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, 4/24/26, 12:56 PM HESI RN Exit Exam 2023 Flashcards | Quizlet
Enalapril maleate (Vasotec) is prescribed for a hospitalized A) Checking the client's blood pressure
client. Which assessment does the nurse perform as a
priority before administering the medication? Rationale--enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor
A) Checking the client's blood pressure used to treat hypertension. One common side effect is postural hypotension.
B) checking the client's peripheral pulses Therefore the nurse would check the client's blood pressure immediately before
C) checking the most recent potassium level administering each dose.
D) checking the client's intake and output record for the
last 24 hours
A client is scheduled to undergo an upper gastrointestinal C) "I need to drink citrate of magnesia the night before the test and give myself a
(GI) series, and the nurse provides instructions to the client Fleet enema on the morning of the test."
about the test. Which statement by the client indicates a
need for further instruction? Rationale
An upper GI series involves visualization of the esophagus, duodenum, and upper
A) "The test will take about 30 minutes" jejunum by means of the use of a contrast medium. It involves swallowing a contrast
B) "I need to fast for 8 hours before the test" medium (usually barium), which is administered in a flavored milkshake. Films are
C) "I need to drink citrate of magnesia the night before the taken
test and give myself a Fleet enema on the morning of the at intervals during the test, which takes about 30 minutes. No special preparation is
test." necessary before a GI series, except that NPO status must be maintained for 8
D) "I need to take a laxative after the test is completed, hours
because the liquid that I'll have to drink for the test can be before the test. After an upper GI series, the client is prescribed a laxative to hasten
constipating." elimination of the barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a physician's B) Ask the answering service to contact the on-call physician
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse calls
the physician's answering service and is told that the
physician if off for the night and will be available the next
morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the on-call
physician
C) Withhold the medication until the physician can be
reached in the morning
D) Administer the medication but consult the physician
when he becomes available
An emergency department (ED) nurse is monitoring a B. Asking the ED physician to check the client
client with suspected acute
myocardial infarction (MI) who is awaiting transfer to the
coronary intensive care unit.
The nurse notes the sudden onset of premature ventricular
contractions (PVCs) on the
monitor, checks the client's carotid pulse, and determines
that the PVCs are not
resulting in perfusion. The appropriate action by the nurse
is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI
NPO status is imposed 8 hours before the procedure on a Administer the antihypertensive with a small sip of water
client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning
of the procedure, the nurse
checks the client's record and notes that the client
routinely takes an oral
antihypertensive medication each morning. The nurse
should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at
bedtime
C. Administer the medication by way of the intravenous
(IV) route
D. Hold the antihypertensive and resume its administration
on the day after the ECT
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