A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
Bradycardia
Fever
Hypertension
Bradypnea
The Correct Answer is A
A. Bradycardia: Amiodarone, an antiarrhythmic medication, can cause bradycardia as an adverse effect due to its negative chronotropic effects on the heart's electrical conduction system. Bradycardia is a common adverse effect of amiodarone and requires monitoring during therapy.
B. Fever: Fever is not a typical adverse effect of amiodarone. If a client develops a fever while taking amiodarone, other potential causes should be investigated.
C. Hypertension: Hypertension is not a typical adverse effect of amiodarone. Amiodarone is more commonly associated with bradycardia and hypotension.
D. Bradypnea: Bradypnea, or slow respiratory rate, is not a typical adverse effect of amiodarone.
Respiratory adverse effects of amiodarone are more commonly related to pulmonary toxicity, such as pulmonary fibrosis or pneumonitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You may crush the medication and mix it with applesauce": Lovastatin extended-release tablets should not be crushed or chewed as it may alter the drug's release profile, leading to
potential adverse effects or reduced efficacy. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You will need liver function tests before beginning therapy": Lovastatin is a statin
medication used to lower cholesterol levels. Liver function tests (LFTs) are necessary before starting statin therapy and periodically during treatment to monitor for potential hepatotoxicity.
C. "Avoid consuming dairy products while taking this medication": Lovastatin can be taken with or without food, and there is no specific requirement to avoid dairy products. This statement is not relevant to lovastatin therapy and should not be included in the teaching.
D. "You should take the medication in the morning": Lovastatin can be taken at any time of the day, with or without food. There is no specific requirement to take it in the morning. Therefore, this statement is incorrect and should not be included in the teaching.
Correct Answer is D
Explanation
A. Dobutamine: Dobutamine is a sympathomimetic medication used to increase cardiac output in conditions such as heart failure or cardiogenic shock. It is not indicated for the management of severe hypertension.
B. Epinephrine: Epinephrine is a sympathomimetic medication used for the management of severe allergic reactions (anaphylaxis), cardiac arrest, and severe asthma exacerbations. It is not indicated for the management of severe hypertension.
C. Dexamethasone: Dexamethasone is a corticosteroid medication used for a variety of
conditions, including inflammation, allergic reactions, and certain cancers. It is not indicated for the management of severe hypertension.
D. Nitroprusside: Nitroprusside is a potent vasodilator used for the rapid reduction of blood pressure in hypertensive emergencies, such as hypertensive crises or malignant hypertension. It acts quickly to dilate both arterial and venous vessels, leading to a rapid decrease in blood pressure. Therefore, it is the appropriate choice for this client with severe hypertension and a severe headache.
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