Williams basic nutrition and
diet therapy 14 th edition
265 Morsels of Exit
HESI Goodness
1. Enalapril maleate is prescribed for a hospitalized
... [Show More] client. Which assessment
does the nurse perform as a priority before administering the medication?
rrect
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24
hours Incorrect
A.
B.
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
Awarded 0.0 points out of 1.0 possible points.
3. ID: 9476790957
A nurse on the evening shift checks a health care provider's prescriptions and
notes that the dose of a prescribed medication is higher than the normal dose.
The nurse calls the health care provider's answering service and is told that the
health care provider is off for the night and will be available in the morning. The
nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call health care
provider Correct
C. Withhold the medication until the health care provider can be
reached in the morning
D. Administer the medication but consult the health care provider
when he becomes available
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.
Test-Taking Strategy: Use the process of elimination. Note the strategic words
"need for further instruction." These words indicate a negative event query and
the need to select the incorrect client statement. Focusing on the word "upper" in
the name of the test will direct you to the correct option. Review preprocedure
care for an upper GI series if you had difficulty with this question.
Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-
surgical nursing: Assessment and management of clinical problems (9th ed., p.
879). St. Louis: Mosby.
Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health/Gastrointestinal
Giddens Concepts: Client Education, Clinical Judgment
HESI Concepts:Clinical Decision Making/Clinical Judgment, Teaching and
Learning/Patient Education [Show Less]