A client who underwent cardioversion for atrial fibrillation is prescribed amiodarone (Cordarone). Which testing should the nurse ensure has been completed before the client starts this medication?
1. A hearing test
2. A fasting blood sugar
3. A pulmonary lung function test
4. A 24-hour urine test for creatinine
Correct Answer: 3
Rationale 1: Amiodarone does not affect hearing.
Rationale 2: Amiodarone does not have a direct effect on blood sugar levels.
Rationale 3: The most serious side effect of amiodarone can occur in the lungs. Because pulmonary toxicity can be fatal, baseline and periodic assessment of lung function is essential.
Rationale 4: Amiodarone is excreted primarily through the liver. There is no reason to obtain a 24-hour urine test for creatinine.
Global Rationale: The most serious side effect of amiodarone can occur in the lungs. Because pulmonary toxicity can be fatal, baseline and periodic assessment of lung function is essential. Amiodarone does not affect hearing or have a direct effect on blood sugar levels. Amiodarone is excreted primarily through the liver. There is no reason to obtain a 24-hour urine test for creatinine.
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