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A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?

Hct 44%

WBC count 5,000/mm3

Total bilirubin 1.5 mg/dL

Potassium 4.2 mEq/L

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A hematocrit (Hct) level of 44% is within the normal range for adults.

Choice B rationale:

A white blood cell (WBC) count of 5,000/mm3 falls within the normal range.

Choice C rationale:

Total bilirubin levels greater than 1.2 mg/dL in adults could indicate liver dysfunction and should be reported to the provider when assessing a client on amitriptyline, which can affect liver function.

Choice D rationale:

A potassium level of 4.2 mEq/L falls within the normal range for potassium levels.

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Correct Answer is D

Explanation

Choice A rationale:

Storing the remaining half of the pill could lead to potential confusion and medication errors in the future.

Choice B rationale:

Placing the remaining half of the pill in a unit-dose package is not recommended, as the packaging is intended for a single dose.

Choice C rationale:

Returning the remaining medication to the pharmacy is not necessary, and proper disposal is the appropriate action.

Choice D rationale:

Disposing of the remaining medication in the presence of another nurse ensures proper disposal and prevents the medication from being used inappropriately.

A. Fluid retention B. Insomnia C. Orthostatic hypotension D. Tinnitus

Correct Answer is A

Explanation

Choice A rationale:

Fluid retention and edema are potential adverse effects of pioglitazone, a thiazolidinedione antidiabetic medication.

Choice B rationale:

Insomnia is not typically associated with pioglitazone.

Choice C rationale:

Orthostatic hypotension is not typically associated with pioglitazone.

Choice D rationale:

Tinnitus is not typically associated with pioglitazone.

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A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should the nurse report to the provider?

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