } & \text { Elevated }\
\hline
\end{array}$$

Quizplus · Accepted Answer

The physician order that requires clarification before implementation is administering urokinase. Urokinase is a thrombolytic medication used to dissolve blood clots but is not recommended during pregnancy due to the high risk of complications such as bleeding. The nurse should clarify the order with the physician and discuss alternative medications for treating pulmonary emboli in pregnancy. The other options, administering oxygen to maintain oxygen saturation, assessing arterial blood gases, and administering heparin, are all appropriate and standard interventions for treating pulmonary embolism in pregnancy.

The Nurse Is Reviewing the Information from a Patient Who