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:
Slowing the infusion rate would not address the issue of infiltration.
Choice B rationale:
Flushing the IV catheter would not be effective in managing fluid infiltration.
Choice C rationale:
Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.
Choice D rationale:
Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.
Correct Answer is A
Explanation
Choice A rationale:
Total parental nutrition (TPN) is a highly concentrated intravenous nutritional solution that provides essential nutrients. It is administered through a central venous access device to ensure proper dilution and delivery.
Choice B rationale:
A midline catheter is not appropriate for administering TPN, as it may not be suitable for the concentrated solution.
Choice C rationale:
Subcutaneous administration is not suitable for TPN, as it requires intravenous access to provide the necessary nutrients directly into the bloodstream.
Choice D rationale:
Intraosseous access is not commonly used for long-term nutritional support like TPN; it is more often used for emergent situations.
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