The client on amiodarone develops pulmonary fibrosis. What action should the nurse take?

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Cardiovascular System Exam Questions

Question 1 of 5

The client on amiodarone develops pulmonary fibrosis. What action should the nurse take?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Pulmonary fibrosis is a serious side effect of amiodarone. 2. Immediate notification of the healthcare provider is necessary to address this potentially life-threatening complication. 3. The healthcare provider will need to evaluate the client's condition, consider alternative treatments, and adjust the care plan accordingly. Summary of incorrect choices: B. Continuing the medication without intervention can worsen the pulmonary fibrosis. C. Discontinuing the medication is necessary, but oxygen therapy alone may not address the underlying issue. D. Reducing the dose may not be sufficient to manage the pulmonary fibrosis and delaying provider notification can lead to further complications.

Question 2 of 5

The client on atorvastatin (Lipitor) should be advised to report which of the following symptoms?

Correct Answer: A

Rationale: The correct answer is A: Muscle pain. Atorvastatin can cause muscle pain as a side effect, which may progress to a serious condition called rhabdomyolysis. This requires immediate medical attention. Headache, nausea, and dizziness are less common side effects of atorvastatin and generally not as serious as muscle pain in this context. Reporting muscle pain promptly can help prevent complications and ensure appropriate management.

Question 3 of 5

When administering furosemide (Lasix) to a client, which lab value is most important to monitor?

Correct Answer: A

Rationale: The correct answer is A: Potassium. Furosemide is a loop diuretic that can cause potassium loss through increased urine output. Monitoring potassium levels is crucial to prevent hypokalemia, which can lead to serious cardiac arrhythmias. Sodium (B) and chloride (D) levels can also be affected by furosemide but are not as critical as potassium. Calcium (C) monitoring is not typically required when administering furosemide. By closely monitoring potassium levels, healthcare providers can prevent potential complications and ensure the safe administration of furosemide.

Question 4 of 5

The client is on a beta blocker for hypertension. What should the nurse monitor for?

Correct Answer: A

Rationale: The correct answer is A: Bradycardia. Beta blockers slow down the heart rate by blocking the effects of adrenaline. Therefore, the nurse should monitor for bradycardia as it is a common side effect of beta blockers. Tachycardia (B) is unlikely due to the medication's mechanism. Hypertension (C) is already being treated by the beta blocker. Respiratory distress (D) is not a typical side effect of beta blockers.

Question 5 of 5

The client is on amiodarone. What is the most important side effect to monitor for?

Correct Answer: A

Rationale: The correct answer is A: Pulmonary toxicity. Amiodarone is known to cause potentially fatal pulmonary toxicity, including interstitial pneumonitis and pulmonary fibrosis. Monitoring for pulmonary symptoms such as cough, dyspnea, and chest pain is crucial. Choice B (Thyroid dysfunction) is a common side effect but is typically less urgent. Choices C (Liver toxicity) and D (Renal dysfunction) are possible side effects of amiodarone, but pulmonary toxicity is the most important to monitor due to its severity and potential fatality.

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