A 55-year-old female client presents to urgent care

A 55-year-old female client presents to urgent care. She has been experiencing large amounts of vaginal bleeding with clots in the last 2 weeks, fatigue, weakness, dizziness when changing position, and increased heart rate. The client denies pain. She has been having symptoms of hot flashes and night sweats for a year. She was prescribed the estradiol patch for hormone replacement therapy. Surgical history includes a tonsillectomy at age 8, a fractured left arm at age 10, and two Caesarean childbirths. The nurse monitors the client’s vital signs and reviews the lab results and the provider notes. 0945: Review of home medication of estradiol patch noted. Both estrogen and progesterone replacement therapy should have been prescribed since client still has an intact uterus. Review of lab work of decreased HGB, HCT, and iron levels indicates anemia from blood loss due to vaginal bleeding (from uterine lining shedding secondary to estrogen replacement therapy only when uterus is intact). Which orders would the nurse anticipate for this client? Select all that apply. Institute bleeding precautions. Use fall risk precautions. Record strict intake and output. Give nothing by mouth. Obtain type and crossmatch blood. Schedule gynecology consult as soon as possible. Start peripheral IV (intravenous) with normal saline 0.9% 1000 mL bag at rate of 125 mL/hour. Assess vital signs every 4 hours and as needed. Admit to acute care facility as soon as bed available. Administer O2 per nasal cannula to keep O2 saturation > 94%.