A nurse is collecting data from the medical record of an older adult client and sees that the client is taking Amiodarone. The client, has reported feeling frequently tired and unable to tolerate the heat. Which of the following conditions should the nurse suspect?
Elevated thyroid hormone levels
Low blood glucose levels
Elevated blood glucose levels
Low thyroid hormone levels
The Correct Answer is D
A. Elevated thyroid hormone levels. While amiodarone can cause thyroid dysfunction, elevated thyroid levels (hyperthyroidism) would typically present with symptoms like increased energy or restlessness.
B. Low blood glucose levels. Low blood glucose is not related to amiodarone. Symptoms of hypoglycemia include sweating, hunger, and confusion, not heat intolerance or fatigue.
C. Elevated blood glucose levels. Hyperglycemia is not a known side effect of amiodarone.
D. Low thyroid hormone levels. Amiodarone can induce hypothyroidism, which may cause fatigue and heat intolerance. Regular thyroid monitoring is recommended with long-term amiodarone use.
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Correct Answer is C
Explanation
A. "A heart murmur is a high-pitched sound due to a narrow valve." Not all murmurs are high-pitched, nor are they always due to a narrow valve.
B. "This means that there is some inflammation around your heart." A murmur does not indicate inflammation around the heart; it typically indicates abnormal blood flow.
C. "This indicates turbulent blood flow through a valve." A heart murmur is caused by turbulent blood flow, often through a damaged or abnormal valve.
D. "A heart murmur is an extra sound due to blood entering an inflexible chamber." While inflexible chambers can cause extra heart sounds, this does not describe a murmur.
Correct Answer is ["A","B","C","D"]
Explanation
A. Smoking: Smoking is a modifiable risk factor as quitting smoking reduces the risk of atherosclerosis.
B. Hypertension: High blood pressure can be managed through lifestyle changes and medication, making it a modifiable risk factor.
C. Hypercholesterolemia: High cholesterol levels can be controlled through diet, exercise, and medications, making it modifiable.
D. Obesity: Obesity is a modifiable risk factor, as weight loss through diet and exercise can reduce the risk of atherosclerosis.
E. Genetic predisposition: Genetic predisposition is non-modifiable, meaning individuals cannot change their inherited risk for atherosclerosis.