HESI Comprehensive Exit Exam
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
nurse perform as a
... [Show More] 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
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."
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.
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