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 ["7.5"]

Explanation

To calculate the amount of potassium chloride elixir needed per dose, we can use the following formula:

Amount per dose (mL) = (Desired dose in mEq / Concentration in mEq/mL) * Volume in mL

Given:

Desired dose = 20 mEq/day divided equally every 12 hr = 10 mEq/dose

Concentration = 6.7 mEq/5 mL

Plugging in the values:

Amount per dose (mL) = (10 mEq / 6.7 mEq/5 mL) * 5 mL

Calculating:

Amount per dose (mL) ≈ 7.46 mL

Rounded to the nearest tenth, the nurse should administer approximately 7.5 mL of the potassium chloride elixir per dose.

A. "Rinse your child's mouth following administration." B. "Have your child take one inhalation as needed for shortness of breath." C. "Shake the device prior to administration." D. "A spacer will make it easier to use the device." E. "Soak the inhaler in water after use

Correct Answer is ["A","C","D"]

Explanation

A. "Rinse your child's mouth following administration." - This is important advice to prevent the development of oral thrush (a fungal infection) and to reduce the risk of irritation in the mouth and throat caused by the medication. After using a fluticasone inhaler, rinsing the mouth with water can help prevent these side effects.

C. "Shake the device prior to administration." - Shaking the inhaler before use ensures proper mixing of the medication and enhances its effectiveness.

D. "A spacer will make it easier to use the device." - A spacer is a device that attaches to the inhaler and helps the medication get into the lungs more effectively, especially for children who might have difficulty coordinating the timing of inhalation with activating the inhaler.

The other options:

B. "Have your child take one inhalation as needed for shortness of breath." - This instruction might not be accurate, as fluticasone is usually used as a maintenance medication to control chronic conditions like asthma. It's not typically used as a rescue inhaler for immediate shortness of breath.

E. "Soak the inhaler in water after use." - Soaking the inhaler in water after use is not a standard practice and is not necessary for proper administration or maintenance.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["7.5"]

Explanation

A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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