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?

Total bilirubin 1.5 mg/dL

Potassium 4.2 mEq/L

WBC count 5,000/mm³

Hct 44

Answer and Explanation

The Correct Answer is A

A. The nurse should report the Total bilirubin 1.5 mg/dL to the provider.
Amitriptyline is an antidepressant medication, and elevated total bilirubin levels can indicate potential liver dysfunction or impairment. It's important to report any significant changes in liver function values to the provider, especially when a client is taking medications that can affect liver metabolism. The other laboratory values mentioned are within normal ranges and would not typically be of concern in the context of amitriptyline use.
B. Potassium 4.2 mEq/L:
This value is within the normal range. Potassium levels of 4.2 mEq/L are considered normal. While potassium levels are important to monitor, this result does not indicate a need for immediate reporting.
C. WBC count 5,000/mm³:
This value is within the normal range. A white blood cell (WBC) count of 5,000/mm³ is within the typical range. It suggests a normal immune response and does not require reporting.
D. Hct 44: This value is incorrect. The hematocrit (Hct) value of 44 is not accompanied by the unit of measurement (percentage or fraction). Hematocrit values measure the proportion of red blood cells in the blood and are usually reported as a percentage. If this value is indeed 44%, it falls within a normal range for both men and women. However, if the unit is different (such as a 44% fraction), it might be an incorrect unit conversion. The nurse should verify the unit of measurement and report any discrepancies or errors to the provider for clarification.

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Correct Answer is A

Explanation

A. Calcium gluconate.
Hypermagnesemia refers to an abnormally high level of magnesium in the blood. High levels of magnesium can lead to muscle weakness, decreased reflexes, confusion, and other symptoms. One of the primary treatments for hypermagnesemia is administering calcium gluconate. Calcium gluconate is given intravenously and works by counteracting the effects of excess magnesium on muscles and nerves. It can help restore normal neuromuscular function and decrease symptoms associated with hypermagnesemia.
B. Flumazenil is used to reverse the effects of benzodiazepine overdose or excessive sedation. It has no direct effect on magnesium levels.
C. Acetylcysteine is used to treat acetaminophen (paracetamol) overdose and prevent liver damage. It is not related to treating hypermagnesemia.
D. Protamine sulfate is used to reverse the effects of heparin, a blood-thinning medication. It does not have a role in treating hypermagnesemia.

A. "Plan to self-administer this medication for the next 6 months." B. "Administer the medication into one nostril once per week." C. "Lie down for 1 hour after administering the medication." D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose."

Correct Answer is B

Explanation

A. "Plan to self-administer this medication for the next 6 months": The duration of treatment may vary based on individual circumstances and medical evaluation. It's not appropriate to make a blanket statement about the treatment duration.
B. "Administer the medication into one nostril once per week."
Cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia. It can be administered via nasal spray in some cases. The appropriate dosing for nasal cyanocobalamin usually involves administration once a week. The client should be instructed to administer the medication into one nostril as directed by their healthcare provider.
C. "Lie down for 1 hour after administering the medication": There is no need for the client to lie down for an extended period after administering nasal cyanocobalamin.
D. "Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose": This is not a standard recommendation for administering nasal cyanocobalamin. The client should follow the specific instructions provided by their healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

Correct Answer is A

Explanation

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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