Answer to Question 1
4
Rationale 1:Hypokalemia is incorrect because ACE inhibitors cause hyperkalemia.
Rationale 2:Supraventricular tachycardia is incorrect because this is not a side effect of enalapril.
Rationale 3:Ventricular fibrillation is incorrect because this is not a side effect of enalapril.
Rationale 4: Angioedema is a potentially life-threatening side effect of ACE inhibitors.
Global Rationale: Angioedema is a potentially life-threatening side effect of ACE inhibitors. Hypokalemia is incorrect because ACE inhibitors cause hyperkalemia. Supraventricular tachycardia is incorrect because this is not a side effect of enalapril. Ventricular fibrillation is incorrect because this is not a side effect of enalapril.
Answer to Question 2
2
Rationale 1: Amlodipine (Norvasc) is a calcium channel blocker.
Rationale 2: Propranolol (Inderal) is a beta blocker.
Rationale 3: Verapamil (Calan) is a calcium channel blocker.
Rationale 4: Diltiazem (Cardizem) is a calcium channel blocker.
Global Rationale: Propranolol (Inderal) is a beta blocker. Amlodipine (Norvasc), verapamil (Calan), and diltiazem (Cardizem)are calcium channel blockers.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nurse collaboration
Intervention Model-Response to Client Misconduct
Building a Client Base Cont.
Testing patellar reflex, client in a supine position
Client is positioned