Question

4. A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?
a.   BUN 16 mg/dL
b.   Sodium 142 mEq/ L
c.   Potassium 5.3 mEq/L
d.   Albumin 4g/dL

5. A nurse is caring for a client who has heart failure. The nurse administered furosemide 60mg IV bolus 30min earlier. For which of the following findings should the nurse notify the provider?
a.   Potassium 3.8 mEq/L
b.   The client reports dizziness upon standing
c.   The client reports difficulty hearing
d.   BUN 15 mg/dL

48. A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid?
A.   St. John’s Wort
B.   Ginger root
C.   Black cohosh
D.   Coenzyme Q10

63.   A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity?
A.   Having a 10-year history of COPD
B.   Having a prolapsed mitral valve
C.   Taking a high ceiling diuretic
D.   Taking an HMG CoA reductase inhibitor

64.   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.   Potassium 4.2 mEq/L
B.   Hct 0.44%
C.   Total bilirubin 1.5 mg/dL
D.   WBC count 5,000/mm3

Answer 1

4.Triamterene is a pottassium sparing diuretic which means they increase serum potassium.Therefore answer is C.The potassium value is high.Normal is 3.6-5.2mmol/L

5.The answer is B.It is indicative of orthostatic hypotension.Low potassium and BUN are side effects of furosemide therapy.Hearing loss can result from prolonged use

48.Answer is A.Taking St.John's Wort along with sertraline can cause fever,diarrhoea and even seizure

63.A.COPD predispose digoxin toxicity