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
...
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 intake-and-output record for the last 24 hours Correct Answer: 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.
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." Correct Answer: 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.
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
[Show More]
.png)
.png)
