A patient with heart failure is prescribed sotalol for atrial fibrillation. Which of the following should the nurse recognize as a potential concern?
Increases the force of the heart's contractions (Positive Inotropic Effect)
Hypertension
Decreases the force of the heart's contractions (Negative Inotropic Effect)
Hypercholesterolemia
The Correct Answer is C
(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.
(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.
(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.
(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
(A) Hypernatremia: PTH does not significantly affect sodium levels.
(B) Hyponatremia: PTH imbalance does not cause sodium depletion.
(C) Hypocalcemia: Hyperparathyroidism increases calcium levels, not decreases them.
(D) Hypercalcemia: Hyperparathyroidism causes excessive secretion of parathyroid hormone (PTH), which increases calcium release from bones, enhances calcium absorption in the intestines, and reduces calcium excretion by the kidneys, leading to hypercalcemia.
Correct Answer is C
Explanation
(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.
(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.
(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.
(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.
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