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) value of 44% is within the expected range and does not require immediate reporting.
Choice B rationale:
A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.
Choice C rationale:
Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.
Choice D rationale:
A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Raloxifene is not used to treat urinary tract infections.
Choice B rationale:
Raloxifene is not used to treat deep-vein thrombosis.
Choice C rationale:
Raloxifene is a medication used to treat and prevent osteoporosis in postmenopausal women. It is a selective estrogen receptor modulator (SERM) that helps improve bone density and reduce the risk of fractures.
Choice D rationale:
Raloxifene is not used to treat hypothyroidism.
Correct Answer is D
Explanation
Choice A rationale:
Storing the remaining half of the pill could lead to potential confusion and medication errors in the future.
Choice B rationale:
Placing the remaining half of the pill in a unit-dose package is not recommended, as the packaging is intended for a single dose.
Choice C rationale:
Returning the remaining medication to the pharmacy is not necessary, and proper disposal is the appropriate action.
Choice D rationale:
Disposing of the remaining medication in the presence of another nurse ensures proper disposal and prevents the medication from being used inappropriately.
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