A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which of the following blood test results should the nurse understand can be a possible cause of atrial fibrillation?
Elevated erythrocyte sedimentation rate (ESR)
Elevated thyroid-stimulating hormone (TSH)
Elevated brain natriuretic peptide (BNP)
Elevated C-reactive protein (CRP)
The Correct Answer is B
A. Elevated erythrocyte sedimentation rate (ESR): Elevated ESR indicates inflammation in the body and is not typically associated with the cause of atrial fibrillation.
B. Elevated thyroid-stimulating hormone (TSH): This is the correct answer. A common cause of atrial fibrillation is hyperthyroidism, which is characterized by an overactive thyroid gland and often presents with elevated TSH levels. Thyroid hormones play a significant role in regulating heart rate and rhythm. Excess thyroid hormone can lead to increased heart rate and irregular heart rhythms, including atrial fibrillation.
C. Elevated brain natriuretic peptide (BNP): Elevated BNP levels are associated with heart failure and may indicate cardiac stress or dysfunction. While heart failure can predispose individuals to atrial fibrillation, elevated BNP levels themselves are not a direct cause of atrial fibrillation.
D. Elevated C-reactive protein (CRP): Elevated CRP levels indicate inflammation in the body and are associated with various cardiovascular diseases. While inflammation can contribute to atrial fibrillation, elevated CRP levels alone are not a direct cause of atrial fibrillation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Colchicine:
Colchicine is commonly used in the treatment of pericarditis, especially in cases of recurrent or refractory pericarditis.
It helps reduce inflammation and alleviate symptoms by inhibiting the migration of neutrophils to the inflamed pericardium.
Colchicine is often used in conjunction with nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids for the management of pericarditis.
B. Acetaminophen:
Acetaminophen is a pain reliever and fever reducer commonly used to manage mild to moderate pain associated with various conditions, including pericarditis.
While acetaminophen may provide symptomatic relief, it is not typically considered a primary treatment for pericarditis, especially in cases of severe or recurrent pericarditis.
C. Indomethacin:
Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce inflammation and relieve pain associated with pericarditis.
NSAIDs are often used as first-line therapy for acute pericarditis to alleviate symptoms such as chest pain and fever.
However, caution should be exercised when using NSAIDs in certain populations, such as older adults or those with preexisting gastrointestinal or renal conditions.
D. Amiodarone:
Amiodarone is an antiarrhythmic medication used to treat various types of arrhythmias, including ventricular arrhythmias and atrial fibrillation.
While pericarditis may lead to certain arrhythmias, such as atrial fibrillation, amiodarone is not a first-line treatment for pericarditis itself.
However, it may be used in cases where pericarditis is complicated by arrhythmias or concomitant cardiac conditions.
E. Nitroglycerine:
Nitroglycerine is a vasodilator medication commonly used to treat angina and heart failure.
While pericarditis may cause chest pain similar to angina, nitroglycerine is not typically used as a primary treatment for pericarditis.
In fact, nitroglycerine may exacerbate symptoms of pericarditis by causing venodilation and increasing cardiac preload.
Correct Answer is A
Explanation
A. "Endolymph fluid provides protection to the structures of the inner ear": Endolymph is a fluid found within the membranous labyrinth of the inner ear. It plays a crucial role in maintaining the balance of ions necessary for proper sensory function of the auditory and vestibular systems. Endolymph helps protect the delicate sensory structures of the inner ear, including the hair cells responsible for hearing and balance.
B. "Aqueous humor provides protection to the structures of the inner ear": Aqueous humor is a clear fluid that fills the anterior chamber of the eye, maintaining intraocular pressure and nourishing the cornea and lens. It is not involved in protecting the structures of the inner ear.
C. "Vitreous humor provides protection to the structures of the inner ear": Vitreous humor is a gel-like substance that fills the posterior chamber of the eye, providing structural support to the eyeball and maintaining its shape. It is not associated with protecting the structures of the inner ear.
D. "Sanguineous fluid provides protection to the structures of the inner ear": Sanguineous fluid refers to blood or a blood-like fluid, which does not directly provide protection to the structures of the inner ear. While the circulatory system supplies oxygen and nutrients to the inner ear structures, blood itself does not serve as a protective fluid within the inner ear.
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