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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 B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit; it's more indicative of fluid retention.

Choice B rationale:

Oliguria refers to decreased urine output and can be a sign of fluid volume deficit.

Choice C rationale:

Nausea can be caused by various factors, including gastrointestinal issues, but it's not a specific indicator of fluid volume deficit.

Choice D rationale:

Headaches can have multiple causes and are not a direct sign of fluid volume deficit.

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

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