The patient on bowel rest has been prescribed 10% dextrose total parenteral nutrition at 50 mL/h, intravenous lipids 3 grams/kg/day, and 10 mg intravenous famotidine every other day. Which information in the patient’s chart prompts the nurse to contact the provider? 

The female patient’s hypertension is controlled with reduced sodium intake and enalapril and has no other health problems. Abdominal weight gain is noted at the patient’s regular checkup and a human chorionic gonadotropin test is positive. Further testing reveals the patient is 32 weeks pregnant. Which assessment is most important for the safety of the fetus in relation to the enalapril?

The patient presents to the emergency department with altered mental status and myoclonic jerking. Although the nurse notes that the patient is flushed and his face is red, his skin and mucous membranes are dry and warm to the touch. The nurse also notes decreased bowel sounds and palpates a distended bladder. Vital signs are significant for a temperature of 39.9°C (103.8°F), heart rate of 122 bpm and a blood pressure of 165/92 mm Hg. The nurse prepares to administer which of the following medications to this patient?