MED SURG HESI 2024-2025 ACTUAL EXAM WITH 100 QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES/ LATEST MEDICAL SURGICAL HESI ACTUAL EXAM (BRAND NEW!!)
In preparing to administer intravenous albumin to a client following surgery,
which are the priority nursing interventions? (Select all that apply.)
Set the infusion pump to infuse the albumin within four hours. Correct
Compare the client's blood type with the label on the albumin.
Assign a UAP to monitor blood pressure q15 minutes.
Administer through a large gauge catheter. Correct
Monitor hemoglobin and hematocrit levels. Correct
Assess for increased bleeding after administration. Correct
Albumin should be infused within four hours because it does not contain any
preservatives. Any fluid remaining after four hours should be discarded. A large
gauge catheter allows for fast infusion rate, which may be necessary. Hemodilution
may decrease hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and
HCT levels should be monitored while monitoring for bleeding because of the
increased blood volume and blood pressure.
A client who has heart failure is admitted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most important for the nurse to
implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Correct
Arrange a consultation with the dietician.
Teach about the side effects of diuretics.
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes in
myocardial irritability and ECG waveform, so it is most important for the nurse to
initiate continuous cardiac monitoring to identify ventricular ectopy or other lifethreatening dysrhythmias. After cardiac monitoring is initiated, then the potassium
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