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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin.
Which of the following laboratory values should the report to the provider?

Sodium 137 mEq

Hgb 15 g/

Hct 439

Creatinine 2.5 mg/dl

Answer and Explanation

The Correct Answer is D

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.

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Correct Answer is B

Explanation

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.

A. "Ringing in the ears is an expected adverse effect of this medication." B. "Diarrhea is a common adverse effect of this medication? C. "Notify your provider if you develop a fever while taking this medication." D. "You might experience weight loss while taking this medication”

Correct Answer is C

Explanation

Choice A rationale:

Ringing in the ears is not typically associated with clozapine.

Choice B rationale:

Diarrhea is not a common adverse effect of clozapine.

Choice C rationale:

Clozapine can cause agranulocytosis, a serious condition involving a decrease in white blood cells. Fever can be a sign of infection, so clients taking clozapine should notify their provider if they develop a fever.

Choice D rationale:

Weight loss is not a common adverse effect of clozapine.

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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the report to the provider?

Nursing Test Bank

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Correct Answer is C

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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin.
Which of the following laboratory values should the report to the provider?