A client is prescribed enalapril (Vasotec) for treatment of heart failure. Which assessment finding should cause the nurse concern following the initial administration of this drug?
A) Serious rash
B) Ototoxicity
C) Low blood pressure
D) Irregular pulse
Answer: C
Severe hypotension can occur after the initial administration of enalapril (Vasotec). Ototoxicity is an adverse effect of loop diuretics. Stevens-Johnson syndrome, a serious rash, and an irregular pulse are adverse effects of beta blockers.
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When might it be inappropriate for the nurse to assess a client's vital signs?
1. When a client has a change in health status 2. Upon admitting the client to the facility 3. Before and after the client ambulates 4. When a terminal client with a do-not-resuscitate order has a change in condition
When in the knee-chest position, the person's arms are:
a. At the sides b. Above the head c. Under the chest d. Out to the sides
If a nurse administers a liquid medication via the oral route and then realizes it was ordered to be administered via the parenteral route, the nurse should
1. Report it as a medication error. 2. Take no special action because a liquid medication can be administered either way. 3. Log it on the patient's chart but inform the physician of the change in administration. 4. Give another dose via the parenteral route because the incorrectly administered dose will be ineffective.
A client weighs 220 pounds. During acute stress, what daily amount of protein would generally be recommended?
a. 60-80 grams b. 100-200 grams c. 220-440 grams d. 0.8 gram/kilogram