[Solved]: A nurse is caring for a patient 1 day post-op…

A nurse is caring for a patient 1 day post-op following a left hip replacement surgery due to complications. The patient has two IV sites: a 22 gauge in the left forearm and a 16 gauge in the right hand. The patient is receiving Lactated Ringer’s at 100 mL/h. The patient is also on a PCA pump with hydromorphone 20 mg/50 mL, 0.5 mg q 8 min, with a 4-hour lockout of 10 mg/4 hours. Two units of PRBC (packed red blood cells) are on standby in the blood bank. The morning assessment reveals: T 98.8°F oral, HR 95 bpm, RR 20/min, BP 105/55, UOP 25 mL/h, H&H of 8.5/32, and a potassium level of 2.5 mmol/L. The patient complains of lightheadedness upon standing. The nurse contacts the physician and receives the following orders: Administer a 250 mL bolus of LR over 1 hour Transfuse 2 units of PRBC Draw a CBC and electrolyte panel 2 hours after the second unit is transfused Administer 20 mEq KCl IV, repeat potassium level with CBC