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) check...
myself a Fleet enema on the morning
HESI RN Exit Exam of the test."
2023 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
Enalapril maleate (Vasotec) is
citrate of magnesia the night before
prescribed for a hospitalized client.
the test and give myself a Fleet enema
Which assessment does the nurse
on the morning of the test."
perform as a priority before
administering the medication?
Rationale
A) Checking the client's blood
pressure An upper GI series involves
visualization of the esophagus,
B) checking the client's peripheral
duodenum, and upper
pulses
jejunum by means of the use of a
C) checking the most recent
contrast medium. It involves
potassium level
swallowing a contrast
D) checking the client's intake and
medium (usually barium), which is
output record for the last 24 hours -
administered in a flavored milkshake.
A) Checking the client's blood
Films are taken
pressure
at intervals during the test, which
takes about 30 minutes. No special
Rationale--enalapril maleate is an
preparation is
angiotensin-converting enzyme
necessary before a GI series, except
(ACE) inhibitor used to treat
that NPO status must be maintained
hypertension. One common side
for 8 hours
effect is postural hypotension.
Therefore the nurse would check the before the test. After an upper GI
client's blood pressure immediately series, the client is prescribed a
before administering each dose. laxative to hasten
elimination of the barium. Barium
that remains in the colon may become
A client is scheduled to undergo an
hard and
upper gastrointestinal (GI) series, and
the nurse provides instructions to the difficult to expel, leading to fecal
client about the test. Which statement impaction.
by the client indicates a need for
further instruction? A nurse on the evening shift checks a
physician's prescriptions and notes
A) "The test will take about 30 that the dose of a prescribed
minutes" medication is higher than the normal
dose. The nurse calls the physician's
B) "I need to fast for 8 hours before
answering service and is told that the
the test"
physician if off for the night and will
C) "I need to drink citrate of magnesia
be available the next morning. The
the night before the test and give
, lOMoAR cPSD| 44479283
nurse should: that the client routinely takes an oral
A) call the nursing supervisor antihypertensive medication each
B) Ask the answering service to morning. The nurse should:
contact the on-call physician A. Administer the antihypertensive
C) Withhold the medication until the with a small sip of water
physician can be reached in the B. Withhold the antihypertensive and
morning administer it at bedtime
D) Administer the medication but C. Administer the medication by way
consult the physician when he of the intravenous (IV) route
becomes available - B) Ask the D. Hold the antihypertensive and
answering service to contact the on- resume its administration on the day
call physician after the ECT - Administer the
antihypertensive with a small sip of
An emergency department (ED) nurse water
is monitoring a client with suspected
acute A client who recently underwent
myocardial infarction (MI) who is coronary artery bypass graft surgery
awaiting transfer to the coronary comes to the
intensive care unit. physician's office for a follow-up
The nurse notes the sudden onset of visit. On assessment, the client tells
premature ventricular contractions the nurse that he is
(PVCs) on the feeling depressed. Which response by
monitor, checks the client's carotid the nurse is therapeutic?
pulse, and determines that the PVCs A. "Tell me more about what you're
are not feeling."
resulting in perfusion. The appropriate B. "That's a normal response after this
action by the nurse is: type of surgery."
A. Documenting the findings C. "It will take time, but, I promise
B. Asking the ED physician to check you, you will get over this
the client depression."
C. Continuing to monitor the client's D. "Every client who has this surgery
cardiac status feels the same way for about a
D. Informing the client that PVCs are month." - A. "Tell me more about
expected after an MI - B. Asking the what you're feeling."
ED physician to check the client
Which information is most
NPO status is imposed 8 hours before concerning to the nurse when caring
the procedure on a client scheduled to for an older
undergo client with bilateral cataracts?
electroconvulsive therapy (ECT) at 1 A. States having difficulty with color
p.m. On the morning of the procedure, perception
the nurse B. Presents with opacity of the lens
checks the client's record and notes upon assessment
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