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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

An INR of 1.6 is slightly elevated but does not necessarily warrant an incident report.

Choice B rationale:

A WBC count of 6,000/mm3 is within a normal range and would not warrant an incident report.

Choice C rationale:

A hemoglobin level of 16 g/dL is within a normal range and does not warrant an incident report.

Choice D rationale:

An aPTT of 90 seconds is significantly prolonged and may indicate excessive anticoagulation from the heparin administration. This could potentially be a safety concern and would warrant an incident report for further evaluation.

Correct Answer is ["7.5"]

Explanation

The correct answer is 7.5 ML

To answer this question, we need to use the formula:

mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:

mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:

mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:

mL to administer = 14.95 mL/day

Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:

mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:

mL to administer per dose = 7.475 mL

Rounding to the nearest tenth, we get:

mL to administer per dose = 7.5 mL

Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.

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A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?

Correct Answer is D

Explanation

A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["7.5"]

Explanation

The correct answer is 7.5 ML

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