HESI COMPREHENSIVE EXIT EXAM WITH CORRECT ANSWERS AND RATIONALES
1.ID: 9476788675
Enalapril maleate is prescribed for a hospitalized client. Which
... [Show More] assessment does the nurse perform as a priority before administering the medication?
A. Checking the client's blood pressure Correct
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 Incorrect
Rationale: 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.
Test-Taking Strategy: Focus on the name of the medication and recall that medications that end in the letters “pril” are ACE inhibitors and that these medications are used to treat hypertension. This will direct you to the correct option. Review the action of enalapril maleate if you had difficulty with this question.
Reference: Lehne, R. (2013). Pharmacology for nursing care (8th ed., p. 513). St. Louis: Saunders.
Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Pharmacology
Giddens Concepts: Care Coordination, Safety
HESI Concepts:Collaboration/Managing Care, Safety
Awarded 0.0 points out of 1.0 possible points.
2.ID: 9476754035
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." Incorrect
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." Correct
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."
Rationale: 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 [Show Less]