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?
Total bilirubin 1.5 mg/dL
Potassium 4.2 mEq/L
WBC count 5,000/mm³
Hct 44
The Correct Answer is A
A. The nurse should report the Total bilirubin 1.5 mg/dL to the provider.
Amitriptyline is an antidepressant medication, and elevated total bilirubin levels can indicate potential liver dysfunction or impairment. It's important to report any significant changes in liver function values to the provider, especially when a client is taking medications that can affect liver metabolism. The other laboratory values mentioned are within normal ranges and would not typically be of concern in the context of amitriptyline use.
B. Potassium 4.2 mEq/L:
This value is within the normal range. Potassium levels of 4.2 mEq/L are considered normal. While potassium levels are important to monitor, this result does not indicate a need for immediate reporting.
C. WBC count 5,000/mm³:
This value is within the normal range. A white blood cell (WBC) count of 5,000/mm³ is within the typical range. It suggests a normal immune response and does not require reporting.
D. Hct 44: This value is incorrect. The hematocrit (Hct) value of 44 is not accompanied by the unit of measurement (percentage or fraction). Hematocrit values measure the proportion of red blood cells in the blood and are usually reported as a percentage. If this value is indeed 44%, it falls within a normal range for both men and women. However, if the unit is different (such as a 44% fraction), it might be an incorrect unit conversion. The nurse should verify the unit of measurement and report any discrepancies or errors to the provider for clarification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Morphine 6 mg IV push every 3 hr PRN acute pain:
This choice is correct. It accurately transcribes the medication name (morphine), the dosage (6 mg), the route (IV push), the frequency (every 3 hours), and the indication (PRN for acute pain).
B. Morphine 6.0 mg IV push every 3 hr PRN acute pain:
This choice is not incorrect, but it is unnecessary to include the trailing zero in the dosage (6.0 mg). Both "6" and "6.0" indicate the same value, and omitting the decimal point is common practice in medication dosages.
C. MS 6 mg IV push every 3 hr PRN acute pain:
This choice is incorrect. "MS" is an abbreviation for "morphine sulfate," but it's not widely used in modern healthcare settings. Using the full name "morphine" is clearer and less prone to confusion.
D. MSO4 6 mg IV push every 3 hr PRN acute pain:
This choice is incorrect. "MSO4" is the chemical symbol for morphine sulfate. While it's a valid abbreviation, it's not as commonly used as the full name "morphine." Using the full name of the medication is clearer and more familiar to healthcare professionals.
Correct Answer is B
Explanation
A. Chronic kidney disease:
While high doses of acetaminophen can cause renal injury, it is not absolutely contraindicated in CKD. Acetaminophen is actually preferred over NSAIDs, which can worsen kidney function.
B. Alcohol use disorder:
Acetaminophen (Tylenol) is primarily metabolized in the liver. Clients with alcohol use disorder are at high risk for hepatotoxicity and liver failure, especially if they consume large amounts of alcohol or have pre-existing liver damage. Chronic alcohol use depletes glutathione, a substance needed to detoxify acetaminophen’s metabolites, increasing the risk of liver toxicity even at normal doses.
C. Hepatitis B vaccine within the last week:
Receiving the hepatitis B vaccine within the last week is not a contraindication for acetaminophen.
D. Diabetes mellitus:
Diabetes mellitus does not directly impact the use of acetaminophen. However, individuals with diabetes should be mindful of their overall health and potential interactions with other medications they might be taking.
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