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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?

A.

WBC count 5,000/mm.

B.

Total bilirubin 1.5 mg/dL.

C.

Hct 44%.

D.

Potassium 5.2 mEq/L.

Answer and Explanation

The Correct Answer is D

A WBC count of 5,000/mm3 is low and could  indicate leukopenia, a possible side effect of amitriptyline. Leukopenia increases the risk of infection and should be reported to the  provider. 

Choice B is wrong because a total bilirubin of 1.5 mg/dL is within the normal  range of 0.3 to 1.9 mg/dL. 

Choice C is wrong because a Hct of 44% is within the normal range of 37% to  48% for women and 45% to 52% for men. 

Choice D is wrong because a potassium level of 4.2 mEq/L is within the normal  range of 3.5 to 5.0 mEq/L. 


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Related Questions

Correct Answer is C

Explanation

The correct answer is choice C. Keep the tablets at room temperature in their original glass bottle. Rationales: Choice A rationale: Taking one tablet each morning 30 minutes prior to eating is incorrect. Sublingual nitroglycerin is used to relieve acute angina attacks and is taken as needed rather than on a fixed schedule. Choice B rationale: Discarding any tablets not used every 6 months is incorrect. Sublingual nitroglycerin tablets should be replaced every 6 months to ensure potency, but this is not the main teaching point for safe storage. Choice C rationale: Keeping the tablets at room temperature in their original glass bottle is correct. Nitroglycerin tablets are sensitive to light and moisture, and the original glass bottle protects them from these elements, ensuring their effectiveness. Choice D rationale: Placing the tablet between the cheek and gum to dissolve is incorrect. Sublingual nitroglycerin tablets should be placed under the tongue where they dissolve and are absorbed quickly into the bloodstream for rapid relief of angina symptoms

Correct Answer is D

Explanation

Saw palmetto is a natural herbal supplement that may help reduce the symptoms of benign prostate hypertrophy (BPH) by inhibiting the enzyme 5- alpha-reductase, which converts testosterone to dihydrotestosterone (DHT), a hormone that stimulates prostate growth. Some studies have shown that saw palmetto can improve urinary flow and reduce nocturia in men with BPH.

Choice Ais wrong because black cohosh is a plant that contains phytoestrogens, which are compounds that mimic estrogen in the body.Black cohosh is mainly used for menopausal symptoms in women, such as hot flashes and mood swings.

Choice Bis wrong because garlic has no proven effect on BPH. Garlic may have some benefits for cardiovascular health and immune system, but it does not affect prostate size or function.It has no effect on BPH and may even worsen it by altering the hormonal balance.

Choice C is wrong because feverfew is a herb that has anti-inflammatory and anti-migraine properties.

It may help prevent or treat headaches, arthritis, and allergies, but it has no effect on BPH or urinary symptoms.

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