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A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

BUN 16 mg/dL

Potassium 5.3 mEq/L

Sodium 142 mEq/L

Albumin 4 g/dL

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A BUN level of 16 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 5.3 mEq/L is higher than the normal range (typically 3.5-5.0 mEq/L). Triamterene is a potassium-sparing diuretic, and if the client's potassium level is already elevated, it should be withheld to prevent hyperkalemia.

Choice C rationale:

A sodium level of 142 mEq/L is within a normal range.

Choice D rationale:

An albumin level of 4 g/dL is within a normal range.

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Correct Answer is B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit.

Choice B rationale:

Oliguria (reduced urine output) is indicative of fluid volume deficit, as the body conserves fluid by producing less urine.

Choice C rationale:

Nausea may be related to various factors, but it is not a specific sign of fluid volume deficit.

Choice D rationale:

Headaches can occur for various reasons and are not specific to fluid volume deficit.

A. Warmer skin B. Increase in pulse rate C. Increased sleeping D. Weight loss

Correct Answer is C

Explanation

- A: Warmer skin is not expected as methimazole is used to reduce thyroid hormone production, which would decrease metabolism and heat production.
- B: An increase in pulse rate is unlikely because methimazole decreases thyroid hormone levels, leading to a potential decrease in heart rate.
- C: Increased sleeping is expected as methimazole reduces hyperthyroid symptoms, including insomnia, thus normalizing sleep patterns.
- D: Weight loss is not expected; instead, weight stabilization or gain may occur as the metabolism normalizes with treatment.

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A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

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Naxlex Comprehensive Predictor Exams

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