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:
BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.
Choice B rationale:
Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.
Choice C rationale:
Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.
Choice D rationale:
Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A rationale:
Alopecia (hair loss) is not a common adverse effect of paroxetine.
Choice B rationale:
Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.
Choice C rationale:
Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.
Choice D rationale:
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Correct Answer is A
Explanation
- A) Alcohol use disorder is a contraindication for acetaminophen due to the increased risk of liver damage, especially in the case of chronic alcoholism or liver diseases.
- B) Chronic kidney disease is not an absolute contraindication but requires caution. Dosing intervals may need to be adjusted due to altered excretion.
- C) Receiving a Hepatitis B vaccine within the last week is not a contraindication for acetaminophen.
- D) Diabetes mellitus is not a contraindication for acetaminophen. Patients with diabetes should be aware of sugar content in liquid formulations, but it does not preclude the use of the medication.
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