1. 1-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. Checking the client's intake-and-output record for the last 24 hours:

Answer:

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. 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.":

Answer:

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