1-Enalapril maleate (Vasotec) is
prescribed for a hospitalized
client. Which assessment does
the nurse perform as a priority
before administering the
medication?
A. Checking the client's blood
pressure
B. Checkin
...
1-Enalapril maleate (Vasotec) is
prescribed for a hospitalized
client. Which assessment does
the nurse perform as a priority
before administering the
medication?
A. Checking the client's blood
pressure
B. Checking the client's
peripheral pulses
C. Checking the most recent
potassium level
D. Checking the client's intakeand-output record for the last
24 hours
A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting
enzyme (ACE) inhibitor used to treat hypertension.
One common side effect is postural hypotension.
Therefore the nurse would check the client's blood
pressure immediately before administering each
dose. Checking the client's peripheral pulses, the
results of the most recent potassium level, and the
intake and output for the previous 24 hours are not
specifically associated with this mediation.
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2-A client is scheduled to
undergo an upper
gastrointestinal (GI) series, and
the nurse provides instructions
to the client about the test.
Which statement by the client
indicates a need for further
instruction?
A. "The test will take about 30
minutes."
B. "I need to fast for 8 hours
before the test."
C. "I need to drink citrate of
magnesia the night before the
test and give myself a Fleet
enema on the morning of the
test."
D. "I need to take a laxative
after the test is completed,
because the liquid that I'll have
to drink for the test can be
constipating."
C. "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema on
the morning of the test."
An upper GI series involves visualization of the
esophagus, duodenum, and upper jejunum by
means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films
are taken at intervals during the test, which takes
about 30 minutes. No special preparation is
necessary before a GI series, except that NPO
status must be maintained for 8 hours before the
test. After an upper GI series, the client is
prescribed a laxative to hasten elimination of the
barium. Barium that remains in the colon may
become hard and difficult to expel, leading to fecal
impaction.
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3-A nurse on the evening shift
checks a physician's
prescriptions and notes that
the dose of a prescribed
medication is higher than the
normal dose. The nurse calls
the physician's answering
service and is told that the
physician is off for the night
and will be available in the
morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to
contact the on-call physician
C. Withhold the medication
until the physician can be
reached in the morning
D. Administer the medication
but consult the physician when
he becomes available
B. Ask the answering service to contact the on-call
physician
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