Enalapril maleate (Vasotec) is prescribed for
a hospitalized client. Which assessment
does the nurse perform as a priority before
administering the
... [Show More] 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
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.
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."
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 may become hard and
difficult to expel, leading to fecal impaction [Show Less]