1-Enalapril maleate (Vasotec) is

prescribed for a hospitalized client.

Which assessment does the nurse

perform as a priority before

administering the medica- tion?

A. Checking the client's blood

pressure

B. Checking the client's peripher- al

pulses

C. Checking the most recent

potassium level

D. Checking the client's in- takeand-output record for the last 24

hours

2. 2-A client is scheduled to under- go an

upper gastrointestinal (GI) series, and

the nurse provides in- structions to the

client about the test.Which statement by

the client indicates a need for further instruction?

A. Checking the client's blood pressure

Checking the client's blood pressure Enalapril

maleate is an angiotensin-converting enzyme (ACE) in- hibitor

used to treat hypertension. One common side

effect is postural hypoten- sion. Therefore the

nurse would check the client's blood pressure

immediately before administering each dose.

Check- ing 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.

C. "I need to drink citrate of magnesia the night

before the test and givemyself a Fleet enema

on the morning of the test."

An upper GI series involves visualiza- tion of

the esophagus, duodenum, and upper jejunum

by means of the use

A."The testwill take about 30 min- of a contrast medium. It involves swalutes."

B. "I need to fast for 8 hours be- fore

the test."

C. "I need to drink citrate of mag- nesia

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."

lowing a contrast medium(usually bari- um),

which is administered in a flavored milkshake.

Films are taken at intervals during the test,

which takes about 30 minutes. No special

preparation is nec- essary 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.Bar- ium that

remains in the colon may be- come hard and

difficult to expel, leading to fecal impaction.