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

Answer and Explanation

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 A

Explanation

A. Shortness of breath while lying down. Shortness of breath when lying down, or orthopnea, is common in left-sided heart failure due to fluid backing up into the lungs, causing pulmonary congestion.

B. Jugular venous distention. Jugular venous distention is more commonly associated with right-sided heart failure due to systemic venous congestion.

C. Right upper quadrant pain. Right upper quadrant pain is associated with liver congestion due to right-sided heart failure, not left-sided heart failure.

D. Pitting edema of the lower legs. Pitting edema is a symptom of right-sided heart failure, as fluid backs up into the peripheral circulation.

A. Swelling of the lower extremity can create a wound that is difficult to heal. B. Decreased blood flow to the area can cause the wound and decrease the healing. C. Lower extremity compression stockings likely caused the wound to occur. D. Increased blood sugar associated with the condition is likely the cause of the wound not healing.

Correct Answer is B

Explanation

A. Swelling of the lower extremity can create a wound that is difficult to heal. Swelling typically relates to venous ulcers, not arterial ulcers, which are caused by reduced blood flow.

B. Decreased blood flow to the area can cause the wound and decrease the healing. Peripheral artery disease causes decreased blood flow, leading to poor oxygenation and slow healing of arterial ulcers.

C. Lower extremity compression stockings likely caused the wound to occur. Compression stockings are used in venous insufficiency and do not cause arterial ulcers.

D. Increased blood sugar associated with the condition is likely the cause of the wound not healing. While high blood sugar can impair healing, decreased blood flow is the primary cause of arterial ulcers in PAD.

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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?

Nursing Test Bank

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