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
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Enoxaparin is administered subcutaneously, so the syringe needle should be fully inserted into the client's skin.
Choice B rationale:
Expelling the air bubble from the syringe helps ensure accurate dosage and prevents the injection of air into the subcutaneous tissue.
Choice C rationale:
Enoxaparin is administered subcutaneously, not into muscle tissue.
Choice D rationale:
Applying firm pressure to the injection site following administration is not typically necessary for subcutaneous injections of enoxaparin.
Correct Answer is D
Explanation
A. Taking ferrous gluconate with 8 ounces of milk is incorrect. Calcium in milk can interfere with the absorption of iron, reducing its effectiveness. The client should be instructed to avoid taking iron supplements with dairy products.
B. It is not necessary to notify the provider if stools turn black. Black stools are a common and harmless side effect of iron supplementation due to the unabsorbed iron in the gastrointestinal tract. The client should be informed of this expected side effect.
C. Taking an antacid with ferrous gluconate is incorrect. Antacids can reduce the absorption of iron by altering the stomach's pH. If the client experiences stomach upset, the medication can be taken with food, although this may slightly reduce absorption.
D. Staying upright for at least 15 minutes after taking ferrous gluconate is correct. This practice helps prevent esophageal irritation, which can occur if the medication remains in contact with the esophageal lining. This statement indicates an understanding of the teaching.
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