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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:

Nicotine transdermal system is not known to have a significant interaction with carbamazepine.

Choice B rationale:

Beclomethasone is not known to have a significant interaction with carbamazepine.

Choice C rationale:

Carbamazepine can induce the metabolism of estrogen and progestin, potentially reducing their effectiveness in birth control. Women taking these combinations should use alternative contraceptive methods.

Choice D rationale:

Diphenhydramine is not known to have a significant interaction with carbamazepine.

A. BUN 16 mg/dL B. Potassium 5.3 mEq/L C. Sodium 142 mEq/L D. Albumin 4 g/Dl

Correct Answer is B

Explanation

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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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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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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