Author Question: Which is a priority nursing intervention for a client who is prescribed enalapril (Vasotec) for ... (Read 101 times)

meagbuch · **on:** Jul 23, 2018

Which is a priority nursing intervention for a client who is prescribed enalapril (Vasotec) for antihypertensive treatment?

1. Monitor the client for headaches.
2. Take the client's blood pressure.
3. Review the client's lab results for hypokalemia.
4. Order a sodium-restricted diet for the client.

Question 2

The nurse is administering nitroprusside sodium in the treatment of a hypertensive crisis. The nurse will assess the client for which signs and symptoms of thiocyanate poisoning?

Standard Text: Select all that apply.
1. Hypotension
2. Blurred vision
3. Flushing of the skin
4. Metabolic acidosis
5. Dizziness

hramirez205 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Although headache is a side effect, it is not as important a priority as is another condition.
Rationale 2: Enalapril (Vasotec) might produce a first-dose phenomenon, resulting in profound hypotension, which could result in syncope.
Rationale 3: Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia.
Rationale 4: Enalapril (Vasotec) does not affect sodium levels.
Global Rationale: Enalapril (Vasotec) might produce a first-dose phenomenon, resulting in profound hypotension, which could result in syncope. Although headache is a side effect, it is not as important a priority as is another condition. Enalapril (Vasotec) is more likely to cause hyperkalemia, not hypokalemia. Enalapril (Vasotec) does not affect sodium levels.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: Hypotension is a symptom of thiocyanate toxicity that may manifest with extended therapy.
Rationale 2: Blurred vision is a symptom of thiocyanate toxicity that may manifest with extended therapy.
Rationale 3: Flushing of the skin is an expected side effect of therapy and does not indicate thiocyanate toxicity.
Rationale 4: Metabolic acidosis is a symptom of thiocyanate toxicity that may manifest with extended therapy.
Rationale 5: Dizziness is an expected side effect of therapy and does not indicate thiocyanate toxicity.
Global Rationale: Hypotension, blurred vision, and metabolic acidosis are symptoms of thiocyanate toxicity that may manifest with extended therapy. Flushing of the skin and dizziness are expected side effects of therapy and do not indicate thiocyanate toxicity.