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. S3 heart sounds. An S3 sound is more indicative of heart failure rather than PVCs specifically.
B. Increase in point of maximum impulse (PMI). PMI is typically displaced in conditions like ventricular hypertrophy or heart failure, not PVCs.
C. Irregular pulsations. PVCs are extra beats that interrupt the heart’s normal rhythm, leading to irregular pulsations on palpation.
D. Bradycardia. PVCs usually occur in the context of normal or elevated heart rates rather than bradycardia.
Correct Answer is B
Explanation
A. Slow: Atrial fibrillation typically leads to an irregular, often rapid pulse, not necessarily slow.
B. Irregular: Atrial fibrillation causes an irregular pulse due to uncoordinated atrial contractions.
C. Bounding: A bounding pulse is associated with conditions like high cardiac output or fluid overload, not atrial fibrillation.
D. Not palpable: The pulse in atrial fibrillation is usually palpable but irregular.