NEW GENERATION ATI COMPREHENSIVE HESI EXAMS 2023 | REAL EXAMSWITH CORRECT ANSWERS1.ID: 383711499Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does thenurse perform as a priority before administering the medication?Checking the client's blood pressureCorrect Checking the client's peripheralpulses Checking the most recentpotassium levelChecking the client's intake-and-output record for the last 24 hoursRationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treathypertension. One common side effect is postural hypotension. Therefore the nurse wouldcheck the client’s blood pressure immediately before administering each dose. Checking theclient’s peripheral pulses, the results of the most recent potassium level, and the intake andoutput for the previous 24 hours are not specifically associated with this mediation.2.ID: 383744011A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse providesinstructions to the client about the test. Which statement by the client indicates a need forfurther instruction?"The test will take about 30 minutes.""I need to fast for 8 hours before the test.""I need to drink citrate of magnesia the night before the test and give myself a Fleet enemaon the morning of the test." Correct"I need to take a laxative after the test is completed, because the liquid that I’ll have to drinkfor the test can be constipating."Rationale: An upper GI series involves visualization of the esophagus, duodenum, and upperjejunum 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 intervalsduring the test, which takes about 30 minutes. No special preparation is necessary before a GIseries, except that NPO status must be maintained for 8 hours before the test. After an upperGI series, the client is prescribed a laxative to hasten elimination of the barium. Barium thatremains in the colon may become hard and difficult to expel, leading to fecal impaction.3.ID: 383705015A nurse on the evening shift checks a physician's prescriptions and notes that the dose of aprescribed medication is higher than the normal dose. The nurse calls the physician's answeringservice and is told that the physician is off for the night and will be available in the morning.The nurse should:Call the nursing supervisorPreview Mode
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