You are a nurse working on a surgical unit and take the following report from the registered nurse in the emergency depa

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You are a nurse working on a surgical unit and take the
following report from the registered nurse in the emergency
department. “We are sending you a Dean Smith, direct admit with
rule out small bowel obstruction. Dr. Now., the gastrointestinal
specialist is on his way in to see the patient. He is a 78-year-old
obese man with complaints of sudden onset of severe abdominal
cramping, distention, and nausea and vomiting; he denies passing of
flatus or stool within the past 12 hours. Past medical history
includes heart failure, hypertension, colon cancer, and ulcerative
colitis. He underwent a partial colectomy with colostomy 16 years
ago. Labs have been drawn, and the results will be sent to
your floor. We started an IV and placed a Salem Sump nasogastric
tube (NGT). His vital signs are 143/76, 82, respirations 26 and
slightly labored, and 101.1° F (38.4° C). He is on his way up.
Do any of these orders seem inappropriate? If so list them
and describe why-
Are any orders missing which you would anticipate being ordered?
Provide rationale.