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. "You should take this medication on an empty stomach:"
Bumetanide can be taken with or without food. It is not necessary to take it on an empty stomach.
B. "You should monitor for hearing difficulties:"
This is the correct answer. Loop diuretics, including bumetanide, are associated with ototoxicity, which can lead to hearing difficulties or hearing loss. Clients should be instructed to report any changes in hearing.
C. "You should decrease your intake of foods high in potassium:"
Bumetanide can cause potassium loss, but instructing the client to decrease potassium intake may not be appropriate without knowing the client's specific potassium levels. Monitoring potassium levels and adjusting the diet or prescribing supplements as needed would be a more individualized approach.
D. "You should take the medication at bedtime:"
Bumetanide is often prescribed in the morning to avoid disrupting sleep with increased urination during the night. Taking it at bedtime is not a typical recommendation.
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.
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