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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale:
Lithium carbonate should be taken with meals to minimize gastrointestinal upset.
Choice B rationale:
Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.
Choice C rationale:
Tyramine is not typically restricted in clients taking lithium.
Choice D rationale:
Swelling of the feet is not a common adverse effect of lithium carbonate.
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