A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?
Hct 44%
WBC count 5,000/mm3
Total bilirubin 1.5 mg/dL
Potassium 4.2 mEq/L
The Correct Answer is C
Choice A rationale:
A hematocrit (Hct) level of 44% is within the normal range for adults.
Choice B rationale:
A white blood cell (WBC) count of 5,000/mm3 falls within the normal range.
Choice C rationale:
Total bilirubin levels greater than 1.2 mg/dL in adults could indicate liver dysfunction and should be reported to the provider when assessing a client on amitriptyline, which can affect liver function.
Choice D rationale:
A potassium level of 4.2 mEq/L falls within the normal range for potassium levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Fluid retention and edema are potential adverse effects of pioglitazone, a thiazolidinedione antidiabetic medication.
Choice B rationale:
Insomnia is not typically associated with pioglitazone.
Choice C rationale:
Orthostatic hypotension is not typically associated with pioglitazone.
Choice D rationale:
Tinnitus is not typically associated with pioglitazone.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
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