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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) value of 44% is within the expected range and does not require immediate reporting.

Choice B rationale:

A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.

Choice C rationale:

Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.

Choice D rationale:

A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.

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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.

A. Obtain the client's HDL level. B. Collect the client's uric acid level. C. Check the client's glucose level. D. Monitor the client's thyroid function levels.

Correct Answer is C

Explanation

Choice A rationale:

Obtaining the client's HDL level is not relevant to the administration error.

Choice B rationale:

Collecting the client's uric acid level is not relevant to the administration error.

Choice C rationale:

Metformin is an antidiabetic medication used to control blood glucose levels. Since metformin was administered instead of metoprolol, the nurse should check the client's glucose level to monitor for potential effects of the incorrect medication.

Choice D rationale:

Monitoring the client's thyroid function levels is not relevant to the administration error involving metformin and metoprolol.

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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

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