A nurse is reviewing the laboratory results of a client who is taking amitriptyline. Which of the following laboratory values should to the provider?
Potassium 4.2 mEq/L
Total bilirubin 1.5 mg/dL
WBC count 5.000/mm²
Hct 44
The Correct Answer is B
A. Potassium 4.2 mEq/L: While potassium levels should be monitored during amitriptyline therapy, the value of 4.2 mEq/L is within the normal range. There is no immediate concern based on this potassium level.
B. Total bilirubin 1.5 mg/dL
Amitriptyline, a tricyclic antidepressant, can sometimes cause hepatotoxicity, which may manifest as elevated liver enzymes or bilirubin levels. Therefore, any abnormality in liver function tests, such as total bilirubin, should be reported to the provider for further evaluation and management.
C. WBC count 5,000/mm³: The white blood cell count is not a commonly monitored parameter for amitriptyline, and the value of 5,000/mm³ is within the normal range. There is no immediate concern based on this WBC count.
D. Hct 44: The hematocrit (Hct) level is related to the percentage of red blood cells in the blood. A value of 44% falls within the normal range for hematocrit. There’s no immediate concern related to amitriptyline use based on this result either.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Glasgow Coma Scale rating of 15: A Glasgow Coma Scale (GCS) rating of 15 is a positive sign indicating that the client is fully conscious and oriented. It is not an adverse effect of mannitol.
B. Crackles on auscultation: Crackles, also known as rales, can indicate fluid overload or pulmonary edema, which can be an adverse effect of mannitol. Mannitol can cause shifts of fluid, including into the lungs, leading to pulmonary edema.
C. Increase in urinary output: Mannitol is an osmotic diuretic, and an increase in urinary output is an expected and therapeutic effect of the medication. It is not considered an adverse effect.
D. Intracranial pressure reading of 12 mmHg: A decrease in intracranial pressure is a therapeutic effect of mannitol, and a reading of 12 mmHg is generally within a normal range. It is not considered an adverse effect.
Correct Answer is C
Explanation
A. Stroke volume: While stroke volume is an important parameter in assessing cardiac function, it may not directly guide the titration of nitroprusside infusion. Blood pressure is a more immediate indicator of the drug's effect on vasodilation.
B. Urine output: Nitroprusside primarily affects the vascular system and is not directly associated with urine output. Monitoring urine output is crucial in assessing renal function, but it is not the primary parameter for titrating a nitroprusside infusion.
C. Blood pressure (Correct Answer): Nitroprusside acts as a direct vasodilator, and its primary effect is on blood vessels, leading to a reduction in blood pressure. Therefore, monitoring blood pressure is essential to titrate the infusion to achieve the desired therapeutic effect.
D. Cardiac output: While nitroprusside's vasodilatory effect may influence cardiac output indirectly, blood pressure is a more immediate and specific parameter to guide the titration of the infusion. Nitroprusside is often titrated to reach a target blood pressure range in hypertensive emergencies.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.