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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Amphotericin B lipid complex is normally yellow in color, so discarding it would be wasteful and inappropriate. The nurse should only discard the medication if it is cloudy, discolored, or contains particulate matter.
Choice B rationale:
Amphotericin B lipid complex should be administered over 1 hr, not 2 hr, to reduce the risk of infusion-related reactions such as fever, chills, rigors, hypotension, and tachycardia. The nurse should also premedicate the client with antipyretics, antihistamines, and corticosteroids to prevent or minimize these reactions.
Choice C rationale:
Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
Choice D rationale:
Amphotericin B lipid complex should be administered using an infusion pump, not a gravity flow set, to ensure accurate and consistent delivery of the medication. The nurse should also use a filter needle when drawing up the medication from the vial and a 5-micron filter when infusing it to remove any impurities or aggregates.
Correct Answer is ["0.4"]
Explanation
To answer this question, we need to use the formula for calculating the dosage of medication:
Dose ordered / Dose on hand = Amount to administer
The calculation is: 4,000 units / 10,000 units/mL = 0.4 mL.
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