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1. 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:
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. 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.":
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
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