A nurse at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril.

Which of the following instructions should the nurse give the client?

Decrease daily fluid intake.

Withhold the medication if pulse rate is less than 60/min

Rise slowly from a sitting position to a standing position

Increase dietary potassium

Answer and Explanation

The Correct Answer is C

Orthostatic hypotension, which is a sudden drop in blood pressure upon standing, can be a side effect of enalapril and may lead to syncope. Instructing the client to rise slowly from a sitting to a standing position helps minimize the risk of a sudden drop in blood pressure and decreases the chances of syncope occurring.

Decreasing fluid intake is not likely to be the cause of syncope related to enalapril. It is important for clients to maintain adequate hydration, especially if they are experiencing side effects such as orthostatic hypotension.

While a low pulse rate may indicate bradycardia, it is not the primary concern in this situation. Orthostatic hypotension leading to syncope is the main issue, and the client should be instructed to rise slowly to prevent it.

While enalapril is an angiotensin-converting enzyme (ACE) inhibitor that can increase potassium levels in the blood, it is not directly related to syncope. Dietary changes should be made under the guidance of a healthcare provider based on individual needs and blood test results.

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Correct Answer is ["0.25"]

Explanation

To calculate the amount of haloperidol oral concentrate the nurse should administer, we can use the following equation:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

In this case, the dose is 0.5 mg and the concentration of the haloperidol oral concentrate is 2 mg/mL.

Volume (mL) = 0.5 mg / 2 mg/mL

Volume (mL) = 0.25 mL

A. Obtain a complete blood count. B. Prepare client for insertion of 18-gauge peripheral IV prior to surgery. C. Administer Rh, D immune globulin prior to surgery. D. Explain the surgical procedure to the client. E. Verify consent form is signed by the client. F. Assist with administration of AB positive blood products if needed. G. Remind client to be NPO prior to surgery.

Correct Answer is ["A","B","C","E","G"]

Explanation

Based on the given information, the nurse should take the following actions in preparation for surgery:

Obtain a complete blood count: This is important to assess the client's hemoglobin, hematocrit, and other blood parameters before surgery.
Prepare the client for insertion of an 18-gauge peripheral IV prior to surgery: Adequate IV access is necessary for the administration of fluids and medications during and after surgery.
Administer Rh, D immune globulin prior to surgery: This action is indicated if the client is Rh-negative and there is a possibility of fetal-maternal blood mixing during the termination of pregnancy. Rh, D immune globulin is given to prevent sensitization to Rh-positive blood.
Verify consent form is signed by the client: Ensuring that the client has provided informed consent is essential before proceeding with any surgical intervention.
Remind the client to be NPO (nothing by mouth) prior to surgery: It is important for the client to have an empty stomach to reduce the risk of aspiration during anesthesia.

The following actions are not indicated based on the given information:

Explaining the surgical procedure to the client: Although it is important for the client to have an understanding of the procedure, this is typically done by the surgeon rather than the nurse.
Assisting with administration of AB positive blood products if needed: There is no indication of the need for blood products based on the information provided. Blood product administration would be determined based on the client's specific condition and surgical requirements.

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A nurse at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril. Which of the following instructions should the nurse give the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer haloperidol 0.5 mg by mouth to an older adult client. The amount available is haloperidol oral concentrate 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

Exhibits The nurse is preparing the client for surgery. Which of the following actions should the nurse take? Select all that apply

Correct Answer is ["A","B","C","E","G"]

Explanation

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A nurse at an outpatient clinic receives a call from a client who reports experiencing syncope after starting a new prescription for enalapril.

Which of the following instructions should the nurse give the client?