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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 B

Explanation

Choice A rationale:

The dorsal vein is not typically used for peripheral IV catheter placement due to its location and potential for complications.

Choice B rationale:

The nondominant forearm basilic vein is a common site for peripheral IV catheter placement due to its accessibility and stability.

Choice C rationale:

The distal dorsal vein is not a common site for peripheral IV catheter placement.

Choice D rationale:

The antecubital basilic vein can be used, but the nondominant forearm basilic vein is often preferred for peripheral IV catheter placement due to its accessibility and stability.

A. Sodium 137 mEq B. Hgb 15 g/ C. Hct 439 D. Creatinine 2.5 mg/dl

Correct Answer is D

Explanation

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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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?

Nursing Test Bank

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