Final answer:
The nurse should clarify the order to perform a vaginal exam for a client with placenta previa, as it could exacerbate bleeding and is contraindicated in such cases. Other interventions such as inserting an IV catheter, providing continuous external fetal monitoring, and obtaining lab samples are appropriate. The correct option is b.
Step-by-step explanation:
The question asks which orders the nurse should clarify with the provider for a client who is at 33 weeks gestation with placenta previa and bleeding.
In the case of a client with placenta previa:
Inserting a large-bore IV catheter may be necessary for rapid administration of fluids or blood products due to bleeding.
Performing a vaginal exam is contraindicated as it can cause further bleeding.
Continuous external fetal monitoring is required to assess fetal wellbeing due to the risk of bleeding and potential compromise.
Obtaining a blood sample for lab testing is critical to evaluating the client's hemoglobin, hematocrit, and blood type in case a transfusion is necessary.
The nurse should clarify the order to perform a vaginal exam due to the increased risk of hemorrhage associated with placenta previa. Option b. is the correct one.