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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 C

Explanation

Choice A rationale:

Bradycardia (slow heart rate) is not a primary concern when administering lisinopril.

Choice B rationale:

Hypokalemia (low potassium levels) can be a concern with certain medications, but it is not directly related to lisinopril administration.

Choice C rationale:

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat heart failure. One of the potential side effects of ACE inhibitors is hypotension (low blood pressure), so the nurse should monitor the client's blood pressure closely during and after administration.

Choice D rationale:

Tinnitus (ringing in the ears) is not a common side effect of lisinopril.

A. Polypharmacy B. Multiple health problems C. Increased rate of absorption D. Decreased percentage of body fat E. Decreased renal function

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.

Choice B rationale:

Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.

Choice C rationale:

The rate of drug absorption tends to decrease with age, not increase.

Choice D rationale:

Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.

Choice E rationale:

Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and monitor when administering lisinopril?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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