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1-Enalapril maleate (Vasotec) is
prescribed for a hospitalized client.
Which assessment does the nurse
perform as a priority before
administering the medica- tion?
A. Checking the client's blood
pressure
B. Checking the client's peripher- al
pulses
C. Checking the most recent
potassium level
D. Checking the client's in- takeand-output record for the last 24
hours
2. 2-A client is scheduled to under- go an
upper gastrointestinal (GI) series, and
the nurse provides in- structions to the
client about the test.Which statement by
the client indicates a need for further instruction?
A. Checking the client's blood pressure
Checking the client's blood pressure Enalapril
maleate is an angiotensin-converting enzyme (ACE) in- hibitor
used to treat hypertension. One common side
effect is postural hypoten- sion. Therefore the
nurse would check the client's blood pressure
immediately before administering each dose.
Check- ing 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.
C. "I need to drink citrate of magnesia the night
before the test and givemyself a Fleet enema
on the morning of the test."
An upper GI series involves visualiza- tion of
the esophagus, duodenum, and upper jejunum
by means of the use
A."The testwill take about 30 min- of a contrast medium. It involves swalutes."
B. "I need to fast for 8 hours be- fore
the test."
C. "I need to drink citrate of mag- nesia
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."
lowing a contrast medium(usually bari- um),
which is administered in a flavored milkshake.
Films are taken at intervals during the test,
which takes about 30 minutes. No special
preparation is nec- essary 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.Bar- ium that
remains in the colon may be- come hard and
difficult to expel, leading to fecal impaction.
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